Evidence map›Paper›PMID 39513275›Full record

ArticleJournal of global health2024

Bridging medical expertise in crisis: The development and implementation of a novel mobile application for Ukrainian physicians during wartime.

Ali Dzhemiliev, Alexis G Antunez, Darya Kizub, Kateryna Potapova, Olena Tytarenko, Taras Ivanykovych, Anastasiia Prystaia, Svitlana Bielichenko, Inesa Huivaniuk, Jennifer S Davids and 1 more

Abstract read
In one paragraph

Article in Journal of global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Ali DzhemilievDepartment of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Alexis G AntunezDepartment of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Darya KizubDepartment of Breast Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Kateryna PotapovaNeurology department, Bogomolets National Medical University, Kyiv, Ukraine.
Olena TytarenkoDepartment of Surgery, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Taras IvanykovychDepartment of Surgery, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Anastasiia PrystaiaDepartment of General Surgery and Oncology, Feofaniia Clinical Hospital, Kyiv, Ukraine.
Svitlana BielichenkoDivision of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Inesa HuivaniukDepartment of Hepato-Pancreato-Biliary Surgery, National Cancer Institute, Kyiv, Ukraine.
Jennifer S DavidsSection of Colon and Rectal Surgery, Boston Medical Center, Boston, Massachusetts, USA.
Nelya MelnitchoukDepartment of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The full-scale invasion disrupted health care in Ukraine, leading to the displacement of physicians and affecting their access to subspecialist consultations. HealUA, a mobile application, was designed to provide secure and timely remote physician-to-physician consultations. We aimed to assess the implementation of the HealUA mobile application for peer-to-peer physician consultations in Ukraine during the Russian invasion. Methods: HealUA was developed in May 2022. Security measures included user verification, privacy policies, and legal disclaimers. The application allowed physicians to submit cases and receive remote consultations from physicians in Ukraine and worldwide. We assessed the implementation of the HealUA application using Proctor's implementation outcomes framework, specifically adoption and feasibility. Adoption was measured by user downloads, characteristics of registered physicians, and case submissions. Feasibility was evaluated through clinical case response times, translation services, and technical issues. Results: From May 2022 to May 2024, 3861 physicians registered. The majority were from Ukraine (95%). Of 474 submitted cases, 97.3% received timely responses from other physicians. The application demonstrated prompt response times (84.6% within the first day), successful translation services, and effective resolution of technical issues. Conclusions: The HealUA application achieved broad adoption across medical specialties, fostering robust clinical information exchange during the ongoing conflict. Security standards were upheld and routine technical issues were satisfactorily addressed. Future efforts will focus on broader dissemination and assessing additional implementation outcomes.

Indexed as

Mobile ApplicationsPhysiciansArmed ConflictsHumansRemote ConsultationUkraine

Identifiers

PMID39513275
PMCPMC11544522

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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.