ABSTRACT

Healthcare delivery involves multiple and differing heterogenous stakeholders (providers, healthcare organisations, payers, regulators and the patient). These stakeholders have different relative power and divergences in critical knowledge. Moreover, healthcare is unique in that the primary user of services (the patient) is typically not the primary payer for these services. These nuances lead to the emergence of principle agent frictions and a power-knowledge dichotomy as the various stakeholders try to treat the patient as well as meet their respective obligations, align their goals and realise superior healthcare delivery. In this chapter, these issues will be unpacked and the role of digital health in addressing and resolving many of these challenges will be discussed.