ReviewNPJ digital medicine2018
Beyond "implementation": digital health innovation and service design.
Review in NPJ digital medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
88 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Characterizing Behaviors That Influence the Implementation of Digital-Based Interventions in Health Care: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Patient participation in self-monitoring regarding healthcare of heart failure: an integrated systematic review.BMC primary care · 2025Pooled it
- Timing, Indicators, and Approaches to Digital Patient Experience Evaluation: Umbrella Systematic Review.Journal of medical Internet research · 2024Pooled it
- Factors Influencing Adherence to mHealth Apps for Prevention or Management of Noncommunicable Diseases: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Recent Academic Research on Clinically Relevant Digital Measures: Systematic Review.Journal of medical Internet research · 2021Pooled it
- User journey method: a case study for improving digital intervention use measurement.BMC health services research · 2025Trial
- Differences by Race in Outcomes of an In-Person Training Intervention on Use of an Inpatient Portal: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- Implementation and use of technology-enabled blood pressure monitoring and teleconsultation in Singapore's primary care: a qualitative evaluation using the socio-technical systems approach.BMC primary care · 2023Trial
- Using normalization process theory to evaluate the implementation of a hybrid psychosocial prevention intervention in mental health care - a qualitative interview study.BMC health services research · 2026Article
- Development of Virtual Mental Health Stepped Care Service for a Heart Failure Remote Management Program: Qualitative Descriptive Study.JMIR formative research · 2026Article
- Article
- Healthcare professionals' perspectives on digital biomarkers for monitoring inflammatory arthritis: insights from a qualitative study rooted in design thinking.EULAR rheumatology open · 2026Article
- Toward a mixed-methods framework for evaluating digital health systems in low-resource settings: an infrastructure-aware perspective.Frontiers in digital health · 2026Article
- Pilot study of an app-supported psychosocial prevention intervention: a mixed-methods approach.Pilot and feasibility studies · 2025Article
- Caregiver experiences of an integrative patient-centered digital health application for pediatric type 1 diabetes care: Findings from a pilot clinical trial.PLOS digital health · 2025Article
- Digital Health Technology Infrastructure Challenges to Support Health Equity in the United States: Scoping Review.Journal of medical Internet research · 2025Article
- Implementation of a digital coordination centre in a hospital: a qualitative evaluation of enablers, barriers and strategies.BMC health services research · 2025Article
- Knowledge-Behavior Relationships and Technology Adoption Among Patients With Diabetes: A Mixed-Methods Analysis of Smart Foot Care Technology.Journal of foot and ankle research · 2025Article
- Value Propositions for Digital Shared Medication Plans to Boost Patient-Health Care Professional Partnerships: Co-Design Study.Journal of participatory medicine · 2025Article
- Features of Remote Patient Monitoring Systems That Implement Integrated Care: A Perspective Aligned With Current Challenges for Digital Health Technologies Comment on "Towards A Framework for Implementing Remote Patient Monitoring From an Integrated Care Perspective: A Scoping Review".International journal of health policy and management · 2025Article
28 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Digital tools have shown great potential to enhance health services' capacity to achieve the goals of the triple aim (enhance patient experience, improve health outcomes, and control or reduce costs), but their actual impact remains variable. In this commentary, we suggest that shifting from a perspective focused on "implementing" new digital tools in health care settings toward one focused on "service design" will help teams execute more successful digital technology adoption projects. We present value proposition design (VPD) as a service design strategy requiring that stakeholders are brutally honest in determining the value of a new digital tool for their everyday work. Incorporating a perspective focused on how the value proposition of a technology is understood by each team member, and implications for their work routines, will help project teams to better understand how services can be reinvented during technology adoption initiatives. We present the simple heuristic [Tool+Team+Routine] as a reminder of the central considerations that make up a service design initiative, and present an illustrative case scenario of designing the use of a digital care coordination platform in an actual digital technology adoption project. We conclude by outlining two important challenges that need to be addressed to advance service design approaches to technology adoption in health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.