Mobile health (mHealth) innovations are considered by governments as game changers toward more sustainable health systems. The existing literature focuses on the clinical aspects of mHealth but lacks an integrated framework on its sustainability. The foundational idea for this paper is to include disciplinary complementarities into a multi-dimensional vision to evaluate the non-clinical aspects of mHealth innovations. We performed a targeted literature review to find how the sustainability of mHealth innovations was appraised in each discipline. We found that each discipline considers a different outcome of interest and adopts different time horizons and perspectives for the evaluation. This article reflects on how the sustainability of mHealth innovation can be assessed at both the level of the device itself as well as the level of the health system. We identify some of the challenges ahead of researchers working on mobile health innovations in contributing to shaping a more sustainable health system.
Information and communication technologies are often considered by policymakers, industrial stakeholders and scientists as a key lever in the run towards sustainability, since they should ease energy efficiency and dematerialization. In this opinion article, nurtured by the inputs of a broad panel of experts, we challenge this widely spread view by highlighting the detrimental social and environmental footprints caused by digital technologies. We further take a critical look on the ways innovation is conducted nowadays, i.e., with an almost exclusive focus on performance and few considerations for externalities. This leads us to call for academic teaching programs advocating for a holistic approach, for new business models, and for ambitious political decisions able to drive a paradigm shift in the mainstream agenda of electronics innovation and digital transition that shall significantly contribute to the well-being of everyone, everywhere, without compromising future generations. We conclude that digital technologies cannot support long-term sustainability if their only purpose remains the optimization of the current system.
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