Preferences for Health Information and Decision-Making Autonomy among Chinese Patients with T2DM in the mHealth Era

Nie, Lisa; Xie, Bin-Bin; Yang, Yan; Brown, Sharon A.

doi:10.2337/db18-888-p

Cited by 2 publications

(8 citation statements)

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“…Promoting good health: internet-based health information [ 45 , 46 ] and nonpersonalized health education via SMS text messaging [ 47 , 48 ]…”

Section: Resultsmentioning

confidence: 99%

“…Enablers and barriers for the use of DHTs for patient-centered care emerged at the level of the device or platform, the user, and the broader environment ( Table 1 ). At the device or platform level (ie, characteristics and design of DHTs), the most commonly reported enablers related to the ability of DHTs to meet users’ individual needs, such as those that integrated easily with users’ lives or workflows [ 33 , 40 , 52 , 57 , 64 , 69 ] and those that were adapted to local languages, cultures, and literacy levels [ 32 , 46 , 54 , 58 , 64 , 71 ]. Co-design methodology was commonly suggested as an enabler to developing DHTs that aligned with users’ individual needs [ 40 , 43 , 50 , 51 , 56 , 59 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Regarding the user level, the availability of technical support and user education and training with regard to DHTs was the most commonly reported enabler [31,41,50,54,60,62,65,66,68], whereas low literacy and technical literacy emerged as a user-level barrier in several of the publications (9/45, 20%) [38,40,44,46,47,54,65,66,69]. Finally, at a broader environmental level, governance that ensures security, privacy, and integrity of DHTs [32,[65][66][67]71,73,74] as well as cross-sectorial collaboration between and within government and nongovernment sectors on development, implementation, and promotion of DHTs [62,64,66,67,71] were the most frequently reported enablers.…”

Section: Enablers and Barriers For The Use Of Dhts For Patient-center...mentioning

confidence: 99%

“…Communicating about health and care: telemedicine and teleconsultation platforms (telephone, SMS text messaging, and video) [35][36][37][38][39][40][41][42] and appointment reminders [36] • Health and care diaries: mobile apps to track and record users' health information for self-monitoring [43,44] • Promoting good health: internet-based health information [45,46] and nonpersonalized health education via SMS text messaging [47,48] Tier C…”

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confidence: 99%

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Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review

Kosowicz¹,

Tran²,

Toàn³

et al. 2023

J Med Internet Res

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Background A rapidly aging population, a shifting disease burden and the ongoing threat of infectious disease outbreaks pose major concerns for Vietnam’s health care system. Health disparities are evident in many parts of the country, especially in rural areas, and the population faces inequitable access to patient-centered health care. Vietnam must therefore explore and implement advanced solutions to the provision of patient-centered care, with a view to reducing pressures on the health care system simultaneously. The use of digital health technologies (DHTs) may be one of these solutions. Objective This study aimed to identify the application of DHTs to support the provision of patient-centered care in low- and middle-income countries in the Asia-Pacific region (APR) and to draw lessons for Vietnam. Methods A scoping review was undertaken. Systematic searches of 7 databases were conducted in January 2022 to identify publications on DHTs and patient-centered care in the APR. Thematic analysis was conducted, and DHTs were classified using the National Institute for Health and Care Excellence evidence standards framework for DHTs (tiers A, B, and C). Reporting was in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Results Of the 264 publications identified, 45 (17%) met the inclusion criteria. The majority of the DHTs were classified as tier C (15/33, 45%), followed by tier B (14/33, 42%) and tier A (4/33, 12%). At an individual level, DHTs increased accessibility of health care and health-related information, supported individuals in self-management, and led to improvements in clinical and quality-of-life outcomes. At a systems level, DHTs supported patient-centered outcomes by increasing efficiency, reducing strain on health care resources, and supporting patient-centered clinical practice. The most frequently reported enablers for the use of DHTs for patient-centered care included alignment of DHTs with users’ individual needs, ease of use, availability of direct support from health care professionals, provision of technical support as well as user education and training, appropriate governance of privacy and security, and cross-sectorial collaboration. Common barriers included low user literacy and digital literacy, limited user access to DHT infrastructure, and a lack of policies and protocols to guide the implementation and use of DHTs. Conclusions The use of DHTs is a viable option to increase equitable access to quality, patient-centered care across Vietnam and simultaneously reduce pressures on the health care system. Vietnam can take advantage of the lessons learned by other low- and middle-income countries in the APR when developing a national road map to digital health transformation. Recommendations that Vietnamese policy makers may consider include emphasizing stakeholder engagement, strengthening digital literacy, supporting the improvement of DHT infrastructure, increasing cross-sectorial collaboration, strengthening governance of cybersecurity, and leading the way in DHT uptake.

