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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Enhancing digital healthcare: aligning Australia’s digital health strategies with value-based healthcare principles

Paul Tait https://orcid.org/0000-0003-4589-213X A B * , Darren Daff https://orcid.org/0009-0002-0366-5633 A , Pamela Everingham A , Ashley Leahy A , Rhys Parker C , Rebecca Perry A , Melanie Smith A and David Morris A
+ Author Affiliations
- Author Affiliations

A South Australian Virtual Care Service, Southern Adelaide Local Health Network, Adelaide, SA, Australia. Email: Darren.Daff@sa.gov.au, Pamela.Everingham@sa.gov.au, Ashley.Leahy@sa.gov.au, Rebecca.Perry2@sa.gov.au, Melanie.Smith4@sa.gov.au, David.Morris@sa.gov.au

B Flinders University, Research Centre for Palliative Care, Death, and Dying (RePaDD), Adelaide, SA, Australia.

C Digital Health SA, Department for Health and Wellbeing, Adelaide, SA, Australia. Email: Rhys.Parker@sa.gov.au

* Correspondence to: Paul.Tait@sa.gov.au

Australian Health Review 49, AH25022 https://doi.org/10.1071/AH25022
Submitted: 30 January 2025  Accepted: 15 May 2025  Published: 3 June 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

This appraisal aims to map Australian digital healthcare strategies at the territory, state, and national levels, utilising a value-based healthcare (VBHC) framework to identify key processes in building value into digital health initiatives.

Methods

The researchers conducted an Advanced Google search to identify strategic frameworks relevant to delivering digital healthcare solutions. They screened documents based on set inclusion and exclusion criteria. Using Braun and Clarke’s approach to thematic analysis, the researchers mapped the contents of the strategic digital health documents against a published VBHC framework to identify 10 common key processes for embedding VBHC into digital health initiatives.

Results

The strategic documents collectively align with VBHC. In mapping these documents, this review identified 10 key processes organisations delivering digitally based healthcare services can use to integrate VBHC into digital healthcare services. Additionally, the review highlighted two gaps in the strategic documents that could enhance their alignment with VBHC principles. First, to address the health inequities that certain groups face, it is essential to explore how priority populations connect with virtual care services. Second, a national approach must be undertaken to develop patient-centred outcomes and experience measures to demonstrate how digital health innovations improve service effectiveness and accessibility.

Conclusions

In mapping the digital strategies against a published VBHC framework, we have identified 10 key processes for embedding VBHC into new digital health innovations. Strategic documents must advocate for building digital health innovations that consider priority populations and foster patient-centred measures that enhance effectiveness and accessibility.

Keywords: digital health, health system, key and priority populations, policy, policy levers, telehealth, telemedicine, value-based healthcare, virtual care.

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