Luchowska Katarzyna, Chmielewska Małgorzata, Byszek Katarzyna, Olearczyk Agata, Gawrońska Anna, Więckowska Barbara
Health Innovation Unit, SGH Warsaw School of Economics, Warsaw, Poland.
Health Innovation Unit, SGH Warsaw School of Economics, Warsaw, Poland
BMJ Open. 2024 Dec 20;14(12):e088169. doi: 10.1136/bmjopen-2024-088169.
Integrating digital health technologies to improve the overall performance of healthcare systems counts among the top priorities of the WHO. As evidenced in recent research, there are specific factors that may decisively determine the effective implementation and development of innovative digital health solutions. This review attempts to recognise and map the existing body of research and evidence to identify the determinants that either favour or hinder the deployment and use of digital health technologies by patients and physicians in primary care.
The scoping review will be conducted in accordance with the JBI Manual for Evidence Synthesis (2024 edition introducing nine stages) and with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Search strategy will be conducted in PubMed, Embase, Cochrane Database of Systematic Reviews and Scopus in November 2024. The review will include quantitative, qualitative, mixed-methods studies, systematic, scoping or umbrella reviews, as well as text and opinion papers. The study selection process will be conducted by two researchers using Rayyan. The data will be analysed using MAXQDA and extracted into a tool prepared by the researchers. This review will summarise the existing data and will help create a list of potential and determinant barriers and facilitators that may be useful in conducting empirical research on embedding new digital health solutions and sustaining their use.
As no primary data will be collected for the purposes of this study, no formal ethical approval is required. Results will be published in a peer-reviewed journal. The findings will be used to conduct further research (HORIZON.2.1;grant:101095424) on the determinants of digital health implementation in primary care at the national level and to prepare recommendations for key stakeholders, as well as to develop recommendations on health policy in the European Union.
整合数字健康技术以提高医疗保健系统的整体绩效是世界卫生组织的首要任务之一。近期研究表明，存在一些特定因素可能对创新数字健康解决方案的有效实施和发展起决定性作用。本综述旨在识别并梳理现有研究和证据，以确定在初级保健中有利于或阻碍患者和医生部署和使用数字健康技术的决定因素。
本范围综述将按照《JBI循证综合手册》（2024年版，包含九个阶段）以及系统评价和Meta分析扩展版的范围综述清单中的首选报告项目进行。检索策略将于2024年11月在PubMed、Embase、Cochrane系统评价数据库和Scopus中进行。该综述将纳入定量研究、定性研究、混合方法研究、系统综述、范围综述或伞状综述，以及文本和观点论文。研究筛选过程将由两名研究人员使用Rayyan进行。数据将使用MAXQDA进行分析，并提取到研究人员准备的工具中。本综述将总结现有数据，并有助于创建一份潜在的和决定性的障碍及促进因素清单，这可能有助于开展关于嵌入新数字健康解决方案并维持其使用的实证研究。
由于本研究不收集原始数据，因此无需正式伦理批准。结果将发表在同行评审期刊上。研究结果将用于在国家层面开展关于初级保健中数字健康实施决定因素的进一步研究（HORIZON.2.1；资助编号：101095424），为关键利益相关者准备建议，并制定欧盟卫生政策方面的建议。