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“…Promoting good health: internet-based health information [ 45 , 46 ] and nonpersonalized health education via SMS text messaging [ 47 , 48 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Enablers and Barriers For The Use Of Dhts For Patient-center...mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review

Kosowicz¹,

Tran²,

Toàn³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review (Preprint)

Kosowicz¹,

Tran²,

Toàn³

et al. 2022

Preprint

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BACKGROUND Vietnam’s rapidly ageing population, shifting disease burden, and ongoing threat of potential infectious disease outbreaks are significant concerns for the country’s healthcare system. Health disparities are evident in many parts of the country, especially in rural areas, and the population faces inequitable access to quality, person-centred healthcare. Vietnam must therefore explore and implement advanced solutions to delivering person-centred care in a way that also reduces pressures on the healthcare system. Digital health technologies (DHTs) may be one of these solutions. OBJECTIVE To identify the application of DHTs to support the provision of patient-centred care in low- and middle-income countries (LMICs) in the Asia Pacific region (APR), and to draw lessons for Vietnam. METHODS A scoping review was undertaken. Systematic searches of seven databases were conducted to locate publications about DHTs and patient-centred care in the APR (January 2022). Thematic analysis was conducted, and DHTs were classified using the NICE Evidence Standards Framework for Digital Health and Care Technologies (Tiers A, B and C). RESULTS A total of 264 publications were located and 45 met inclusion criteria. The majority of DHTs were classified as Tier C (45.5%), followed by Tier B (42.4%) and Tier A (12.1%). Evidence suggested that DHTs can produce positive, patient-centred outcomes both the individual and systems level. At an individual level, DHTs increased accessibility of healthcare and health-related information, supported individuals in self-management, and lead to improvements in clinical and quality of life outcomes. At a systems level, DHTs supported patient-centred outcomes through increased efficiency, reduced strain on healthcare resources, and support for patient-centred clinical practice. Enablers and/or barriers for the use of DHTs for person-centred care emerged at the level of the device or platform, the user, and the broader environment. The most frequently reported enablers included: (1) alignment of DHTs with users’ individual needs; (2) ease-of-use; (3) availability of direct support from healthcare professionals; (4) provision of technical support and user education and training; (5) appropriate governance of privacy and security; and (6) cross-sectional collaboration. Common barriers included: (1) low user literacy and/or digital literacy; (2) limited user access to DHT infrastructure, and (3) a lack of policies and protocols to guide the implementation and use of DHTs. CONCLUSIONS The use of DHTs is a viable option to increase equitable access to quality, person-centred care across Vietnam, and simultaneously reduce pressures on the healthcare system. Vietnam can take advantage of the lessons learned by other LMICs in the APR when developing its national roadmap to digital health transformation. Recommendations that Vietnamese policymakers may consider include: (1) emphasise stakeholder engagement; (2) strengthen digital literacy; (3) support the improvement of DHT infrastructure; (4) increase cross-sectorial collaboration; (5) strengthen governance of cybersecurity; and (6) lead the way in DHT uptake.

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Preferences for Health Information and Decision-Making Autonomy among Chinese Patients with T2DM in the mHealth Era

Cited by 2 publications

References 0 publications

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review (Preprint)

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