Advancing governance for digital transformation in health
Insights from Georgia’s experience
Bibliographic Data
| ID | 21880127 |
|---|---|
| Authors | George Gotsadze (0000-0002-8429-7125, Ilia State University), Akaki Zoidze (0000-0002-7563-0117, Ilia State University), Tamar Gabunia (0009-0003-3986-667X, Ministry of Labour, Health and Social Affairs), Brian Chin (0000-0001-5797-4242, Asian Development Bank) |
| Year | 2024 |
| Volume | 9 |
| Issue | 10 |
| Pages | e015589 |
| Publication date | 2024-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2024-015589 |
| PMID | 39353684 |
| OpenAlex | W4403028817 |
| Language | EN |
| Citations received | 1 |
| References cited | 20 |
Enhancing digital health governance is critical to healthcare systems in low-income and middle-income countries. However, implementing governance-enhancing reforms in these countries is often challenging due to the multiplicity of external players and insufficient operational guidance that is accessible. Using data from desktop research, in-depth interviews, focus group discussions and three stakeholder workshops, this paper aims to provide insights into Georgia’s experience in advancing digital health governance reforms. It reveals how Georgia has progressed on this path by unpacking the general term ‘governance’ into operational domains, where stakeholders and involved institutions could easily relate their institutional and personal roles and responsibilities with the specific function needed for digital health. Based on this work, the country delineated institutional responsibilities and passed the necessary regulations to establish better governance arrangements for digital health. The Georgia experience provides practical insights into the challenges faced and solutions found for advancing digital health governance in a middle-income country setting. The paper highlights the usefulness of operational definitions for the digital health governance domains that helped (a) increase awareness among stakeholders about the identified domains and their meaning, (b) discuss possible governance and institutional arrangements relevant to a country context, and (c) design the digital health governance architecture that the government decreed. Finally, the paper offers a broad description of domains in which the governance arrangements could be considered and used for other settings where relevant. The paper points to the need for a comprehensive taxonomy for governance domains to better guide digital health governance enhancements in low-middle-income country settings
Business · Corporate governance · Digital health · Economic growth · Economics · Health care · Information governance · Information system · Knowledge management · Political science · Project governance · Public relations · Stakeholder · Computer Science · Global Health Care Issues · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Public Administration · Finance
Co-creation in Health Services Through Service Design
Uncovering the Benefits of Participatory Research
Big data analytics in healthcare
The Lancet and Financial Times Commission on governing health futures 2030
Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work
Barriers and facilitators to health information exchange in low- and middle-income country settings
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |