Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review
BackgroundDigital 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. Understa...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-07-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2023/1/e48000 |
| _version_ | 1797733991865909248 |
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| author | Robin van Kessel Andres Roman-Urrestarazu Michael Anderson Ilias Kyriopoulos Samantha Field Giovanni Monti Shelby D Reed Milena Pavlova George Wharton Elias Mossialos |
| author_facet | Robin van Kessel Andres Roman-Urrestarazu Michael Anderson Ilias Kyriopoulos Samantha Field Giovanni Monti Shelby D Reed Milena Pavlova George Wharton Elias Mossialos |
| author_sort | Robin van Kessel |
| collection | DOAJ |
| description |
BackgroundDigital 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.
ObjectiveIn 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.
MethodsA 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.
ResultsWe 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.
ConclusionsThe 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. |
| first_indexed | 2024-03-12T12:37:45Z |
| format | Article |
| id | doaj.art-d441144038f947979647357a28fe57b3 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T12:37:45Z |
| publishDate | 2023-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-d441144038f947979647357a28fe57b32023-08-29T00:07:01ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-07-0125e4800010.2196/48000Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping ReviewRobin van Kesselhttps://orcid.org/0000-0001-6309-6343Andres Roman-Urrestarazuhttps://orcid.org/0000-0002-2405-9432Michael Andersonhttps://orcid.org/0000-0002-8454-4640Ilias Kyriopouloshttps://orcid.org/0000-0002-3932-8228Samantha Fieldhttps://orcid.org/0009-0003-9901-9069Giovanni Montihttps://orcid.org/0009-0001-1198-7889Shelby D Reedhttps://orcid.org/0000-0002-7654-4464Milena Pavlovahttps://orcid.org/0000-0002-6082-8446George Whartonhttps://orcid.org/0000-0001-6544-3636Elias Mossialoshttps://orcid.org/0000-0001-8664-9297 BackgroundDigital 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. ObjectiveIn 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. MethodsA 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. ResultsWe 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. ConclusionsThe 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.https://www.jmir.org/2023/1/e48000 |
| spellingShingle | Robin van Kessel Andres Roman-Urrestarazu Michael Anderson Ilias Kyriopoulos Samantha Field Giovanni Monti Shelby D Reed Milena Pavlova George Wharton Elias Mossialos Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review Journal of Medical Internet Research |
| title | Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review |
| title_full | Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review |
| title_fullStr | Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review |
| title_full_unstemmed | Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review |
| title_short | Mapping Factors That Affect the Uptake of Digital Therapeutics Within Health Systems: Scoping Review |
| title_sort | mapping factors that affect the uptake of digital therapeutics within health systems scoping review |
| url | https://www.jmir.org/2023/1/e48000 |
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