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加强和促进数字健康实践:全球数字健康伙伴关系调查结果。

Strengthening and promoting digital health practice: results from a Global Digital Health Partnership's survey.

机构信息

Section of Hygiene, University Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

出版信息

Front Public Health. 2023 Jun 19;11:1147210. doi: 10.3389/fpubh.2023.1147210. eCollection 2023.

Abstract

BACKGROUND AND OBJECTIVE

The capacity to promote and disseminate the best evidence-based practices in terms of digital health innovations and technologies represents an important goal for countries and governments. To support the digital health maturity across countries the Global Digital Health Partnership (GDHP) was established in 2019. The mission of the GDHP is to facilitate global collaboration and knowledge-sharing in the design of digital health services, through the administration of surveys and white papers.

OBJECTIVE

The scope of this study is to critically analyze and discuss results from the Evidence and Evaluation GDHP Work Stream's survey, understand how governments and countries intend to address main obstacles to the digital health implementation, identify their strategies for a communication of effective digital health services, and promote the sharing of international based best practices on digital health.

METHODS

This survey followed a cross-sectional study approach. A multiple-choice questionnaire was designed to gather data. Choices were extracted from research publications retrieved through a rapid review.

RESULTS

Out of 29 countries receiving the survey, 10 returned it. On a scale from 1 to 5, eHealth systems/platforms (mean = 3.56) were indicated as the most important tool for centralized infrastructure to collect information on digital health, while primary care (mean = 4.0) represented the most voted item for healthcare services to collect information on digital health. Seven Countries out of 10 identified lack of organization, skepticism of clinicians, and accessibility of the population as a barriers to adopt digital health implementation, resulting to be the most voted items. Finally, the most endorsed priorities in digital health for Countries were the adoption of data-driven approaches (6 Countries), and telehealth (5 Countries).

CONCLUSION

This survey highlighted the main tools and obstacles for countries to promote the implementation of evidence-based digital health innovations. Identifying strategies that would communicate the value of health care information technology to healthcare professionals are particularly imperative. Effective communication programs for clinicians and the general population in addition to improved digital health literacy (both for clinicians and citizens) will be the key for the real implementation of future digital health technologies.

摘要

背景与目的

推广和传播数字健康创新和技术方面的最佳循证实践的能力是各国政府的重要目标。为了支持各国的数字健康成熟度,全球数字健康伙伴关系(GDHP)于 2019 年成立。GDHP 的使命是通过管理调查和白皮书,促进数字健康服务设计方面的全球合作和知识共享。

目的

本研究的范围是批判性地分析和讨论来自证据和评估 GDHP 工作流调查的结果,了解政府和国家打算如何解决数字健康实施的主要障碍,确定他们用于有效数字健康服务沟通的策略,并促进分享国际最佳数字健康实践。

方法

这项调查采用了横断面研究方法。设计了一份多项选择问卷来收集数据。选择是从通过快速审查检索到的研究出版物中提取的。

结果

在收到调查的 29 个国家中,有 10 个国家做出了回应。在 1 到 5 的量表上,电子健康系统/平台(平均值=3.56)被表示为收集数字健康信息的集中式基础设施的最重要工具,而初级保健(平均值=4.0)则代表了最受欢迎的用于收集数字健康信息的医疗服务项目。10 个国家中的 7 个国家确定缺乏组织、临床医生的怀疑态度和人口的可及性是采用数字健康实施的障碍,这是被投票最多的项目。最后,国家在数字健康方面最支持的优先事项是采用数据驱动的方法(6 个国家)和远程医疗(5 个国家)。

结论

这项调查强调了各国推广实施基于证据的数字健康创新的主要工具和障碍。确定向医疗保健专业人员传达医疗保健信息技术价值的策略尤其重要。针对临床医生和普通民众的有效沟通计划,以及提高数字健康素养(包括临床医生和公民),将是未来数字健康技术真正实施的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552f/10315462/7798df19f5e2/fpubh-11-1147210-g001.jpg

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