Challenges for remote patient monitoring programs in rural and regional areas: a qualitative study
BMC Health Services Research,
Год журнала:
2025,
Номер
25(1)
Опубликована: Март 13, 2025
Abstract
Background
Access
to
healthcare
significantly
influences
health
outcomes,
and
rural,
regional
remote
populations
face
greater
challenges
in
accessing
than
urban
populations.
Digital
tools,
such
as
patient
monitoring
(RPM),
have
significant
potential
address
these
challenges,
yet
there
is
little
research
on
the
facilitators
barriers
of
RPM
regions.
Aim
This
study
aims
identify
understand
staff
implementing
rural
Australia,
with
focus
that
arose
after
onset
COVID-19
pandemic.
Methods
Semi-structured
groups
were
conducted
professionals
from
publicly
funded
services
western
Victoria,
Australia.
An
open-ended
interview
guide
based
Consolidated
Framework
for
Implementation
Research
(CFIR)
was
used
key
themes
strategies
effective
implementation.
The
analysis
considered
at
micro,
meso,
macro
levels.
Results
Several
implementation
identified
across
different
levels:
(1)
Micro-Level
Factors,
perceived
low
digital
literacy
language
among
individuals;
(2)
Meso-Level
including
disparities
IT
infrastructure
device
availability,
limited
training
opportunities,
need
enhanced
governance
within
settings;
(3)
Macro-Level
encompassing
evolving
funding
models
reliability
service
providers.
Despite
participants
acknowledged
benefits
improved
technological
interoperability,
community
engagement,
a
data-driven
approach
quality
improvement.
Importantly,
flexible,
tailored
accommodate
specific
needs
deemed
valuable.
Conclusion
Effective
deployment
areas
viewed
by
crucial
bridging
divides.
However,
if
developed
settings
are
not
recalibrated
risk
failure
may
escalate.
Future
initiatives
must
prioritize
region-specific
policy
reforms
aimed
ensuring
equitable
financial
resource
allocation
enhance
access
settings.
ensure
solutions
both
adaptable
effective,
unique
each
community.
Язык: Английский
Political determinants of digital health: beyond the rainbow
Health Promotion International,
Год журнала:
2025,
Номер
40(2)
Опубликована: Март 5, 2025
Abstract
In
2021,
the
World
Health
Organization
issued
its
first
global
strategy
on
digital
technologies
and
health,
calling
member
states
to
develop
their
own
national
health
strategies.
However,
normative
tools
that
guide
development
of
these
strategies
do
not
prompt
consider
how
broader
political
factors,
such
as
law
policy,
governance,
civic
engagement,
could
shape
outcomes
in
age.
The
gender
divide,
algorithmic
biases
linked
race,
transnational
private
sector
actors,
more
must
be
thoroughly
addressed
future
Experiences
from
HIV
response
have
demonstrated
it
is
possible
this,
by
mobilizing
diverse
government
non-governmental
actors
systematically
assess
act
strengthen
legal
environment
for
health.
This
essay
draws
critically
engage
with
recent
literature
determinants
proposing
an
approach
analyzing
including
commercial
other
laws,
policies,
engagement
relevant
By
rendering
visible
role
politics,
can
mobilize
broad
collaborations
advocacy
creates
enabling
environment.
Язык: Английский
"Promoting the use of digital health equity audits also to avoid armful infodemiology": editorial (Preprint)
Massimiliano Biondi,
Fabio Filippetti,
GIORGIO BRANDI
и другие.
Опубликована: Апрель 4, 2025
BACKGROUND
Health
disparities
persist
and
are
influenced
by
digital
transformation.
Although
tools
offer
opportunities,
they
can
also
exacerbate
existing
inequalities,
a
problem
amplified
the
COVID-19
pandemic
related
infodemic.
Equity
Audit
(HEA)
tools,
such
as
those
developed
in
United
Kingdom,
provide
framework
to
assess
equity
but
require
adaptation
for
context.
Digital
Determinants
of
(DDoH)
increasingly
recognized
crucial
factors
influencing
health
outcomes
era.
OBJECTIVE
This
editorial
proposes
an
approach
extend
HEA
principles
create
specific
framework,
named
(DHEA),
designed
systematically
address
inequities
within
design,
implementation,
evaluation
technologies,
with
focus
on
DDoH.
METHODS
A
cyclical
DHEA
model
based
is
proposed,
integrating
them
frameworks.
The
cycle
comprises
six
phases:
1)
Scoping
audit
mobilizing
team
(including
community
members);
2)
Developing
profile
identifying
(assessing
DDoH
at
individual,
interpersonal,
community,
societal
levels);
3)
Identifying
high-impact
actions
inequities;
4)
Prioritizing
maximum
impact;
5)
Implementing
supporting
change;
6)
Evaluating
progress,
impact,
refining.
method
emphasizes
multi-level
interventions
stakeholder
engagement.
RESULTS
main
result
articulation
itself:
structured,
6-phase
guide
organizations
analysis
proactive
mitigation
health-related
disparities.
explicitly
integrates
assessment
across
multiple
levels
(individual,
societal)
promotes
development
targeted
ensure
solutions
promote
equity.
CONCLUSIONS
offers
integrated
consider
social,
epidemiological,
health,
technological
variables,
aiming
reduce
through
conscious
use
new
technologies.
It
emphasized
that
technologies
be
cause
or
solution
inequalities;
proposed
tool
foster
Its
systematic
adoption,
along
collaborative
(co-design)
trust-building,
help
benefits
digitalization
equitably
distributed,
while
strengthening
trust
institutions.
Continued
attention
needed
manage
emerging
challenges
infodemiology
era
Big
Data
AI.
CLINICALTRIAL
NN
Язык: Английский
DiScO: novel rapid systems mapping to inform digital transformation of health systems
Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Окт. 25, 2024
Global
health
systems
are
confronting
challenges
that
intersect
climate
change
with
evolving
communicable
and
non-communicable
public
risks.
Addressing
these
requires
integration
via
citizen
big
data
exist
outside
systems.
However,
across
jurisdictions
is
a
complex
challenge
stakeholder
input.
This
study's
purpose
was
to
conduct
rapid
mapping
international
system
stakeholders
inform
the
development
implementation
of
global
digital
science
observatory
(DiScO),
which
aims
catalyze
transformation
jurisdictions.
Язык: Английский
Strengthening the evidence base on the use of digital health technologies to accelerate progress towards universal health coverage
Mathilde Forslund,
Kirsten Mathieson,
Yacine Djibo
и другие.
Oxford Open Digital Health,
Год журнала:
2024,
Номер
2
Опубликована: Янв. 1, 2024
Digital
health
and
the
digital
transformation
of
systems
are
an
enabler
accelerator
to
achieving
Universal
Health
Coverage
(UHC)
in
low-
middle-income
countries.
This
can
help
close
equity
gaps,
enhance
primary
healthcare,
improve
efficiency
outcomes.
However,
landscape
is
characterized
by
fragmented
initiatives
investments,
insufficient
political
will,
inadequate
governance
data.
special
collection
Oxford
Open
showcases
impacts
interventions
approaches
towards
expanded
healthcare
access
improved
commentary
makes
case
for
policy
innovation
leadership,
robust
data
a
people-centred
approach
leverage
benefits
transformation.
Prioritizing
these
areas
accessibility,
affordability,
quality
care,
UHC
goals.
Язык: Английский