Evidence map›Paper›PMID 37129947›Full record

ArticleJournal of medical Internet research2023

The Gap Between AI and Bedside: Participatory Workshop on the Barriers to the Integration, Translation, and Adoption of Digital Health Care and AI Startup Technology Into Clinical Practice.

Iredia M Olaye, Azizi A Seixas

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

2 authors.

Iredia M OlayeDepartment of Medicine, Weill Cornell Medicine, Cornell University, New York, NY, United States.ORCID 0000-0002-3888-0854
Azizi A SeixasMedia and Innovation Lab, Department of Informatics and Health Data Science, The University of Miami Miller School of Medicine, Miami, FL, United States.ORCID 0000-0003-0843-2679

Funding

Promoting Academic Workforce Development in Behavioral Medicine and Sleep Disorders ResearchR25HL105444 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Tatjana Rundek · 2010 to 2026
$5.8M
DORMIR: Determinants, Outcomes, Responses and Markers of Insufficient sleep in Rural-Urban settingsR01HL152453 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SEIXAS, AZIZI · 2020 to 2024
$3.7M
Personalized OSA treatment and effects on AD biomarkers and cognition among blacksR01AG075007 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Girardin Jean-Louis, Azizi Seixas · 2022 to 2026
$3.0M
Hunter-Weill T32 Transdisciplinary Research TrainingT32HL135465 · NHLBI · HUNTER COLLEGE · PI ANGULO, JESUS A, BOUTIN-FOSTER, CARLA · 2017 to 2021
$1.8M
The effect of insufficient sleep on cardiovascular disease disparity between blacks and whitesK01HL135452 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SEIXAS, AZIZI · 2017 to 2020
$719k
NHLBI NIH HHS K01 HL135452NHLBI NIH HHS R01 HL152453NHLBI NIH HHS R25 HL105444NHLBI NIH HHS T32 HL135465NIA NIH HHS R01 AG075007
6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) and digital health technological innovations from startup companies used in clinical practice can yield better health outcomes, reduce health care costs, and improve patients' experience. However, the integration, translation, and adoption of these technologies into clinical practice are plagued with many challenges and are lagging. Furthermore, explanations of the impediments to clinical translation are largely unknown and have not been systematically studied from the perspective of AI and digital health care startup founders and executives.

objectiveThe aim of this paper is to describe the barriers to integrating early-stage technologies in clinical practice and health care systems from the perspectives of digital health and health care AI founders and executives.

methodsA stakeholder focus group workshop was conducted with a sample of 10 early-stage digital health and health care AI founders and executives. Digital health, health care AI, digital health-focused venture capitalists, and physician executives were represented. Using an inductive thematic analysis approach, transcripts were organized, queried, and analyzed for thematic convergence.

resultsWe identified the following four categories of barriers in the integration of early-stage digital health innovations into clinical practice and health care systems: (1) lack of knowledge of health system technology procurement protocols and best practices, (2) demanding regulatory and validation requirements, (3) challenges within the health system technology procurement process, and (4) disadvantages of early-stage digital health companies compared to large technology conglomerates. Recommendations from the study participants were also synthesized to create a road map to mitigate the barriers to integrating early-stage or novel digital health technologies in clinical practice.

conclusionsEarly-stage digital health and health care AI entrepreneurs identified numerous barriers to integrating digital health solutions into clinical practice. Mitigation initiatives should create opportunities for early-stage digital health technology companies and health care providers to interact, develop relationships, and use evidence-based research and best practices during health care technology procurement and evaluation processes.

Indexed as

Artificial IntelligenceDelivery of Health CareDigital TechnologyTelemedicineEntrepreneurshipHumansInventionsPoint-of-Care SystemsTechnologyAI translationartificial intelligencebedsideclinical practicedigital healthearly-stageentrepreneursfundingmachine learningqualitativestartupstechtechnologyventure capitalworkshop

Identifiers

PMID37129947
PMCPMC10189623

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.