Show me the money: how do we justify spending health care dollars on digital health?

Woods, Leanna; Eden, Rebekah; Nguyen, Kim‐Huong; Comans, Tracy; Sullivan, Clair

doi:10.5694/mja2.51799

Cited by 18 publications

(17 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At the patient level, the most reported relative advantages were improvements in health outcomes and shortened disease duration through novel health care options, faster diagnoses, decrease in adverse medical events, and improved monitoring of clinical and patient-reported outcome measures [ 11 , 17 , 41 , 43 , 45 , 47 - 49 , 53 , 60 , 61 , 69 , 71 , 74 , 80 , 81 , 88 , 92 , 94 , 95 , 100 , 102 , 105 , 124 , 128 , 130 , 132 , 133 , 135 , 137 , 138 , 146 , 153 , 163 , 172 , 173 , 179 , 189 , 202 , 207 , 218 , 224 , 226 , 228 , 229 , 231 , 232 , 234 , 239 - 242 , 244 , 246 , 248 , 257 , 260 , 262 , 263 , 265 , 266 , 270 , 275 ], as well as changes in the quality of life, well-being, and life expectancy [ 13 , ...…”

Section: Resultsmentioning

confidence: 99%

“…At the health system level, digital therapeutics can influence health care costs and resource use [ 41 , 47 , 48 , 53 , 69 , 71 , 72 , 80 , 81 , 94 , 95 , 105 , 107 , 111 , 113 , 121 , 124 , 128 , 131 , 133 , 147 , 153 , 154 , 160 , 164 , 171 , 172 , 180 , 189 , 207 , 211 , 212 , 228 , 231 , 232 , 237 , 238 , 255 - 258 , 261 , 262 , 265 , 269 , 273 ] and affect the workload and workflow of the health workforce, potentially bringing about significant improvements [ 19 , 47 , 60 , 62 , 78 , 80 , 90 , 105 , 116 , 124 , 126 , 128 , 134 , 146 , 147 , 176 , 188 , 194 , 196 , 221 , <...…”

Section: Resultsmentioning

confidence: 99%

“…They can also improve coordination among health professionals [ 60 , 90 , 92 , 225 , 226 , 229 , 232 , 273 ]. Furthermore, as they require less health professional input, digital therapeutics can help address clinical workforce shortages [ 47 , 72 , 80 , 124 , 128 , 173 , 176 , 228 , 243 , 270 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review

van Kessel,

Roman-Urrestarazu,

Anderson

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

Background Digital therapeutics are patient-facing digital health interventions that can significantly alter the health care landscape. Despite digital therapeutics being used to successfully treat a range of conditions, their uptake in health systems remains limited. Understanding the full spectrum of uptake factors is essential to identify ways in which policy makers and providers can facilitate the adoption of effective digital therapeutics within a health system, as well as the steps developers can take to assist in the deployment of products. Objective In this review, we aimed to map the most frequently discussed factors that determine the integration of digital therapeutics into health systems and practical use of digital therapeutics by patients and professionals. Methods A scoping review was conducted in MEDLINE, Web of Science, Cochrane Database of Systematic Reviews, and Google Scholar. Relevant data were extracted and synthesized using a thematic analysis. Results We identified 35,541 academic and 221 gray literature reports, with 244 (0.69%) included in the review, covering 35 countries. Overall, 85 factors that can impact the uptake of digital therapeutics were extracted and pooled into 5 categories: policy and system, patient characteristics, properties of digital therapeutics, characteristics of health professionals, and outcomes. The need for a regulatory framework for digital therapeutics was the most stated factor at the policy level. Demographic characteristics formed the most iterated patient-related factor, whereas digital literacy was considered the most important factor for health professionals. Among the properties of digital therapeutics, their interoperability across the broader health system was most emphasized. Finally, the ability to expand access to health care was the most frequently stated outcome measure. Conclusions The map of factors developed in this review offers a multistakeholder approach to recognizing the uptake factors of digital therapeutics in the health care pathway and provides an analytical tool for policy makers to assess their health system’s readiness for digital therapeutics.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review

van Kessel,

Roman-Urrestarazu,

Anderson

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…It has been difficult to determine the value of digital hospital implementations as what is considered valuable changes over time and place and from person to person [11]. Previous studies evaluating digital health implementations have focused on three domains: (1) improving patient or hospital outcomes using quantitative evaluation [12]; (2) exploring patient [13] and clinician behavior, workflows, and attitudes toward EMRs or digital hospital transformations [10]; and (3) quantifying value using economic evaluations [4].…”

