Digital Health,
Год журнала:
2022,
Номер
8, С. 205520762211193 - 205520762211193
Опубликована: Янв. 1, 2022
Despite
current
standard
treatments,
persons
with
Parkinson
disease
(PD)
still
experience
motor
and
non-motor
symptoms
that
impact
daily
function
quality
of
life,
warranting
the
investigation
additional
interventions.
Holistic
complementary
interventions
such
as
yoga
have
been
shown
to
be
beneficial
for
PD.
However,
there
are
multiple
barriers
in-person
transportation
difficulties
disease-related
mobility
impairments
which
may
mitigated
by
digital
health
applications.
Therefore,
this
study's
purpose
was
assess
safety
feasibility
a
synchronous
tele-yoga
intervention
PD.Sixteen
participants
were
enrolled
in
single
group
trial.
The
entire
study
conducted
remotely
consisted
baseline
assessment
followed
six-week
waiting
period,
then
second
assessment,
post-intervention
follow-up
lastly
assessment.
During
completed
two
one-on-one
30-minute
sessions
weekly
total
12
sessions.
Primary
outcomes
included
adverse
events,
adherence,
technological
challenges,
usability.
Secondary
enjoyment
clinically
relevant
outcome
measures
assessing
both
symptoms.No
severe
events
attributed
intervention.
Retention
87.5%,
session
adherence
100%,
97%.
Technological
challenges
did
not
feasibility.
usable
enjoyable.
While
powered
or
designed
efficacy
intervention,
preliminary
improvements
some
measures.Overall,
showed
implementation
safe,
feasible,
usable,
enjoyable
Randomized
control
trials
investigating
its
should
initiated.
registered
ClinicalTrials.gov
(NCT04240899,
https://clinicaltrials.gov/ct2/show/NCT04240899).
IEEE Transactions on Engineering Management,
Год журнала:
2023,
Номер
71, С. 9981 - 9993
Опубликована: Авг. 1, 2023
Given
the
widespread
demand
for
digital
health
services,
a
systematic
study
on
quality
of
services
is
essential.
Based
current
situation
tertiary
hospitals
in
central
China
providing
via
social
media,
we
used
Cronbach
and
Bayesian
Best
Worst
methods
to
evaluate
hospital
conduct
an
empirical
several
hospitals.
results
study,
propose
path
constructing
service
platform,
suggesting
that
focus
building
business
function
media
accelerate
development
Internet
Hospitals
should
also
improve
operation
maintenance
optimize
intelligence
online
guidance,
simplify
design
logic
menus.
In
terms
content
information
need
targeted
according
characteristics
different
quality,
ensure
appropriate
proportion
various
types
information.
With
such
measures,
can
guide
users
use
through
retain
increase
influence
welfare.
PLoS ONE,
Год журнала:
2024,
Номер
19(1), С. e0288677 - e0288677
Опубликована: Янв. 2, 2024
Digital
technologies
are
becoming
essential
to
address
and
optimize
the
suboptimal
performance
of
healthcare
systems.
Teledentistry
involves
use
information
communication
technology
improve
access
oral
health
care
quality
delivery.
Several
systematic
reviews
(SRs)
have
been
conducted
synthesize
evidence
on
effectiveness
teledentistry
but
with
conflicting
results.
The
aim
this
review
is
comprehensively
summarize
available
SRs
provide
impact
care,
patients’
providers’
outcomes,
costs.
This
protocol
has
registered
International
Prospective
Register
Systematic
Reviews
(PROSPERO
CRD42022373964).
Six
electronic
databases
including
MEDLINE
(Ovid),
Embase
(
Embase.com
),
CINAHL
(EBSCO),
Web
Science,
Cochrane
Library
Epistemonikos
will
be
searched
for
quantitative,
qualitative,
mixed
evaluating
modalities
involving
both
patients
and/or
providers
(OHCPs).
We
include
studies
published
in
English
or
French.
outcomes
(e.g.,
patient-reported
experiences);
patient
indicators
clinical
adherence
treatment,
adverse
costs);
OHCP
diagnostic
accuracy,
barriers
enablers
costs
equity).
Two
independent
reviewers
perform
data
screening,
extraction
assess
included
using
AMSTAR
2
ROBIS
tools.
Data
synthesized
narratively
presented
by
tables
graphs.
report
any
overlap
primary
SRs.
