Madanian Samaneh, Nakarada-Kordic Ivana, Reay Stephen, Chetty T'heniel
Department of Computer Science and Software Engineering, School of Engineering, Computer and Mathematical Science, Auckland University of Technology (AUT), 6 St. Paul Street, AUT WZ Building, Auckland 1010, New Zealand.
Good Health Design, School of Art and Design, Auckland University of Technology (AUT), 27 St. Paul Street, AUT WE Building, Auckland 1010, New Zealand.
PEC Innov. 2023 May 26;2:100171. doi: 10.1016/j.pecinn.2023.100171. eCollection 2023 Dec.
Digital technology has changed the way healthcare is delivered and accessed. However, the focus is mostly on technology and clinical aspects. This review aimed to integrate and critically analyse the available knowledge regarding patients' perspectives on digital health tools and identify facilitators and barriers to their uptake.
A narrative review was conducted using the Scopus and Google Scholar databases. Information related to facilitators and barriers to uptake was synthesised and interpreted using thematic and content analyses, respectively.
Seventy-one out of 1722 articles identified were eligible for inclusion. Patient empowerment, self-management, and personalisation were identified as the main factors that contributed to patient uptake in using digital health tools. Digital literacy, health literacy, and privacy concerns were identified as barriers to the uptake of digital health technology.
Digital health technologies have changed the way healthcare is experienced by patients. Research highlights the disconnect between the development and implementation of digital health tools and the patients they are created for. This review may serve as the foundation for future research incorporating patients' perspectives to help increase patients' engagement with emerging technologies.
Participatory design approaches have the potential to support the creation of patient-centred digital health tools.
数字技术改变了医疗保健的提供和获取方式。然而，关注点大多集中在技术和临床方面。本综述旨在整合并批判性分析关于患者对数字健康工具看法的现有知识，并确定其采用的促进因素和障碍。
使用Scopus和谷歌学术数据库进行叙述性综述。分别使用主题分析和内容分析对与采用的促进因素和障碍相关的信息进行综合和解读。
在1722篇被识别的文章中，有71篇符合纳入标准。患者赋权、自我管理和个性化被确定为促进患者采用数字健康工具的主要因素。数字素养、健康素养和隐私担忧被确定为采用数字健康技术的障碍。
数字健康技术改变了患者体验医疗保健的方式。研究凸显了数字健康工具的开发与实施和其针对的患者之间的脱节。本综述可为未来纳入患者观点的研究奠定基础，以帮助提高患者对新兴技术的参与度。
参与式设计方法有潜力支持以患者为中心的数字健康工具的创建。
