Faculty of Information Technology, Monash University, Clayton, Victoria, Australia.
PLoS One. 2021 Nov 15;16(11):e0260058. doi: 10.1371/journal.pone.0260058. eCollection 2021.
Digital health (DH) and the benefits of related services are fairly well understood. However, it still is critical to map the digital health care landscape including the key elements that define it as an ecosystem. Particularly, knowing the perspectives of citizens on this digital transformation is an important angle to capture. In this review we aim to analyze the relevant studies to identify how DH is understood and experienced by Australian citizens and what they may require from DH platforms.
A scoping literature review was conducted across several electronic databases (ACM Digital Library, OVID, PubMed, Scopus, IEEE, Science Direct, SAGE), as well as grey literature. Additionally, citation mining was conducted to identify further relevant studies. Identified studies were subjected to eligibility criteria and the final set of articles was independently reviewed, analyzed, discussed and interpreted by three reviewers.
Of 3811 articles, 98 articles met the inclusion criteria with research-based articles-as opposed to review articles or white papers- comprising the largest proportion (72%) of the selected literature. The qualitative analysis of the literature revealed five key elements that capture the essence of the digital health ecosystem interventions from the viewpoint of the Australian citizens. The identified elements were "consumer/user", "health care", "technology", "use and usability", "data and information". These elements were further found to be associated with 127 subcategories.
This study is the first of its kind to analyze and synthesize the relevant literature on DH ecosystems from the citizens' perspective. Through the lens of two research questions, this study defines the key components that were found crucial to understanding citizens' experiences with DH. This understanding lays a strong foundation for designing and fostering DH ecosystem. The results provide a solid ground for empirical testing.
数字健康（DH）及其相关服务的益处已得到广泛理解。然而，描绘数字医疗保健领域的全貌，包括定义其为生态系统的关键要素，仍然至关重要。特别是，了解公民对这一数字化转型的看法是一个重要的角度。在本综述中，我们旨在分析相关研究，以确定澳大利亚公民如何理解和体验 DH，以及他们可能对 DH 平台有哪些需求。
我们在多个电子数据库（ACM 数字图书馆、OVID、PubMed、Scopus、IEEE、Science Direct、SAGE）以及灰色文献中进行了范围广泛的文献综述。此外，还进行了引文挖掘，以确定更多相关研究。对确定的研究进行了资格标准审查，最终的文章集由三名评审员独立审查、分析、讨论和解释。
在 3811 篇文章中，有 98 篇文章符合纳入标准，其中研究型文章（而非综述文章或白皮书）占所选文献的最大比例（72%）。对文献的定性分析揭示了五个关键要素，从澳大利亚公民的角度捕捉了数字健康生态系统干预措施的本质。确定的要素为“消费者/用户”、“医疗保健”、“技术”、“使用和可用性”、“数据和信息”。这些要素进一步与 127 个子类别相关联。
本研究首次从公民角度分析和综合了关于 DH 生态系统的相关文献。通过两个研究问题的视角，本研究定义了理解公民 DH 体验的关键组成部分。这种理解为设计和培养 DH 生态系统奠定了坚实的基础。研究结果为实证检验提供了可靠依据。