A
statement
strength
each
outcome
provided
if
possible.
inform
decision-makers,
patients,
OHCPs,
researchers
potential
effectiveness,
benefits,
challenges
support
them
making
recommendations
its
use.
Results
disseminated
through
peer-reviewed
publications,
presentations
at
conferences,
social
media.
International Journal of Medical Informatics,
Год журнала:
2025,
Номер
196, С. 105820 - 105820
Опубликована: Фев. 1, 2025
The
past
decade
has
seen
rapid
digitalization
of
healthcare,
significantly
transforming
healthcare
delivery.
However,
the
impact
these
technologies
remains
unclear,
with
notable
gaps
in
evidence
regarding
their
effectiveness,
especially
primary
care
settings.
This
systematic
review
assesses
effectiveness
digital
health
interventions
versus
without
components
implemented
over
last
10
years
European
settings
for
managing
chronic
diseases.
Following
Cochrane
guidelines,
we
conducted
a
meta-analysis.
We
searched
multiple
databases
randomized
controlled
trials.
Inclusion
criteria
encompassed
studies
on
disease
management
Europe,
evaluating
outcomes
such
as
hospitalizations,
quality
life,
and
clinical
measures.
Data
extraction
assessment
were
independently
by
two
authors,
discrepancies
resolved
third
author.
certainty
was
judged
according
to
Grading
Recommendations,
Assessment,
Development,
Evaluation
approach.
From
9829
records,
23
included,
most
UK
Spain.
investigated
conditions
type
2
diabetes
hypertension.
Interventions
mainly
focused
patient
monitoring,
self-care
education,
communication
tools.
risk
bias
low
moderate
studies.
Meta-analyses
showed
no
significant
differences
between
usual
depressive
symptoms,
anxiety,
HbA1c,
diastolic
blood
pressure,
weight,
or
except
small
improvement
systolic
pressure.
Digital
have
not
yet
demonstrated
substantial
benefits
traditional
care.
While
some
improvements
noted,
particularly
limited.
Further
research
is
needed
enhance
interventions,
address
current
methodological
limitations,
explore
tailored
approaches
both
specific
populations
multimorbid
populations.
Journal of Advanced Nursing,
Год журнала:
2023,
Номер
79(10), С. 3737 - 3747
Опубликована: Авг. 2, 2023
Abstract
Background
With
healthcare
undergoing
rapid
digitalization,
the
effective
integration
of
new
technologies
is
crucial
for
nursing
professionals,
who
form
largest
group
in
workforce.
However,
barriers
within
profession
may
impede
digitalization
efforts,
leading
to
under
utilization
available
and
missed
opportunities
enhancing
quality
population
health.
Aims
This
article
aims
investigate
adoption
use
digital
by
nurses,
considering
how
key
demographics,
such
as
gender,
age,
voluntariness
technology
use,
interact
influence
their
acceptance
these
technologies.
Methods
Employing
Unified
Theory
Acceptance
Use
Technology
(UTAUT)
a
framework,
we
conducted
discursive
exploration,
supplemented
literature
review
from
diverse
academic
sources.
Keywords
related
UTAUT,
practice
were
searched
on
PubMed,
CINAHL
Google
Scholar.
Additionally,
UK
government
professional
regulator
reports
examined
understand
current
recommendations
concerning
profession's
demography.
Searches
focused
moderating
factor
domains,
last
search
was
26
April
2023.
Results
The
study
revealed
that
successful
implementation
requires
nuanced
understanding
workforce's
characteristics
preferences.
Gender,
age
found
intersect
nurses'
tools.
Discussion
By
applying
UTAUT
context
nursing,
this
highlights
importance
tailored
strategies
A
technologically
deterministic
perspective
insufficient;
instead,
consideration
social
factors
specific
essential
adoption.
Conclusion
To
maximize
benefits
healthcare,
it
imperative
address
faced
professionals.
comprehensive
demographics
impact
will
inform
targeted
strategies,
engagement
nurses
with
tools
fostering
innovation
practices.
Further
research
primary
data
are
needed,
but
lays
foundation
future
advancements
Relevance
Clinical
Practice
issues
highlighted
relevant
nurse
leaders
those
responsible
implementing
contexts.
They
also
developers
benefit
evidence
associated
demographic
article.
