ArticlePLOS digital health2026
Digitally delivered, systemically challenged: A qualitative study of health system readiness for digital care.
Article in PLOS digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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.
Who cites it
7 citing papers in PubMed.
- Variation in Telehealth Use in a National Home Test-to-Treat Program for Acute Respiratory Infections.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2026Observational
- Beyond technology usefulness: Health system reliability, and socio-demographic and professional factors as shapers of technostress in physicians.PLOS digital health · 2026Article
- Variation in Telehealth Use in a National Home Test-to-Treat Program for Acute Respiratory Infections.medRxiv : the preprint server for health sciences · 2026Article
- Developing implementation strategies for a community-based digital weight management program: A hybrid deductive-inductive thematic analysis grounded in implementation theory.International journal of nursing sciences · 2026Article
- Transitioning to a digital TB case-based surveillance system: a mixed-methods study of the DHIS2 TB e-Tracker system.IJTLD open · 2026Article
- Maternal mHealth usability strengthened by trust, governance, and navigation.Frontiers in digital health · 2026Article
- Toward a mixed-methods framework for evaluating digital health systems in low-resource settings: an infrastructure-aware perspective.Frontiers in digital health · 2026Article
Corrections and comments
- Update of
Authors and funding
6 authors.
Funding
Abstract
Digital health technologies (DHTs) expand healthcare access, improve care coordination, and reduce costs. However, integrating these tools into care faces complex barriers. Understanding the perspectives of health system leaders is essential for developing sustainable DHTs. The objective of this project is to explore the experiences and priorities of health system stakeholders regarding the implementation of DHTs. The study team conducted semi-structured interviews with 12 stakeholders from diverse U.S. health systems, including clinical, operational, and executive leadership. Interviewees were selected using purposeful and snowball sampling. Interviews were transcribed and analyzed thematically using the Consolidated Framework for Implementation Research (CFIR). A constant comparative coding process was used to identify and organize key themes. Participants viewed DHTs as a way to enhance healthcare access and efficiency and improve public health operations, especially in rural or underserved settings. However, several major adoption challenges emerged: (1) integrating DHTs into existing workflows and electronic health records is operationally burdensome; (2) digital care can introduce risks to quality, continuity, and equity; and (3) external factors (reimbursement policy, regulatory constraints, infrastructure investment) are critical to long-term adoption. Digital health is seen as essential to the future of healthcare delivery, but meaningful integration requires alignment across clinical, operational, and policy domains. Coordinated investment, regulatory reform, and robust data infrastructure are needed to ensure DHTs are scalable and sustainable.
Identifiers
What OpenQuestion holds
Registered trials
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.