Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study

BackgroundThere is widespread agreement on the promise of patient-facing digital health tools to transform health care. Yet, few tools are in widespread use or have documented clinical effectiveness. ObjectiveThe aim of this study was to gain insight into the gap...

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Main Authors: Courtney Rees Lyles, Julia Adler-Milstein, Crishyashi Thao, Sarah Lisker, Sarah Nouri, Urmimala Sarkar
Format: Article
Language:English
Published: JMIR Publications 2021-08-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/8/e24890
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author Courtney Rees Lyles
Julia Adler-Milstein
Crishyashi Thao
Sarah Lisker
Sarah Nouri
Urmimala Sarkar
author_facet Courtney Rees Lyles
Julia Adler-Milstein
Crishyashi Thao
Sarah Lisker
Sarah Nouri
Urmimala Sarkar
author_sort Courtney Rees Lyles
collection DOAJ
description BackgroundThere is widespread agreement on the promise of patient-facing digital health tools to transform health care. Yet, few tools are in widespread use or have documented clinical effectiveness. ObjectiveThe aim of this study was to gain insight into the gap between the potential of patient-facing digital health tools and real-world uptake. MethodsWe interviewed and surveyed experts (in total, n=24) across key digital health stakeholder groups—venture capitalists, digital health companies, payers, and health care system providers or leaders—guided by the Consolidated Framework for Implementation Research. ResultsOur findings revealed that external policy, regulatory demands, internal organizational workflow, and integration needs often take priority over patient needs and patient preferences for digital health tools, which lowers patient acceptance rates. We discovered alignment, across all 4 stakeholder groups, in the desire to engage both patients and frontline health care providers in broader dissemination and evaluation of digital health tools. However, major areas of misalignment between stakeholder groups have stymied the progress of digital health tool uptake—venture capitalists and companies focused on external policy and regulatory demands, while payers and providers focused on internal organizational workflow and integration needs. ConclusionsMisalignment of the priorities of digital health companies and their funders with those of providers and payers requires direct attention to improve uptake of patient-facing digital health tools and platforms.
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spelling doaj.art-981e28fd38a6435d8e9adde686562bfe2023-08-28T18:34:01ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-08-01238e2489010.2196/24890Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods StudyCourtney Rees Lyleshttps://orcid.org/0000-0002-1111-8595Julia Adler-Milsteinhttps://orcid.org/0000-0002-0262-6491Crishyashi Thaohttps://orcid.org/0000-0001-9739-7136Sarah Liskerhttps://orcid.org/0000-0002-0194-0235Sarah Nourihttps://orcid.org/0000-0001-7163-0366Urmimala Sarkarhttps://orcid.org/0000-0003-4213-4405 BackgroundThere is widespread agreement on the promise of patient-facing digital health tools to transform health care. Yet, few tools are in widespread use or have documented clinical effectiveness. ObjectiveThe aim of this study was to gain insight into the gap between the potential of patient-facing digital health tools and real-world uptake. MethodsWe interviewed and surveyed experts (in total, n=24) across key digital health stakeholder groups—venture capitalists, digital health companies, payers, and health care system providers or leaders—guided by the Consolidated Framework for Implementation Research. ResultsOur findings revealed that external policy, regulatory demands, internal organizational workflow, and integration needs often take priority over patient needs and patient preferences for digital health tools, which lowers patient acceptance rates. We discovered alignment, across all 4 stakeholder groups, in the desire to engage both patients and frontline health care providers in broader dissemination and evaluation of digital health tools. However, major areas of misalignment between stakeholder groups have stymied the progress of digital health tool uptake—venture capitalists and companies focused on external policy and regulatory demands, while payers and providers focused on internal organizational workflow and integration needs. ConclusionsMisalignment of the priorities of digital health companies and their funders with those of providers and payers requires direct attention to improve uptake of patient-facing digital health tools and platforms.https://www.jmir.org/2021/8/e24890
spellingShingle Courtney Rees Lyles
Julia Adler-Milstein
Crishyashi Thao
Sarah Lisker
Sarah Nouri
Urmimala Sarkar
Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
Journal of Medical Internet Research
title Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
title_full Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
title_fullStr Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
title_full_unstemmed Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
title_short Alignment of Key Stakeholders’ Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study
title_sort alignment of key stakeholders priorities for patient facing tools in digital health mixed methods study
url https://www.jmir.org/2021/8/e24890
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