Evidence map›Paper›PMID 31573914›Full record

ArticleJournal of medical Internet research2019

Digital Health Transformation of Integrated Care in Europe: Overarching Analysis of 17 Integrated Care Programs.

Erik Baltaxe, Thomas Czypionka, Markus Kraus, Miriam Reiss, Jan Erik Askildsen, Renata Grenkovic, Tord Skogedal Lindén, János György Pitter, Maureen Rutten-van Molken, Oscar Solans and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Digital Transformation in Healthcare: Technology Acceptance and Its Applications.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Erik BaltaxeHospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-2353-3822
Thomas CzypionkaInstitute for Advanced Studies, Vienna, Austria.ORCID 0000-0002-3381-1075
Markus KrausInstitute for Advanced Studies, Vienna, Austria.ORCID 0000-0001-5358-4773
Miriam ReissInstitute for Advanced Studies, Vienna, Austria.ORCID 0000-0002-7009-7341
Jan Erik AskildsenDepartment of Economics, University of Bergen, Bergen, Norway.ORCID 0000-0002-2663-8008
Renata GrenkovicAgency for Quality and Accreditation in Health Care and Social Welfare, Zagreb, Croatia.ORCID 0000-0003-1801-2512
Tord Skogedal LindénDepartment of Social Science, NORCE Norwegian Research Centre, Bergen, Norway.ORCID 0000-0003-1498-7160
János György PitterSyreon Research Institute, Budapest, Hungary.ORCID 0000-0002-6784-9215
Maureen Rutten-van MolkenSchool of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands.ORCID 0000-0001-8706-3159
Oscar SolansOficina eSalut, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain.ORCID 0000-0002-3822-9869
Jonathan StokesHealth Organisation, Policy, and Economics, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-3266-1474
Verena StruckmannDepartment of Health Care Management, Technische Universität Berlin, Berlin, Germany.ORCID 0000-0002-0162-884X
Josep RocaHospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-4768-8722
Isaac CanoHospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-2938-7459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital health tools comprise a wide range of technologies to support health processes. The potential of these technologies to effectively support health care transformation is widely accepted. However, wide scale implementation is uneven among countries and regions. Identification of common factors facilitating and hampering the implementation process may be useful for future policy recommendations.

objectiveThe aim of this study was to analyze the implementation of digital health tools to support health care and social care services, as well as to facilitate the longitudinal assessment of these services, in 17 selected integrated chronic care (ICC) programs from 8 European countries.

methodsA program analysis based on thick descriptions-including document examinations and semistructured interviews with relevant stakeholders-of ICC programs in Austria, Croatia, Germany, Hungary, the Netherlands, Norway, Spain, and the United Kingdom was performed. A total of 233 stakeholders (ie, professionals, providers, patients, carers, and policymakers) were interviewed from November 2014 to September 2016. The overarching analysis focused on the use of digital health tools and program assessment strategies.

resultsSupporting digital health tools are implemented in all countries, but different levels of maturity were observed among the programs. Only few ICC programs have well-established strategies for a comprehensive longitudinal assessment. There is a strong relationship between maturity of digital health and proper evaluation strategies of integrated care.

conclusionsNotwithstanding the heterogeneity of the results across countries, most programs aim to evolve toward a digital transformation of integrated care, including implementation of comprehensive assessment strategies. It is widely accepted that the evolution of digital health tools alongside clear policies toward their adoption will facilitate regional uptake and scale-up of services with embedded digital health tools.

Indexed as

Delivery of Health Care, IntegratedEuropeFemaleHumansProgram Evaluationchronic patientseHealthelderlyinformation and communication technologyintegrated careprogram evaluationsocial supporttelemonitoring

Identifiers

PMID31573914
PMCPMC6794072

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.