“Sometimes I don’t have a pulse, and I’m still alive!” Healthcare providers on digital health techs

Abstract

Background Digital health technologies (DHTs) are increasingly becoming an integral part of our lives, healthcare field included. The WHO recently has even released the first digital health guidelines for worldwide intervention. Commercially available DHTs (e.g. smartphones, smartwatches, apps) may hold significant potential in healthcare, upon successful and constructive integration. Literature on the topic is split between enthusiasm for the potential benefits, and concerns about reliability and effectiveness. Little is known about what healthcare professionals (HCPs) have experienced so far with patients and what they believe the main issues for implementation may be. This study aims to investigate current perceptions of HCPs towards self-tracked health-related outputs from devices and apps available to the public. Methods Nine HCPs volunteered to take part in semi-structured interviews. Data were thematically analysed adopting a pre-constructed framework (deductive approach) based on current (April 2019) literature and the findings from the first two interviews. Results The following main themes were identified and explored in detail: HCPs' experience, perceived knowledge and views on DHTs; advantages and disadvantages; barriers towards healthcare implementation and solutions; future perspectives. While most participants were adopters of DHTs and held positive views about them, their overall experience with patients and the technology was limited. Potential reasons for this included factors such as time/resources availability; colleagues' mindset; lack of evidence of effectiveness for practice; privacy/data security concerns. Conclusions The potential advantages of DHTs' adoption in healthcare are substantial - e.g. patient autonomy, time/resources saving, health and behaviour change promotion. However, future research is warranted focussing on addressing barriers, minimising disadvantages, and assessing the clinical value of commercially available DHTs. Key messages We explored healthcare providers’ views on the role of commercial digital health techs in clinical practice. Despite some privacy and reliability concerns, commercial digital health techs show promise.

Avanço da telemedicina no Brasil no período de pandemia da COVID-19: uma revisão sistemática da literatura / Advancement of telemedicine in Brazil during the COVID-19 pandemic period: a systematic review of the literature

“…A literatura sobre o tema está dividida entre entusiasmo pelos benefícios potenciais e preocupações sobre confiabilidade e eficácia. Estudos apontam que as vantagens potenciais da adoção de DHTs na área da saúde são substanciaispor exemplo, autonomia do paciente, economia de tempo e recursos, promoção da saúde e mudança de comportamento (TOMASELLA; MORGAN, 2020). A Figura 1 mostra que o surgimento de startups do setor teve crescimento de 7.34 pontos percentuais a partir do ano de 2016, corroborando o fato de que esclarece que o surgimento das plataformas de apoio a saúde se deu anteriormente a Covid-19.…”