Without
holistic
approach
technology,
challenges
likely
persist.
(age,
experience)
have
greater
success
obtaining
clinical
outcomes
technology.
work
completed
2022.
No
Patient
or
Public
Contribution
Due
focus
being
one
profession,
no
involvement
patients
public
sought.
JMIR Human Factors,
Год журнала:
2023,
Номер
10, С. e50357 - e50357
Опубликована: Авг. 25, 2023
Background
The
digitalization
of
health
care
has
many
potential
benefits,
but
it
may
also
negatively
impact
professionals’
well-being.
Burnout
can,
in
part,
result
from
inefficient
work
processes
related
to
the
suboptimal
implementation
and
use
information
technologies.
Although
strategies
reduce
stress
mitigate
clinician
burnout
typically
involve
individual-based
interventions,
emerging
evidence
suggests
that
improving
experience
using
technologies
can
have
a
notable
impact.
Objective
aim
this
systematic
review
was
collect
benefits
challenges
associated
with
digital
tools
hospital
settings
particular
focus
on
experiences
professionals
these
tools.
Methods
We
conducted
literature
following
PRISMA
(Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses)
guidelines
explore
settings.
Using
rigorous
selection
process
ensure
methodological
quality
validity
study
results,
we
included
qualitative
studies
distinct
data
described
physicians
nurses.
A
panel
3
independent
researchers
performed
iterative
analysis
identified
thematic
constructs.
Results
Of
1175
unique
primary
studies,
17
(1.45%)
publications
focused
various
their
day-to-day
practice.
10
(59%)
clinical
decision
support
tools,
followed
by
6
(35%)
focusing
electronic
records
1
(6%)
remote
patient-monitoring
tool.
propose
theoretical
framework
understanding
complex
interplay
between
experience,
outcomes.
constructs
encompass
positive
negative
when
along
moderators
Positive
feeling
confident,
responsible,
satisfied,
whereas
frustration,
overwhelmed,
frightened.
reinforce
sufficient
training
adequate
workflow
integration,
comprised
unfavorable
social
structures
lack
training.
outcomes
improved
patient
increased
efficiency,
workload,
safety
risks,
issues
quality.
Conclusions
affect
were
commonly
reported,
professionals,
such
as
thoughts
emotions,
less
frequently
discussed.
On
basis
finding,
highlights
need
further
research
specifically
targeting
an
important
mediator
It
emphasizes
importance
considering
differences
nature
specific
well
profession
role
individual
users.
Trial
Registration
PROSPERO
CRD42023393883;
https://tinyurl.com/2htpzzxj
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
26, С. e52085 - e52085
Опубликована: Янв. 22, 2024
Background
Various
studies
propose
the
significance
of
digital
maturity
in
ensuring
effective
patient
care
and
enabling
improved
health
outcomes,
a
successful
transformation,
optimized
service
delivery.
Although
previous
research
has
centered
around
inpatient
settings,
on
general
practices
is
still
its
infancy.
Objective
As
practitioners
(GPs)
are
first
point
contact
for
most
patients,
we
aimed
to
shed
light
pivotal
role
GPs’
inherent
characteristics,
especially
their
personality,
practices.
Methods
In
step,
applied
sequential
mixed
methods
approach
involving
literature
review
expert
interviews
with
GPs
construct
scale
used
this
study.
Next,
designed
web-based
survey
assess
5-point
Likert-type
analyze
relationship
relevant
characteristics
using
ANOVAs
regression
analysis.
Results
Our
219
revealed
that
was
overall
moderate
(mean
3.31,
SD
0.64)
substantially
associated
several
GP.
We
found
differences
based
gender,
expected
future
use
solutions,
perceived
affinity
medical
assistants,
level
affinity,
extraversion
neuroticism.
model,
higher
use,
GPs,
lower
neuroticism
were
substantial
predictors
maturity.
Conclusions
study
highlights
impact
By
identifying
these
influencing
factors,
our
findings
support
targeted
approaches
drive
practice
settings.
Clinics and Practice,
Год журнала:
2023,
Номер
13(4), С. 994 - 1014
Опубликована: Авг. 20, 2023
The
success
of
artificial
intelligence
depends
on
whether
it
can
penetrate
the
boundaries
evidence-based
medicine,
lack
policies,
and
resistance
medical
professionals
to
its
use.
failure
digital
health
meet
expectations
requires
rethinking
some
challenges
faced.
