Evidence map›Paper›PMID 34435966›Full record

ArticleJournal of medical Internet research2021

Alignment of Key Stakeholders' Priorities for Patient-Facing Tools in Digital Health: Mixed Methods Study.

Courtney Rees Lyles, Julia Adler-Milstein, Crishyashi Thao, Sarah Lisker, Sarah Nouri, Urmimala Sarkar

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
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

6 authors at 1 institution in 1 country.

Courtney Rees LylesDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0002-1111-8595
Julia Adler-MilsteinCenter for Clinical Informatics and Improvement Research, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0002-0262-6491
Crishyashi ThaoCenter for Clinical Informatics and Improvement Research, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0001-9739-7136
Sarah LiskerDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0002-0194-0235
Sarah NouriDivision of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0001-7163-0366
Urmimala SarkarDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0003-4213-4405
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is widespread agreement on the promise of patient-facing digital health tools to transform health care. Yet, few tools are in widespread use or have documented clinical effectiveness.

objectiveThe aim of this study was to gain insight into the gap between the potential of patient-facing digital health tools and real-world uptake.

methodsWe interviewed and surveyed experts (in total, n=24) across key digital health stakeholder groups-venture capitalists, digital health companies, payers, and health care system providers or leaders-guided by the Consolidated Framework for Implementation Research.

resultsOur findings revealed that external policy, regulatory demands, internal organizational workflow, and integration needs often take priority over patient needs and patient preferences for digital health tools, which lowers patient acceptance rates. We discovered alignment, across all 4 stakeholder groups, in the desire to engage both patients and frontline health care providers in broader dissemination and evaluation of digital health tools. However, major areas of misalignment between stakeholder groups have stymied the progress of digital health tool uptake-venture capitalists and companies focused on external policy and regulatory demands, while payers and providers focused on internal organizational workflow and integration needs.

conclusionsMisalignment of the priorities of digital health companies and their funders with those of providers and payers requires direct attention to improve uptake of patient-facing digital health tools and platforms.

Indexed as

Delivery of Health CareHealth PersonnelHumansPatient PreferenceSurveys and Questionnairesimplementation scienceinformation technologymedical informaticsmedical informatics appsmixed methods

Identifiers

PMID34435966
PMCPMC8430871
OpenAlexW3174263625

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.