Table 2.

Scale-up drivers and their purpose, areas of application, and (using “Stakeholder management” as an example) relevant activity.

Drivers	Purpose	Areas	“Stakeholder Management” Activity
Intentional alignment	To intentionally support the overall goals and objectives of the health sector	Strategic and Tactical (Operational)	Identify and document the teledermatology stakeholders for public and private sector
Context sensitive	To ensure that the proposed action is appropriate for the health care system and ICTacapabilities	Context	Determine the teledermatology stakeholder requirements for key stakeholders (patients, health care system, ICT governance, and architecture)
Targeted integration	To ensure that proposed actions can leverage on existing eHealthbinterventions	Alignment with existing initiatives	Identify and document existing eHealth stakeholders and assess teledermatology value contribution opportunities to existing relationships
Indicator impact	To ensure that outcomes are measurable, recognised and aligned with health indicators	Sustainability, contribute to bottom line, economic, social and environment	Determine teledermatology’s contribution to the need to increase access to equitable, effective, and efficient health care
Influential communication	To ensure that intent, progress, and contributions are communicated to the right people at the right time	Communicate to all levels of stakeholders at regular intervals	Regularly communicate with key stakeholders such as Department of Health and Health Professions Council the impact and status of teledermatology and request feedback on enabling environment
Iterative process	To ensure that feedback is used to refine and enhance scale-up process along the continuum.	Continuous measure; refine feedback loops to encourage maturity	Assess scale-up status and take recommended action to progress in scale-up continuum

^aICT: information and communications technology.

^beHealth: electronic health.