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Identification and Categorization of the Distinct Purposes Underpinning the Use of Digital Health Care Self-Monitoring: Qualitative Study of Stakeholders in the Health Care Ecosystem

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Title: Identification and Categorization of the Distinct Purposes Underpinning the Use of Digital Health Care Self-Monitoring: Qualitative Study of Stakeholders in the Health Care Ecosystem
Authors: Elg, Mattias, Kabel, Daan, Gremyr, Ida, 1975, Olsson, Jesper, Martin, Jason, Smith, Frida, 1973
Source: Journal of Medical Internet Research. 27
Subject Terms: telemonitoring, macro perspective, semi structured interview, digital health, healthcare ecosystem, technology, self-monitoring, qualitative study, medtech provider, telehealth, healthcare provider
Description: Background : Digital health care self-monitoring has gained prominence as a tool to address various challenges in health care, including patient autonomy, data-informed decision-making, and organizational improvements. However, integrating self-monitoring solutions across a diverse ecosystem of stakeholders—patients, health care providers, policy makers, and industry—can be complicated by differing priorities and needs. Objective : This study aimed to identify and categorize the distinct purposes underpinning the use of digital health care self-monitoring. By mapping these purposes, the research seeks to clarify how technology design and implementation can be better aligned with stakeholder expectations, thereby enhancing adoption and impact. Methods : A qualitative design was used, drawing on 31 in-depth, semistructured interviews conducted with stakeholders in the Swedish health care ecosystem. Participants included patients, advocacy groups, health care professionals, policy makers, pharmaceutical representatives, and technology developers. Data were analyzed thematically using an inductive coding approach supported by NVivo 12 (Lumivero). Emerging themes were refined through iterative discussion among the research team and validated by presentation to health care practitioners. Results : A total of 8 distinct purposes of digital health care self-monitoring emerged: (1) emancipate (enhance patient autonomy), (2) learn (understand health behaviors), (3) improve (enhance patient health), (4) engage (bolster patient involvement), (5) control (manage adherence and symptoms), (6) evaluate (assess health parameters), (7) innovate (advance interventions and processes), and (8) generate (drive new initiatives). These purposes form three categories of value creation: (1) improving the patient-provider link, (2) leveraging big data analytics for knowledge creation, and (3) using digital infrastructure to develop new care processes. Conclusions : Our findings demonstrate that digital health care self-monitoring serves multifaceted aims, ranging from individual patient empowerment to ecosystem-wide innovation. Designing and implementing these tools with an explicit understanding of all stakeholders’ “why” can help address potential conflicts (eg, balancing patient autonomy with clinical control) and facilitate more holistic adoption. Ultimately, this study underscores the importance of clear, purpose-driven approaches to promote better health outcomes, knowledge generation, and care process improvements.
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  Data: Identification and Categorization of the Distinct Purposes Underpinning the Use of Digital Health Care Self-Monitoring: Qualitative Study of Stakeholders in the Health Care Ecosystem
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  Data: <i>Journal of Medical Internet Research</i>. 27
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  Data: <searchLink fieldCode="DE" term="%22telemonitoring%22">telemonitoring</searchLink><br /><searchLink fieldCode="DE" term="%22macro+perspective%22">macro perspective</searchLink><br /><searchLink fieldCode="DE" term="%22semi+structured+interview%22">semi structured interview</searchLink><br /><searchLink fieldCode="DE" term="%22digital+health%22">digital health</searchLink><br /><searchLink fieldCode="DE" term="%22healthcare+ecosystem%22">healthcare ecosystem</searchLink><br /><searchLink fieldCode="DE" term="%22technology%22">technology</searchLink><br /><searchLink fieldCode="DE" term="%22self-monitoring%22">self-monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22qualitative+study%22">qualitative study</searchLink><br /><searchLink fieldCode="DE" term="%22medtech+provider%22">medtech provider</searchLink><br /><searchLink fieldCode="DE" term="%22telehealth%22">telehealth</searchLink><br /><searchLink fieldCode="DE" term="%22healthcare+provider%22">healthcare provider</searchLink>
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  Label: Description
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  Data: Background : Digital health care self-monitoring has gained prominence as a tool to address various challenges in health care, including patient autonomy, data-informed decision-making, and organizational improvements. However, integrating self-monitoring solutions across a diverse ecosystem of stakeholders—patients, health care providers, policy makers, and industry—can be complicated by differing priorities and needs. Objective : This study aimed to identify and categorize the distinct purposes underpinning the use of digital health care self-monitoring. By mapping these purposes, the research seeks to clarify how technology design and implementation can be better aligned with stakeholder expectations, thereby enhancing adoption and impact. Methods : A qualitative design was used, drawing on 31 in-depth, semistructured interviews conducted with stakeholders in the Swedish health care ecosystem. Participants included patients, advocacy groups, health care professionals, policy makers, pharmaceutical representatives, and technology developers. Data were analyzed thematically using an inductive coding approach supported by NVivo 12 (Lumivero). Emerging themes were refined through iterative discussion among the research team and validated by presentation to health care practitioners. Results : A total of 8 distinct purposes of digital health care self-monitoring emerged: (1) emancipate (enhance patient autonomy), (2) learn (understand health behaviors), (3) improve (enhance patient health), (4) engage (bolster patient involvement), (5) control (manage adherence and symptoms), (6) evaluate (assess health parameters), (7) innovate (advance interventions and processes), and (8) generate (drive new initiatives). These purposes form three categories of value creation: (1) improving the patient-provider link, (2) leveraging big data analytics for knowledge creation, and (3) using digital infrastructure to develop new care processes. Conclusions : Our findings demonstrate that digital health care self-monitoring serves multifaceted aims, ranging from individual patient empowerment to ecosystem-wide innovation. Designing and implementing these tools with an explicit understanding of all stakeholders’ “why” can help address potential conflicts (eg, balancing patient autonomy with clinical control) and facilitate more holistic adoption. Ultimately, this study underscores the importance of clear, purpose-driven approaches to promote better health outcomes, knowledge generation, and care process improvements.
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        Value: 10.2196/58264
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      – Text: English
    Subjects:
      – SubjectFull: telemonitoring
        Type: general
      – SubjectFull: macro perspective
        Type: general
      – SubjectFull: semi structured interview
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      – SubjectFull: digital health
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      – SubjectFull: healthcare ecosystem
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      – SubjectFull: healthcare provider
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