We
discuss
most
significant
faced
by
patients,
physicians,
payers,
pharmaceutical
companies,
systems
in
world.
goal
healthcare
is
improve
outcomes.
Assisting
diagnosing,
collecting
data,
simplifying
processes
a
"nice
have"
tool,
but
not
essential.
Many
these
have
yet
be
shown
Current
outcome-based
economic
constraints
make
have,"
"assists,"
"ease
processes"
insufficient.
Complex
biological
are
defined
their
inherent
disorder,
bounded
dynamic
boundaries,
as
described
constrained
disorder
principle
(CDP).
It
provides
platform
for
correcting
systems'
malfunctions
regulating
degree
variability.
A
CDP-based
second-generation
system
solutions
faces.
Therapeutic
interventions
held
outcomes
with
systems.
In
addition
improving
clinically
meaningful
endpoints,
algorithms
ensure
patient
physician
engagement
reduce
system's
costs.
Information,
Год журнала:
2023,
Номер
14(12), С. 640 - 640
Опубликована: Ноя. 29, 2023
Emerging
digital
technologies,
such
as
telemedicine,
artificial
intelligence,
the
Internet
of
Medical
Things,
blockchain,
and
visual
augmented
reality,
have
revolutionized
delivery
access
to
healthcare
services.
Such
technologies
allow
for
real-time
health
monitoring,
disease
diagnosis,
chronic
management,
outbreak
surveillance,
rehabilitation.
They
help
personalize
treatment
plans,
identify
trends,
contribute
drug
development,
enhance
public
management.
While
emerging
numerous
benefits,
they
may
also
introduce
new
risks
vulnerabilities
that
can
compromise
confidentiality,
integrity,
availability
sensitive
information.
This
review
article
discussed,
in
brief,
key
sector
unique
threats
introduced
by
these
technologies.
We
highlighted
relevant
cybersecurity,
data
breaches,
medical
device
vulnerabilities,
phishing,
insider
third-party
risks,
ransomware
attacks.
suggest
cybersecurity
framework
should
include
developing
a
comprehensive
strategy,
conducting
regular
risk
assessments,
implementing
strong
control,
encrypting
data,
educating
staff,
secure
network
segmentation,
backing
up
regularly,
monitoring
detecting
anomalies,
establishing
an
incident
response
plan,
sharing
threat
auditing
vendors.
Journal of Health Organization and Management,
Год журнала:
2024,
Номер
38(3), С. 305 - 330
Опубликована: Март 29, 2024
Purpose
Business
intelligence
(BI)
systems
and
tools
are
deemed
to
be
a
transformative
source
with
the
potential
contribute
reshaping
way
different
healthcare
organizations’
(HCOs)
services
offered
managed.
However,
this
emerging
field
of
research
still
appears
underdeveloped
fragmented.
Hence,
paper
aims
reconciling,
analyzing
synthesizing
strands
managerial-oriented
literature
on
BI
in
HCOs
enhance
both
theoretical
applied
future
contributions.
Design/methodology/approach
A
literature-based
framework
was
developed
establish
guide
three-stage
state-of-the-art
systematic
review
(SLR).
The
SLR
undertaken
adopting
hybrid
methodology
that
combines
bibliometric
content
analysis.
Findings
In
total,
34
peer-review
articles
were
included.
Results
revealed
significant
heterogeneity
basis
methodological
strategies.
Nonetheless,
knowledge
structure
research’s
stream
seems
primarily
composed
five
clusters
interconnected
topics:
(1)
decision-making,
relevant
capabilities
value
creation;
(2)
user
satisfaction
quality;
(3)
process
management,
organizational
change
financial
effectiveness;
(4)
decision-support
information,
dashboard
key
performance
indicators;
(5)
management
effectiveness.
Originality/value
To
authors’
knowledge,
is
first
providing
business
management-related
topic.
Besides,
offers
an
original
disentangling
directions
from
each
emerged
cluster
into
issues
pertaining
implementation,
utilization
impact
HCOs.
also
discusses
need
contributions
explore
possible
integrations
data-driven
technologies
(e.g.
artificial
intelligence)
HCOs,
as
role
addressing
sustainability
challenges.