Elsevier eBooks, Journal Year: 2023, Volume and Issue: unknown
Published: Jan. 1, 2023
Language: Английский
Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e48000 - e48000
Published: July 25, 2023
Background Digital therapeutics are patient-facing digital health interventions that can significantly alter the care landscape. Despite being used to successfully treat a range of conditions, their uptake in systems remains limited. Understanding full spectrum factors is essential identify ways which policy makers and providers facilitate adoption effective within system, as well steps developers take assist deployment products. Objective In this review, we aimed map most frequently discussed determine integration into practical use by patients professionals. Methods A scoping review was conducted MEDLINE, Web Science, Cochrane Database Systematic Reviews, Google Scholar. Relevant data were extracted synthesized using thematic analysis. Results We identified 35,541 academic 221 gray literature reports, with 244 (0.69%) included covering 35 countries. Overall, 85 impact pooled 5 categories: patient characteristics, properties therapeutics, characteristics professionals, outcomes. The need for regulatory framework stated factor at level. Demographic formed iterated patient-related factor, whereas literacy considered important Among interoperability across broader system emphasized. Finally, ability expand access outcome measure. Conclusions developed offers multistakeholder approach recognizing pathway provides an analytical tool assess system’s readiness therapeutics.
Language: Английский
Citations
49
JMIR mhealth and uhealth, Journal Year: 2023, Volume and Issue: 11, P. e49003 - e49003
Published: Sept. 29, 2023
Background The adoption of digital health care within systems is determined by various factors, including pricing and reimbursement. reimbursement landscape for in Europe remains underresearched. Although emergency decisions were made during the COVID-19 pandemic to enable delivery through videoconferencing asynchronous (eg, apps), research so far has primarily focused on policy innovations that facilitated this outside Europe. Objective This study examines strategies 8 European countries (Belgium, France, Germany, Italy, Netherlands, Poland, Sweden, United Kingdom) Israel. Methods We mapped available using a scoping review mapping framework. reviewed literature MEDLINE, Embase, Global Health, Web Science databases. Supplementary records identified Google Scholar country experts. Results Our search strategy yielded total 1559 records, which 40 (2.57%) ultimately included study. As August 2023, solutions are reimbursable some extent all studied except although mechanism differs significantly across countries. At time writing, was mostly discussions between national or regional committees manufacturers absence value-based assessment mechanisms. Financing traditional schemes possible Poland typically occurs via innovation health–specific funding schemes. have frameworks range from nonexistent embryonic. Conclusions Studied show divergent approaches solutions. These differences may complicate ability patients seek cross-country another country, even if app both Furthermore, fragmented environment will present challenges developers such solutions, as they look expand their impact systems. An increased emphasis developing clear conceptualization health, well mechanisms, needed sustainable integration health. can therein serve basis further, more detailed field evolves.
Language: Английский
Citations
38
Digital Health, Journal Year: 2024, Volume and Issue: 10
Published: Jan. 1, 2024
Digitalization in medicine offers a significant opportunity to transform healthcare systems by providing novel digital tools and services guide personalized prevention, prediction, diagnosis, treatment disease management. This transformation raises number of socio-ethical considerations for individuals society as whole, which need be appropriately addressed ensure that medical devices (DMDs) are widely adopted benefit all patients well service providers. In this narrative review, based on broad literature search PubMed, Web Science, Google Scholar, we outline five core intersect with the notions equity inclusion: (i) access, use engagement DMDs, (ii) inclusiveness DMD clinical trials, (iii) algorithm fairness, (iv) surveillance datafication, (v) data privacy trust. By integrating from multidisciplinary fields, including social, medical, computer sciences, shed light challenges opportunities related development adoption DMDs. We begin an overview different types followed in-depth discussions implications associated their deployment. Concluding our provide evidence-based multilevel recommendations aimed at fostering more inclusive landscape integration DMDs mitigate rather than cause, maintain or exacerbate health inequities.
