Evidence map›Paper›PMID 40948455›Full record

ArticleThe European journal of general practice2025

Factors influencing primary care physicians recommending patients to use digital health technologies for self-management: A cross-sectional study across 20 countries.

Wuraola Oluwayomi Odunlami, Edmond Li, Geva Greenfield, Gabriele Kerr, Austen El-Osta, Rosy Tsopra, Heidrun Lingner, Ensieh Memarian, Robert Hoffman, Katarzyna Nessler and 15 more

Abstract read
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In one paragraph

Article in The European journal of general practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

25 authors.

Wuraola Oluwayomi OdunlamiDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0009-0001-5207-2896
Edmond LiDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0001-8209-4490
Geva GreenfieldDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0001-9779-2486
Gabriele KerrDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0003-3170-3211
Austen El-OstaDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-8772-4938
Rosy TsopraDepartment of Médical Informatics, Hôpital Européen Georges Pompidou, Hôpital Necker Enfants Malades, AP-HP, Paris, France.ORCID 0000-0002-9406-5547
Heidrun LingnerCenter for Public Health and Healthcare, Department of Medical Psychology, German Center for Lung Research (DZL)/BREATH Hannover, Hannover Medical School, Hannover, Germany.
Ensieh MemarianInternal Medicine Research Group, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-8214-917X
Robert HoffmanDepartment of Family Medicine, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-3053-835X
Katarzyna NesslerDepartment of Family Medicine, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0001-9869-7923
Geronimo JimenezDepartment of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-1304-426X
Claire CollinsIrish College of General Practitioners, Dublin, Ireland.ORCID 0000-0001-8967-5159
Davorina PetekDepartment of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-0151-4463
Ana ClaveríaI-Saúde Group, South Galicia Health Research Institute [IISGS-Servicio Galego de Saúde (SERGAS), Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, Spain.ORCID 0000-0001-9552-1260
Maria José FernándezI-Saúde Group, South Galicia Health Research Institute [IISGS-Servicio Galego de Saúde (SERGAS), Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, Spain.ORCID 0000-0001-7101-589X
Gustavo GussoDepartment of Internal Medicine, Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0002-7488-7535
Mehmet UnganDepartment of Family Medicine, Ankara University School of Medicine, Ankara, Turkey.ORCID 0000-0002-6078-2177
Greg IrvingHealth Research Institute, Edge Hill University, Ormskirk, UK.ORCID 0000-0002-9471-3700
Liliana LaranjoWestmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID 0000-0003-1020-3402
Saira GhafurDepartment of Surgery and Cancer, Institute of Global Health Innovation, Imperial College London, London, UK.ORCID 0000-0003-4487-6904
Gianluca FontanaDepartment of Surgery and Cancer, Institute of Global Health Innovation, Imperial College London, London, UK.ORCID 0000-0002-8973-0012
Josip CarDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0001-8969-371X
Benedict HayhoeDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-2645-6191
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-2357-9858
Ana Luisa NevesDepartment of Primary Care and Public Health, Imperial College London, London, UK.ORCID 0000-0002-7107-7211

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExpanding access to self-management via Digital Health Technologies may supplement traditional care, mitigating pressures on primary care through self-management. Primary Care Physicians (PCP) can play a critical role in the integration of digital health technologies into patient care, but it is unclear what factors influence PCPs' recommendation of such technologies.

aimsTo identify the factors associated with PCPs recommending digital health technologies to patients for self-management before and during the pandemic.

methodsPCPs across 20 countries completed an online questionnaire between June and September 2020. The outcome was a self-report of recommending patients to at least one of six listed forms of digital health technologies. Univariable logistic regression models were performed to explore factors associated with recommending digital health technologies to patients before and during the pandemic.

results1,592 PCPs were included. Before the pandemic, the odds of recommending digital health technologies for self-management were lower for PCPs not involved in teaching, or practising in Turkey, Australia, Chile, Colombia, France, Italy, Poland, Portugal, Slovenia, and Spain. During the pandemic, PCPs practising in rural settings had higher odds of starting to recommend digital health technologies, as well as those from Brazil, Colombia, and Italy. There was no significant difference in recommending digital health technologies before and during the pandemic.

conclusionsInvolvement in teaching (pre-pandemic) and practising in a rural setting (during the pandemic) positively influenced the recommendation of digital health technologies. Significant variation in recommending digital health technologies was present across countries.

Indexed as

COVID-19Physicians, Primary CarePractice Patterns, Physicians'Self-ManagementTelemedicineAdultCross-Sectional StudiesDigital HealthDigital TechnologyFemaleHumansMaleMiddle AgedPrimary Health CareSurveys and Questionnairescross-sectional studiesDigital health technologieshealthcare technologiesprimary careself-managementsurvey-based studies

Identifiers

PMID40948455
PMCPMC12439800

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.