Public value and digital health: The example of guiding values in the national digital health strategy of France
International Journal of Medical Informatics,
Год журнала:
2025,
Номер
196, С. 105794 - 105794
Опубликована: Янв. 22, 2025
In
the
WHO
European
Region,
44
of
53
reporting
Member
States
(MS)
have
a
national
digital
health
strategy
(NDHS)
or
policy.
Their
formulation
is
heterogenous
and
evolving
should
best
reflect
public
common
interest.
This
research
aims
to
explore
how
value
approach
improves
relevance
policies
services,
increasing
their
capacity
better
serve
diverse
range
societal
interests.
It
utilises
guiding
values
within
French
NDHS
as
an
example
before
discussing
other
such
Heath
Data
Space.
Three
homogenous
focus
group
discussions
were
conducted
in
November
December
2023.
Each
separately
gathered
distinct
stakeholders:
clients,
professionals,
private
sector.
19
participants
included
study.
collection
comprised
live
polling
semi-structured
discussion.
Results
analysed
considering
pre-defined
stakeholder
groups
discussed
during
Findings
reveal
both
technical
cultural
challenges
that
highlight
need
for
adaptable
frameworks
across
different
contexts.
Stakeholder
insights
informed
framework
classifying
into
democratic
managerial
categories,
suggesting
themes
may
be
relevant
strategies
regional
settings.
Public
multidimensional
concept,
plurality
its
perceptions
give
basis
tailored
approaches
value-beneficiaries
comprehensively.
We
propose
this
values-based
systematic
model
supra-,
sub-,
scales
additional
policy
topics,
beyond
strategies.
The
study
suggests
using
lens
multiple
valuable
advancing
responsible
ethical
manner.
Such
could
promote
wider
governance
adoption
health.
To
evolve
framework,
application
large
ecosystems
at
levels
considered.
Язык: Английский
Digital Healthcare Innovative Services in Times of Crisis: A Literature Review
Healthcare,
Год журнала:
2025,
Номер
13(8), С. 889 - 889
Опубликована: Апрель 12, 2025
Objectives:
The
transformation
of
healthcare
systems
during
crises,
particularly
demonstrated
the
COVID-19
pandemic,
emphasizes
urgent
need
for
effective
research
methodologies
to
evaluate
digital
innovations.
These
are
essential
in
addressing
rapid
shift
service
delivery
modalities,
responding
unprecedented
challenges
that
have
revealed
both
opportunities
and
barriers
within
ecosystem.
Methods:
For
this
review,
was
carried
out
on
Medline/PubMed,
Scopus,
Google
Scholar
databases
locate
articles
published
from
2015
2024,
using
search
terms
health,
technologies,
management
implications,
platforms.
inclusion
criteria
referred
studies
were
directly
related
topic,
available
English
language,
peer-reviewed
scientific
journals.
exclusion
parameters
as
follows:
(a)
not
relevant
topic
defined
purpose
(b)
systematic
reviews
meta-analyses,
(c)
a
language
other
than
English.
Results:
Key
findings
indicate
that,
while
health
technologies
potential
mitigate
disparities,
they
often
exacerbate
existing
inequities,
especially
among
vulnerable
populations
lacking
consistent
access
technology.
Furthermore,
towards
platforms
has
significant
gaps
workforce
training
support,
which
implementation.
Conclusions:
This
review
underscores
financial
with
expenditures
rising
significantly
due
increased
use
services,
reflecting
broader
trend
noted
conditions.
Moreover,
discussions
public
governance
suggest
critical
democratic
frameworks
support
such
transformations
effectively.
Язык: Английский