3C.07

Ml, Sublet; Py, Courand; Bally, Scott J.; Krummel, Tom; Dimitrov, Yves; Brucker, Mary C.; Coz,; Dourmap-Collas, C; Mourad, Jean‐Jacques; Steichen, Olivier; Ott, Jörg; Barone-Rochette, Gilles; L, Bogetto-Graham; Rossignol, Patrick; Barber‐Chamoux, Nicolas; S, Le Jeune; Vautrin, Estelle; Agnoletti, D.; S, Baguet; Sosner, P.

doi:10.1097/01.hjh.0000467451.68858.df

Cited by 1 publication

(3 citation statements)

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“…Some providers cited concerns over accuracy of data as a potential road block to using home BP monitors on a wider scale (n=4) [14,42-44]. Another barrier to provider adoption was the lack of evidence or proof that DHTs improved patient outcomes (n=3) [32,38,45].…”

Section: Resultsmentioning

confidence: 99%

“…One study reported that the lack of assurance of patient data security was a big concern for providers as well (n=1) [32].…”

Section: Resultsmentioning

confidence: 99%

“…Organizational factors, such as lack of leadership support for integrating technology in practice and budget constraints, delayed implementation of new DHTs (n=2) [32,40]. Hospital budgets were too constrained to gather additional resources necessary to implement DHTs as part of the clinical practice workflow (n=1) [32].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Provider- and Patient-Related Barriers to and Facilitators of Digital Health Technology Adoption for Hypertension Management: Scoping Review

Palacholla¹,

Fischer²,

Coleman³

et al. 2019

JMIR Cardio

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BackgroundThe uptake of digital health technology (DHT) has been surprisingly low in clinical practice. Despite showing great promise to improve patient outcomes and disease management, there is limited information on the factors that contribute to the limited adoption of DHT, particularly for hypertension management.ObjectiveThis scoping review provides a comprehensive summary of barriers to and facilitators of DHT adoption for hypertension management reported in the published literature with a focus on provider- and patient-related barriers and facilitators.MethodsThis review followed the methodological framework developed by Arskey and O’Malley. Systematic literature searches were conducted on PubMed or Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medica database. Articles that reported on barriers to and/or facilitators of digital health adoption for hypertension management published in English between 2008 and 2017 were eligible. Studies not reporting on barriers or facilitators to DHT adoption for management of hypertension were excluded. A total of 2299 articles were identified based on the above criteria after removing duplicates, and they were assessed for eligibility. Of these, 2165 references did not meet the inclusion criteria. After assessing 134 studies in full text, 98 studies were excluded (full texts were either unavailable or studies did not fulfill the inclusion criteria), resulting in a final set of 32 articles. In addition, 4 handpicked articles were also included in the review, making it a total of 36 studies.ResultsA total of 36 studies were selected for data extraction after abstract and full-text screening by 2 independent reviewers. All conflicts were resolved by a third reviewer. Thematic analysis was conducted to identify major themes pertaining to barriers and facilitators of DHT from both provider and patient perspectives. The key facilitators of DHT adoption by physicians that were identified include ease of integration with clinical workflow, improvement in patient outcomes, and technology usability and technical support. Technology usability and timely technical support improved self-management and patient experience, and positive impact on patient-provider communication were most frequently reported facilitators for patients. Barriers to use of DHTs reported by physicians include lack of integration with clinical workflow, lack of validation of technology, and lack of technology usability and technical support. Finally, lack of technology usability and technical support, interference with patient-provider relationship, and lack of validation of technology were the most commonly reported barriers by patients.ConclusionsFindings suggest the settings and context in which DHTs are implemented and individuals involved in implementation influence adoption. Finally, to fully realize the potential of digitally enabled hypertension management, there is a greater need to validate these technologies to provide...

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