Evidence map›Paper›PMID 37507197›Full record

SynthesisThe Lancet. Digital health2023

The global effect of digital health technologies on health workers' competencies and health workplace: an umbrella review of systematic reviews and lexical-based and sentence-based meta-analysis.

Israel Júnior Borges do Nascimento, Hebatullah Mohamed Abdulazeem, Lenny Thinagaran Vasanthan, Edson Zangiacomi Martinez, Miriane Lucindo Zucoloto, Lasse Østengaard, Natasha Azzopardi-Muscat, Tomas Zapata, David Novillo-Ortiz

Abstract readSystematic Review
In one paragraph

Synthesis in The Lancet. Digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 4 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

72 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  17. Mobile Interventions for Reducing Sedentary Behavior and Promoting Physical Activity Among Office Workers: Bibliometric Study.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Review
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Israel Júnior Borges do NascimentoPathology and Laboratory Medicine, Medical College of Wisconsin, Milwaukee, WI, USA; School of Medicine and University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil; Division of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
Hebatullah Mohamed AbdulazeemDepartment of Sport and Health Sciences, Technical University of Munich, Munich, Germany.
Lenny Thinagaran VasanthanPhysical Medicine and Rehabilitation Department, Christian Medical College, Vellore, India.
Edson Zangiacomi MartinezDepartment of Social Medicine-Biostatistics, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Miriane Lucindo ZucolotoDepartment of Social Medicine-Biostatistics, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Lasse ØstengaardCentre for Evidence-Based Medicine Odense and Cochrane Denmark, Department of Clinical Research, University of Southern Denmark, Odense, Denmark; University Library of Southern Denmark, University of Southern Denmark, Odense, Denmark.
Natasha Azzopardi-MuscatDivision of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
Tomas ZapataDivision of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark.
David Novillo-OrtizDivision of Country Health Policies and Systems, World Health Organization Regional Office for Europe, Copenhagen, Denmark. Electronic address: dnovillo@who.int.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Systematic reviews have quantified the effectiveness, feasibility, acceptability, and cost-effectiveness of digital health technologies (DHTs) used by health-care workers. We aimed to collate available evidence on technologies' effect on health-care workers' competencies and performance. We searched the Cochrane Database of Systematic Reviews, Embase, MEDLINE, Epistemonikos, and Scopus for reviews published from database inception to March 1, 2023. Studies assessing the effects of DHTs on the organisational, socioeconomic, clinical, and epidemiological levels within the workplace, and on health-care workers' performance parameters, were included. Data were extracted and clustered into 25 domains using vote counting based on the direction of effect. The relative frequency of occurrence (RFO) of each domain was estimated using R software. AMSTAR-2 tool was used to appraise the quality of reporting, and the Confidence in the Evidence from Reviews of Qualitative research approach developed by Grading of Recommendations Assessment, Development and Evaluation was used to analyse the certainty of evidence among included studies. The 12 794 screened reviews generated 132 eligible records for assessment. Top-ranked RFO identifiers showed associations of DHT with the enhancement of health-care workers' performance (10·9% [95% CI 5·3-22·5]), improvement of clinical practice and management (9·8% [3·9-24·2]), and improvement of care delivery and access to care (9·2% [4·1-20·9]). Our overview found that DHTs positively influence the daily practice of health-care workers in various medical specialties. However, poor reporting in crucial domains is widely prevalent in reviews of DHT, hindering our findings' generalisability and interpretation. Likewise, most of the included reviews reported substantially more data from high-income countries. Improving the reporting of future studies and focusing on low-income and middle-income countries might elucidate and answer current knowledge gaps.

Indexed as

Delivery of Health CareHealth PersonnelHumansMeta-Analysis as TopicSystematic Reviews as Topic

Identifiers

PMID37507197
PMCPMC10397356

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.