Table 2 Summary of key recommendations emerging for evaluating large-scale health information technology change programmes

Study selected settings in depth in order to understand local complexities, whilst also exploring the wider number of settings that are part of the change programme to understand general trends

Study evolving networks, relationships, and processes exploring how various stakeholders are mobilised nationally and locally as part of the change programme, and the perceived effects of these mobilisations

Study changing organisational, economic, political, vendor and market contexts

Study mechanisms of spread to accelerate programme objectives and align strategy accordingly to focus on these opportunities