Digital Twins for Managing Health Care Systems: Rapid Literature Review

BackgroundAlthough most digital twin (DT) applications for health care have emerged in precision medicine, DTs can potentially support the overall health care process. DTs (twinned systems, processes, and products) can be used to optimize flows, improve performance, improve h...

Full description

Bibliographic Details
Main Authors: Safa Elkefi, Onur Asan
Format: Article
Language:English
Published: JMIR Publications 2022-08-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2022/8/e37641
_version_ 1797734772355629056
author Safa Elkefi
Onur Asan
author_facet Safa Elkefi
Onur Asan
author_sort Safa Elkefi
collection DOAJ
description BackgroundAlthough most digital twin (DT) applications for health care have emerged in precision medicine, DTs can potentially support the overall health care process. DTs (twinned systems, processes, and products) can be used to optimize flows, improve performance, improve health outcomes, and improve the experiences of patients, doctors, and other stakeholders with minimal risk. ObjectiveThis paper aims to review applications of DT systems, products, and processes as well as analyze the potential of these applications for improving health care management and the challenges associated with this emerging technology. MethodsWe performed a rapid review of the literature and reported available studies on DTs and their applications in health care management. We searched 5 databases for studies published between January 2002 and January 2022 and included peer-reviewed studies written in English. We excluded studies reporting DT usage to support health care practice (organ transplant, precision medicine, etc). Studies were analyzed based on their contribution toward DT technology to improve user experience in health care from human factors and systems engineering perspectives, accounting for the type of impact (product, process, or performance/system level). Challenges related to the adoption of DTs were also summarized. ResultsThe DT-related studies aimed at managing health care systems have been growing over time from 0 studies in 2002 to 17 in 2022, with 7 published in 2021 (N=17 studies). The findings reported on applications categorized by DT type (system: n=8; process: n=5; product: n=4) and their contributions or functions. We identified 4 main functions of DTs in health care management including safety management (n=3), information management (n=2), health management and well-being promotion (n=3), and operational control (n=9). DTs used in health care systems management have the potential to avoid unintended or unexpected harm to people during the provision of health care processes. They also can help identify crisis-related threats to a system and control the impacts. In addition, DTs ensure privacy, security, and real-time information access to all stakeholders. Furthermore, they are beneficial in empowering self-care abilities by enabling health management practices and providing high system efficiency levels by ensuring that health care facilities run smoothly and offer high-quality care to every patient. ConclusionsThe use of DTs for health care systems management is an emerging topic. This can be seen in the limited literature supporting this technology. However, DTs are increasingly being used to ensure patient safety and well-being in an organized system. Thus, further studies aiming to address the challenges of health care systems challenges and improve their performance should investigate the potential of DT technology. In addition, such technologies should embed human factors and ergonomics principles to ensure better design and more successful impact on patient and doctor experiences.
first_indexed 2024-03-12T12:49:19Z
format Article
id doaj.art-2e150ac332d4473ca6c7f2d03514bc62
institution Directory Open Access Journal
issn 1438-8871
language English
last_indexed 2024-03-12T12:49:19Z
publishDate 2022-08-01
publisher JMIR Publications
record_format Article
series Journal of Medical Internet Research
spelling doaj.art-2e150ac332d4473ca6c7f2d03514bc622023-08-28T22:53:36ZengJMIR PublicationsJournal of Medical Internet Research1438-88712022-08-01248e3764110.2196/37641Digital Twins for Managing Health Care Systems: Rapid Literature ReviewSafa Elkefihttps://orcid.org/0000-0002-4293-0404Onur Asanhttps://orcid.org/0000-0002-9239-3723 BackgroundAlthough most digital twin (DT) applications for health care have emerged in precision medicine, DTs can potentially support the overall health care process. DTs (twinned systems, processes, and products) can be used to optimize flows, improve performance, improve health outcomes, and improve the experiences of patients, doctors, and other stakeholders with minimal risk. ObjectiveThis paper aims to review applications of DT systems, products, and processes as well as analyze the potential of these applications for improving health care management and the challenges associated with this emerging technology. MethodsWe performed a rapid review of the literature and reported available studies on DTs and their applications in health care management. We searched 5 databases for studies published between January 2002 and January 2022 and included peer-reviewed studies written in English. We excluded studies reporting DT usage to support health care practice (organ transplant, precision medicine, etc). Studies were analyzed based on their contribution toward DT technology to improve user experience in health care from human factors and systems engineering perspectives, accounting for the type of impact (product, process, or performance/system level). Challenges related to the adoption of DTs were also summarized. ResultsThe DT-related studies aimed at managing health care systems have been growing over time from 0 studies in 2002 to 17 in 2022, with 7 published in 2021 (N=17 studies). The findings reported on applications categorized by DT type (system: n=8; process: n=5; product: n=4) and their contributions or functions. We identified 4 main functions of DTs in health care management including safety management (n=3), information management (n=2), health management and well-being promotion (n=3), and operational control (n=9). DTs used in health care systems management have the potential to avoid unintended or unexpected harm to people during the provision of health care processes. They also can help identify crisis-related threats to a system and control the impacts. In addition, DTs ensure privacy, security, and real-time information access to all stakeholders. Furthermore, they are beneficial in empowering self-care abilities by enabling health management practices and providing high system efficiency levels by ensuring that health care facilities run smoothly and offer high-quality care to every patient. ConclusionsThe use of DTs for health care systems management is an emerging topic. This can be seen in the limited literature supporting this technology. However, DTs are increasingly being used to ensure patient safety and well-being in an organized system. Thus, further studies aiming to address the challenges of health care systems challenges and improve their performance should investigate the potential of DT technology. In addition, such technologies should embed human factors and ergonomics principles to ensure better design and more successful impact on patient and doctor experiences.https://www.jmir.org/2022/8/e37641
spellingShingle Safa Elkefi
Onur Asan
Digital Twins for Managing Health Care Systems: Rapid Literature Review
Journal of Medical Internet Research
title Digital Twins for Managing Health Care Systems: Rapid Literature Review
title_full Digital Twins for Managing Health Care Systems: Rapid Literature Review
title_fullStr Digital Twins for Managing Health Care Systems: Rapid Literature Review
title_full_unstemmed Digital Twins for Managing Health Care Systems: Rapid Literature Review
title_short Digital Twins for Managing Health Care Systems: Rapid Literature Review
title_sort digital twins for managing health care systems rapid literature review
url https://www.jmir.org/2022/8/e37641
work_keys_str_mv AT safaelkefi digitaltwinsformanaginghealthcaresystemsrapidliteraturereview
AT onurasan digitaltwinsformanaginghealthcaresystemsrapidliteraturereview