What Makes for a Successful Digital Health Integrated Program of Work? Lessons Learnt and Recommendations From the Melbourne Children's Campus

Hourani, Danah; Darling, Simone; Cameron, Eloise; Dromey, James A.; Crossley, Louise; Kanagalingam, Sanji; Muscara, Frank; Gwee, Amanda; Gell, Grace; Anderson, Vicki

doi:10.3389/fdgth.2021.661708

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…In a study that explores the views of 26 healthcare leaders including managers and quality developers in the county council healthcare organization, the incongruence between the pace of technological development and the implementation of laws and policies is perceived to be a challenge in the implementation of AI in the local healthcare system (Petersson et al, 2021). Additionally, the need to provide students with relevant opportunities in preparation for careers in healthcare digitalization, and the bene ts of a strong and integrated technological infrastructure, have also been recognised in the U.S and Australia (Banerjee et al, 2015;Hourani et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Barriers to the Incorporation of Digital Health Competencies in the Medical School Curriculum: A Qualitative Study of Doctors in Organizational Leadership

Zainal

Xin

Thumboo

et al. 2023

Preprint

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Purpose Digital technologies have influenced healthcare delivery worldwide and are increasingly being used in clinical practice. However, studies have shown a lag in the implementation of guidelines for the training of digital health competencies (DHC) in medical schools. Furthermore, few existing frameworks on DHC have examined barriers commonly faced by developed countries to equip medical students with DHC. Using Singapore as a case study, and by exploring the perspectives of doctors in organizational leadership positions, this paper identifies reasons for this lag and a common framework that can help overcome these barriers. Methods Findings were drawn from individual semi-structured interviews with 33 doctors in executive and organizational leadership roles. Participants were recruited using purposive sampling. Data were interpreted using qualitative thematic analysis. Results Participants were currently (n = 26) or formerly (n = 7) in organizational leadership. They highlighted six reasons for the lag in DHC integration in the curricula: bureaucratic inertia, expectations to pursue traditional career pathways, lack of protective mechanisms for experiential learning and experimentation, lack of clear policy guidelines for clinical practice, need for more evidences on the effectiveness of digital technologies, and need for a strong and integrated IT infrastructure in healthcare institutions. Conclusions Applying Damschroder et al.’s (2009) Consolidated Framework for Implementation Research (CFIR) would illuminate the importance of considering both structural and institutional barriers to training students with relevant DHC. Showing how relevant CFIR constructs might be applied to integrating DHC in the medical school curriculum would help ensure consistency of implementation across time and contexts.

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Section: Discussionmentioning

confidence: 99%

Barriers to the Incorporation of Digital Health Competencies in the Medical School Curriculum: A Qualitative Study of Doctors in Organizational Leadership

Zainal

Xin

Thumboo

et al. 2023

Preprint

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“…For digital support apps to be implemented, they require integration within current healthcare systems and work ows, which is notoriously challenging. However, studies have suggested that the restructuring of healthcare work ows is even more challenging and that embedding technologies within existing systems is the preference [52,53]. Integration of such tools has the potential to allow for asynchronous communication, remote monitoring, and continuous care.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in the digital health era: exploring digital health usage amidst the COVID-19 pandemic

Caillaud

Lazarevic²,

Pizzuti

et al. 2022

Preprint

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Digital health tools such as apps are being increasingly used by women to access pregnancy-related information. Conducted during the COVID-19 pandemic, this study investigated pregnant women’s usage of digital health tools and self-monitoring behaviours. In addition, views and interest in theoretical pregnancy app features: (1) a direct patient-to-healthcare-professional communication tool and (2) a novel body measurement tool was assessed. Using a mixed methods approach, 108 pregnant women were surveyed and 15 currently or recently pregnant women were interviewed online. We found that the COVID-19 pandemic had impacts on multiple dimensions of the experiences of pregnant women including their experiences with healthcare, their relationships with themselves and their social circle. Most participants said that they would use the theoretical app features we described and also identified a gap in the availability of evidence-based educational information. Other features that they would include in a pregnancy app were a “Digital Wallet” and a desire for a holistic pregnancy app that allowed for more continuous and personalised care. The main factor that influenced how likely participants were to use pregnancy apps were concerns about data privacy and security. This study highlights the gaps and needs of pregnant women and should inform all stakeholders designing pregnancy digital healthcare. This study offers a unique insight into the experiences of pregnant women during a very particular and unique period in human history.

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“…The healthcare community is repeatedly excited by the hope of providing better care through effective technology adoption [ 7 , 20 , 21 , 22 , 23 , 24 ]. There is no denying that digital health has not been delivered, and digital health has not transformed the health system.…”

Section: Uncertainty In the Healthcare Sector: Digital Health Has Fai...mentioning

confidence: 99%

“…Numerous regulations and standards are relevant to digital health solutions [ 7 , 24 , 196 ]. Regulations must provide life cycle requirements for developing medical software, such as that found within medical devices, and communicating electronic health record (EHR) information [ 197 ].…”

Section: Challenges In Healthcare Systems That Need To Be Accounted F...mentioning

confidence: 99%

The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from “Nice to Have” to Mandatory Systems

Hurvitz,

Ilan

2023

Clinics and Practice

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The success of artificial intelligence depends on whether it can penetrate the boundaries of evidence-based medicine, the lack of policies, and the resistance of medical professionals to its use. The failure of digital health to meet expectations requires rethinking some of the challenges faced. We discuss some of the most significant challenges faced by patients, physicians, payers, pharmaceutical companies, and health systems in the digital world. The goal of healthcare systems is to improve outcomes. Assisting in diagnosing, collecting data, and simplifying processes is a “nice to have” tool, but it is not essential. Many of these systems have yet to be shown to improve outcomes. Current outcome-based expectations and economic constraints make “nice to have,” “assists,” and “ease processes” insufficient. Complex biological systems are defined by their inherent disorder, bounded by dynamic boundaries, as described by the constrained disorder principle (CDP). It provides a platform for correcting systems’ malfunctions by regulating their degree of variability. A CDP-based second-generation artificial intelligence system provides solutions to some challenges digital health faces. Therapeutic interventions are held to improve outcomes with these systems. In addition to improving clinically meaningful endpoints, CDP-based second-generation algorithms ensure patient and physician engagement and reduce the health system’s costs.

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What Makes for a Successful Digital Health Integrated Program of Work? Lessons Learnt and Recommendations From the Melbourne Children's Campus

Cited by 5 publications

References 33 publications

Barriers to the Incorporation of Digital Health Competencies in the Medical School Curriculum: A Qualitative Study of Doctors in Organizational Leadership

Barriers to the Incorporation of Digital Health Competencies in the Medical School Curriculum: A Qualitative Study of Doctors in Organizational Leadership

Pregnancy in the digital health era: exploring digital health usage amidst the COVID-19 pandemic

The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from “Nice to Have” to Mandatory Systems

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