[State of knowledge: evaluation and implementation of digital health solutions - a look at user participation]
Brahimi L, Legendre CM
Record ID 32018004857
French
Original Title:
État des connaissances - Évaluation et implantation des solutions numériques en santé : regard sur la participation des usagers
Authors' objectives:
The challenges and opportunities related to the use of digital health technologies that
transform care and service pathways are numerous. Their proper evaluation and
implementation are important levers to enhance the value of promising innovations for
users, especially if they consider their knowledge and know-how. The Ministère de la
Santé et des Services sociaux (MSSS) has therefore mandated the INESSS to identify
assessment frameworks and implementation issues for digital health solutions.
Authors' results and conclusions:
RESULT: A total of 37 publications identified barriers and facilitators frequently related to digital
health technologies, including themes such as equity of access to technology,
accessibility and security of personal health data, training and support of users.
Additional considerations were identified for vulnerable populations and more complex
technologies. Five frameworks underlying various methods for digital health technology
assessment from European countries were selected. They reflect a wide range of
assessment modalities for implementing digital solutions, such as digital application
libraries and formularies, public reimbursement mechanisms, and user decision support
guides. The consultation further highlighted complementary themes related to the impact
of digitization on the doctor-patient relationship, on the sustainability of health systems
and on the environment, as well as the legal framework governing patients’ health data.
CONCLUSION: This work demonstrates that few studies distinguish the perspective of users from that of
other stakeholders in the implementation and evaluation of digital health solutions. It
further shows the heterogeneity of approaches underlying their assessment in practice. In
general, user participation is limited, indicating that strategies tailored to their needs could
be further explored for evaluating and introducing digital health solutions in care and
services pathways.
Authors' recommendations:
RESULT: A total of 37 publications identified barriers and facilitators frequently related to digital
health technologies, including themes such as equity of access to technology,
accessibility and security of personal health data, training and support of users.
Additional considerations were identified for vulnerable populations and more complex
technologies. Five frameworks underlying various methods for digital health technology
assessment from European countries were selected. They reflect a wide range of
assessment modalities for implementing digital solutions, such as digital application
libraries and formularies, public reimbursement mechanisms, and user decision support
guides. The consultation further highlighted complementary themes related to the impact
of digitization on the doctor-patient relationship, on the sustainability of health systems
and on the environment, as well as the legal framework governing patients’ health data.
CONCLUSION: This work demonstrates that few studies distinguish the perspective of users from that of
other stakeholders in the implementation and evaluation of digital health solutions. It
further shows the heterogeneity of approaches underlying their assessment in practice. In
general, user participation is limited, indicating that strategies tailored to their needs could
be further explored for evaluating and introducing digital health solutions in care and
services pathways.
Authors' methods:
A narrative review of the scientific and grey literature was conducted on 1) the barriers
and facilitators to the implementation of digital health solutions, and 2) the frameworks
used for evaluating these technologies. A multidimensional framework was used for data
extraction, analysis, and synthesis. A patient and citizen consultation on the literature
review results highlighted issues deemed important for them.
Details
Project Status:
Completed
Year Published:
2023
URL for published report:
https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/evaluation-et-implantation-des-solutions-numeriques-en-sante-regard-sur-la-participation-des-usagers.html
English language abstract:
An English language summary is available
Publication Type:
Other
Country:
Canada
Province:
Quebec
MeSH Terms
- Digital Technology
- Internet
- Internet-Based Intervention
- Mobile Applications
- Smartphone
- Telemedicine
- Patient Participation
- Stakeholder Participation
- Delivery of Health Care
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
L'Institut national d'excellence en sante et en services sociaux (INESSS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.