Language: Английский
Citations
4
Discover Mental Health, Journal Year: 2025, Volume and Issue: 5(1)
Published: April 29, 2025
Language: Английский
Citations
0
BMC Medical Informatics and Decision Making, Journal Year: 2024, Volume and Issue: 24(1)
Published: Oct. 19, 2024
People who use drugs (PWUD) often face restricted healthcare access despite their heightened needs. Factors such as stigma, mistrust of the system, competing priorities, and geographical barriers pose significant challenges. Telehealth offers an innovative solution to expand for better inclusion underserved populations in healthcare. We aimed explore PWUDs' perceptions telehealth a delivery modality. utilized purposive sampling recruit participants (N = 57) nine focus group discussions (FGDs) Athens, Greece. Eligibility criteria required be at least 18 years, with current or prior injection drug use, internet access. The FGDs followed semi-structured interview guide, were audio recorded, transcribed verbatim, translated into English, de-identified. applied thematic analysis analyze FGD transcripts. Participants' mean (standard deviation) age was 47.9 (8.9) 89.5% (51/57) male, 91.2% (52/57) Greek origin, 61.4% (35/57) had attended 10 years school. Three main themes emerged from FGDs: (1) high utilization healthcare-related purposes among PWUD, (2) highlighting benefits obstacles concerns about diagnostic accuracy, (3) approaches overcome build digital trust. Participants extensively used processes, accessing information scheduling provider appointments. Despite being telehealth-inexperienced, most expressed strong willingness embrace due its perceived convenience, time-saving nature, trusted environment. Some recognized that inability conduct physical examinations through reduces while others literacy technological infrastructure accessibility. Most preference video-based encounters over audio-only encounters. To trust promote patient-centeredness, recommended initial in-person visit, virtual eye contact during encounters, patient education, partnerships PWUD-supportive community organizations equipped appropriate infrastructure. PWUD frequently health-related suggested several enhance Their insights suggestions are practical guidance policymakers seeking telehealth. NCT05794984.
Language: Английский
Citations
3
Journal of Adolescent Health, Journal Year: 2024, Volume and Issue: 74(6), P. 1260 - 1263
Published: Feb. 26, 2024
Language: Английский
Citations
2
Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11
Published: Oct. 31, 2023
Objective This study aimed to investigate the use intention and influencing factors of telerehabilitation in people with rehabilitation needs. Methods cross-sectional survey recruited a total 183 participants needs from May 2022 December 2022. Sociodemographic medical data were collected by structured questionnaire. The measured extended Unified Theory Acceptance Use Technology (UTAUT) model. Multiple hierarchical regression analyses performed. Results A 150 valid questionnaires included for analysis. results indicated that was overall high Health condition ( β = −0.21, p 0.03), performance expectancy 0.21, 0.01), facilitating conditions 0.25, perceived trust < self-efficacy 0.19, 0.04) significant telerehabilitation. Conclusion Overall, is individuals conditions, expectancy, trust, are important
Language: Английский
Citations
4
PLOS Digital Health, Journal Year: 2023, Volume and Issue: 2(11), P. e0000382 - e0000382
Published: Nov. 8, 2023
Digital health technologies used in primary care, referred to as, virtual allow patients interact with healthcare professionals remotely though the current iteration of care may also come several unintended consequences, such as accessibility barriers and cream skimming. The World Health Organization (WHO) has a well-established framework understand functional components systems. However, existing building blocks does not sufficiently account for disruptive multi-modal impact digital transformations. In this review, we aimed develop first updated by reviewing deployment systems five leading countries: Canada, Finland, Germany Sweden United Kingdom (England). We found that all countries have taken different approaches yet seven common themes were highlighted across (1) stated policy objectives, (2) regulation governance, (3) financing reimbursement, (4) delivery integration, (5) workforce training support, (6) IT data sharing, (7) extent patient involvement system. conceptual was derived from these findings offers set guiding principles can facilitate assessment system settings.
Language: Английский
Citations
4
Heroin addiction and related clinical problems, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 8
Published: March 1, 2024
Background.In 2021, 4,859 drug-related deaths were reported in England and Wales, the highest number since 1993, with opioids accounting for half of deaths.Acknowledging intersection COVID-19 pandemic opioid crisis, this qualitative study aimed to understand impact on people who use heroin (PWUH) by exploring their experiences health wellbeing, access addiction harm reduction support services, criminal justice system.Methods.In-person semi-structured interviews conducted four adult PWUHs accessing a residential service South London Borough.The data was analysed using reflexive thematic analysis.Results.Four themes developed capturing multifaceted experienced PWUH: Invisible through pandemic, Access services -Still long way go, Wellbeing under threat Crimes not drugs.Conclusions.The amplified existing systemic issues faced PWUH, reinforcing alienation, worsening well-being, hindering treatment impairing recovery, identified push factors toward harmful drug contact system.The illustrates imperative leaving no one behind public responses during times.
Language: Английский
Citations
1
Published: Jan. 1, 2024
Language: Английский
Citations
1