Section: Introductionmentioning

confidence: 99%

“…The Quadruple Aim is the overarching goal of a learning health care system of enhancing patient experience, improving population health, reducing health care costs, and improving the provider experience (Figure 1) [17]. The Quadruple Aim of health care has been proposed as a strategic compass to guide digital health investment planning, decision-making, and evaluation [11] and has been used in the health care workforce [18,19], innovation implementation [20], and COVID-19 pandemic [21] contexts to identify current trends and research gaps. The experience of patients and clinicians has yet to be explored as important contributors to the Quadruple Aim.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Canfell,

Woods,

Meshkat

et al. 2024

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

Background The digital transformation of health care is advancing rapidly. A well-accepted framework for health care improvement is the Quadruple Aim: improved clinician experience, improved patient experience, improved population health, and reduced health care costs. Hospitals are attempting to improve care by using digital technologies, but the effectiveness of these technologies is often only measured against cost and quality indicators, and less is known about the clinician and patient experience. Objective This study aims to conduct a systematic review and qualitative evidence synthesis to assess the clinician and patient experience of digital hospitals. Methods The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and ENTREQ (Enhancing the Transparency in Reporting the Synthesis of Qualitative Research) guidelines were followed. The PubMed, Embase, Scopus, CINAHL, and PsycINFO databases were searched from January 2010 to June 2022. Studies that explored multidisciplinary clinician or adult inpatient experiences of digital hospitals (with a full electronic medical record) were included. Study quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis was performed narratively for quantitative studies. Qualitative evidence synthesis was performed via (1) automated machine learning text analytics using Leximancer (Leximancer Pty Ltd) and (2) researcher-led inductive synthesis to generate themes. Results A total of 61 studies (n=39, 64% quantitative; n=15, 25% qualitative; and n=7, 11% mixed methods) were included. Most studies (55/61, 90%) investigated clinician experiences, whereas few (10/61, 16%) investigated patient experiences. The study populations ranged from 8 to 3610 clinicians, 11 to 34,425 patients, and 5 to 2836 hospitals. Quantitative outcomes indicated that clinicians had a positive overall satisfaction (17/24, 71% of the studies) with digital hospitals, and most studies (11/19, 58%) reported a positive sentiment toward usability. Data accessibility was reported positively, whereas adaptation, clinician-patient interaction, and workload burnout were reported negatively. The effects of digital hospitals on patient safety and clinicians’ ability to deliver patient care were mixed. The qualitative evidence synthesis of clinician experience studies (18/61, 30%) generated 7 themes: inefficient digital documentation, inconsistent data quality, disruptions to conventional health care relationships, acceptance, safety versus risk, reliance on hybrid (digital and paper) workflows, and patient data privacy. There was weak evidence of a positive association between digital hospitals and patient satisfaction scores. Conclusions Clinicians’ experience of digital hospitals appears positive according to high-level indicators (eg, overall satisfaction and data accessibility), but the qualitative evidence synthesis revealed substantive tensions. There is insufficient evidence to draw a definitive conclusion on the patient experience within digital hospitals, but indications appear positive or agnostic. Future research must prioritize equitable investigation and definition of the digital clinician and patient experience to achieve the Quadruple Aim of health care.

show abstract

Investigating allied health professionals’ attitudes, perceptions and acceptance of an electronic medical record using the Unified Theory of Acceptance and Use of Technology

Qvist,

Mullan,

Nguyen

et al. 2024

Aust. Health Rev.

View full text Add to dashboard Cite

Objective This study aimed to investigate allied health professionals’ (AHPs’) perspectives pre- and post-implementation of an electronic medical record (EMR) in a tertiary health service in Australia and examine factors influencing user acceptance. Methods Data were collected pre- and post-EMR implementation via cross-sectional online surveys based on the Unified Theory of Acceptance and Usage of Technology (UTAUT). All AHPs at a large tertiary hospital were invited to complete the surveys. Data analysis included descriptive analysis, Mann–Whitney U tests for pre-post item- and construct-level comparison and content analysis of free-text responses. The theoretical model was empirically tested using partial least squares structural equation modelling. Results AHPs had positive attitudes toward EMR use both pre- and post-implementation. Compared to pre-implementation, AHPs felt more positive post-implementation about system ease of use and demonstrated decreased anxiety and apprehension regarding EMR use. AHPs felt they had adequate resources and knowledge to use EMR and reported real-time data accessibility as a main advantage. Disadvantages of EMR included an unfriendly user interface, system outages and decreased efficiency. Conclusions As AHPs increase EMR system familiarity, their positivity towards its use increases. An understanding of what influences AHPs when implementing new compulsory technology can inform change management strategies to improve adoption.

show abstract

Show me the money: how do we justify spending health care dollars on digital health?

Cited by 18 publications

References 24 publications

Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review

Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review

The Impact of Digital Hospitals on Patient and Clinician Experience: Systematic Review and Qualitative Evidence Synthesis

Investigating allied health professionals’ attitudes, perceptions and acceptance of an electronic medical record using the Unified Theory of Acceptance and Use of Technology

Contact Info

Product

Resources

About