<p>Health Professional Digital Capabilities Frameworks: A Scoping Review</p>

Abstract

Introduction The term “digital healthcare professional” alludes to a health professional with the additional digital capabilities such as information and technology. The assumption that attaining technical knowledge and skills to meet the available professional standards in digital healthcare, will engage and empower healthcare users, thus deliver person-centered digital healthcare (PCDHc), is flawed. Identifying where digital healthcare and technologies can genuinely support person-centered care may lead to future discourse and practical suggestions to build person-centered integrated digital healthcare environments. This review examines current digital health and informatics capability frameworks and identifies the opportunity to include additional or alternative principles. Methods A scoping review was conducted. Literature valuing person-centered digital healthcare requirements, digital health capabilities, and competencies were identified between 2000 and 2019 inclusive, then collated and considered. Using a PRISMA approach for eligibility screening, thirteen articles met the study inclusion criteria. Analysis used a thematic framework approach, which assisted in the data management, abstraction and description, and finally the explanations. Results Analysis indexed fifty-nine (59) capabilities, charted thirteen (n13) categories, mapped four (n4) themes, which were then interpreted as findings. Findings The four themes identified were Change Management; User Application; Data, Information, and Knowledge; and Innovation. The themes recognize the opportunity to align the application of technical skills towards the capabilities required to deliver authentic PCDHc. Discussion Holistic mindsets are imperative in maintaining the objective of PCDHc. The authors propose that debates regarding professional digital capability persist in being “siloed” and “paternalistic” in nature. They also recommend that the transition to authentic PCDHc requires refocusing (rather than rewriting) current capabilities. The realignment of capabilities towards individual healthcare outcomes, rather than professional obligation, can steer the perspective towards a genuine PCDHc system. Conclusion This scoping review confirms the assumption that digital skills will empower all healthcare stakeholders is incorrect. This review also draws attention to the need for more research to enable digital healthcare systems and services to be designed to realize complex human behaviors and multiple person-centered care requirements. Now more than ever, it is imperative to align healthcare capabilities with technologies to ensure that the practice of PCDHc is the empowering journey for the healthcare user that theory implies.

Characterising the health and social care segment of the BCS (The Chartered Institute for IT) membership and their continuing professional development needs

“…From the results, participants form a 'digitally confident, digitally aware and digitally literate' 5 group meeting the target competencies identified in the Topol Review, 5 Karas et al's review, 6 Broughton et al's report 7 and the competencies frameworks from across the health and social care professions and the home nations. [9][10][11][12][13][14][15] It is clear that the trajectory is towards BDRW which may have gained momentum Open access during the COVID-19 pandemic. 8 20-23 Whether that momentum of improving digital competency can be continued post COVID-19, with a workforce which has been overwhelmed during the pandemic, remains to be seen.…”

“…8 The report names: Health Education England and the Department of Health and Care; National Health Service Education for Scotland; Health Education and Improvement Wales and Northern Ireland Department of Health responsible for health workforce planning. 8 There are key skills and competencies frameworks for health and care [9][10][11][12][13][14][15] which have started to include variations on technical efficiency, informatics competence or similar. It may still take a leap of faith to compare, combine or critically appraise such frameworks against the BCS SFIAplus V.7, a task which is outwith the scope of this study.…”

“…16 The OECD states that, 'To meet the current demand for digital upskilling, the CPD and other professional training schemes should become a shared responsibility between employers, professional organisations, and ministries of health'. 16 It may still take a leap of faith to compare, combine or critically appraise the many frameworks [9][10][11][12][13][14][15] against the BCS SFIAplus V.7 17 18 but this task is outwith the scope of this study. There are many other players in the CPD arena, such as the NHS Digital Academy 24 25 and, for this mainly highly educated group of professionals, wider options provided by over 80 MSc courses in health data sciences, analytics and informatics.…”

Change Management and Digital Innovations in Hospitals of Five European Countries

“…It is important to keep in mind that management skills are necessary on several levels in order to successfully accept such innovations [37]. Brice and Almond [38] studied these management skills and concluded that the design of innovations must be adapted to complex human behaviors. The difficulties with innovation acceptance was also described by Shaw and Chisholm [39].…”

Protocol for Automated Content Analysis of Corpus to Determine Informatics Competencies amongst Health Service Managers

“…[6] The term digital health is becoming increasingly prevalent in the literature and healthcare generally. [7] As digital health competencies evolve, the further development of competencies for health informatics and health service management can contribute to this evolving discourse. The aim of this protocol to identify what is missing in existing health service management competency empirical studies in relation to health informatics competencies.…”