Value Mechanisms in the Implementation of Intelligent Patient Flow Management System - A Multiple Case Study.

The purpose of this study was to investigate the value mechanisms in implementing a digital health intervention (DHI) in different contexts and countries. We utilized realist evaluation and the CIMO logic (Context, Intervention, Mechanism, Outcome) to analyze the mechanisms explaining the value capture of Klinik Pro, an Intelligent Patient Flow Management system (IPFM), which is a DHI for seeking of treatment and triage purposes. The study was conducted as a multiple case study using semi-structured interviews to research four market expansions in three countries. In total, seven healthcare mechanisms were discovered: co-creation, proper competence level, coordination, evidence-based medicine, integration, proper timing, demand management. The first four mechanisms were the same in all cases. CIMO framework proved to be useful in the value formulation of the IPFM.