Zobraziť v EDS

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

Uložené v:
Podrobná bibliografia
Názov: 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
Autori: Elg, Mattias, Kabel, Daan, Gremyr, Ida, 1975, Olsson, Jesper, Martin, Jason, Smith, Frida, 1973
Zdroj: Journal of Medical Internet Research. 27
Predmety: telemonitoring, macro perspective, semi structured interview, digital health, healthcare ecosystem, technology, self-monitoring, qualitative study, medtech provider, telehealth, healthcare provider
Popis: 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.
Popis súboru: electronic
Prístupová URL adresa: https://research.chalmers.se/publication/545906
https://research.chalmers.se/publication/545906/file/545906_Fulltext.pdf
Databáza: SwePub
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://research.chalmers.se/publication/545906#
    Name: EDS - SwePub (s4221598)
    Category: fullText
    Text: View record in SwePub
  – Url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&db=pmc&term=1438-8871[TA]+AND+[PG]+AND+2025[PDAT]
    Name: FREE - PubMed Central (ISSN based link)
    Category: fullText
    Text: Full Text
    Icon: https://imageserver.ebscohost.com/NetImages/iconPdf.gif
    MouseOverText: Check this PubMed for the article full text.
  – Url: https://resolver.ebscohost.com/openurl?sid=EBSCO:edsswe&genre=article&issn=14388871&ISBN=&volume=27&issue=&date=20250101&spage=&pages=&title=Journal of Medical Internet Research&atitle=Identification%20and%20Categorization%20of%20the%20Distinct%20Purposes%20Underpinning%20the%20Use%20of%20Digital%20Health%20Care%20Self-Monitoring%3A%20Qualitative%20Study%20of%20Stakeholders%20in%20the%20Health%20Care%20Ecosystem&aulast=Elg%2C%20Mattias&id=DOI:10.2196/58264
    Name: Full Text Finder
    Category: fullText
    Text: Full Text Finder
    Icon: https://imageserver.ebscohost.com/branding/images/FTF.gif
    MouseOverText: Full Text Finder
  – Url: https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=EBSCO&SrcAuth=EBSCO&DestApp=WOS&ServiceName=TransferToWoS&DestLinkType=GeneralSearchSummary&Func=Links&author=Elg%20M
    Name: ISI
    Category: fullText
    Text: Nájsť tento článok vo Web of Science
    Icon: https://imagesrvr.epnet.com/ls/20docs.gif
    MouseOverText: Nájsť tento článok vo Web of Science
Header DbId: edsswe
DbLabel: SwePub
An: edsswe.oai.research.chalmers.se.9c891f46.8a70.48e5.b935.52e9f173fe8b
RelevancyScore: 1065
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 1064.736328125
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  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
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Elg%2C+Mattias%22">Elg, Mattias</searchLink><br /><searchLink fieldCode="AR" term="%22Kabel%2C+Daan%22">Kabel, Daan</searchLink><br /><searchLink fieldCode="AR" term="%22Gremyr%2C+Ida%22">Gremyr, Ida</searchLink>, 1975<br /><searchLink fieldCode="AR" term="%22Olsson%2C+Jesper%22">Olsson, Jesper</searchLink><br /><searchLink fieldCode="AR" term="%22Martin%2C+Jason%22">Martin, Jason</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Frida%22">Smith, Frida</searchLink>, 1973
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <i>Journal of Medical Internet Research</i>. 27
– Name: Subject
  Label: Subject Terms
  Group: Su
  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>
– Name: Abstract
  Label: Description
  Group: Ab
  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.
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: electronic
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://research.chalmers.se/publication/545906" linkWindow="_blank">https://research.chalmers.se/publication/545906</link><br /><link linkTarget="URL" linkTerm="https://research.chalmers.se/publication/545906/file/545906_Fulltext.pdf" linkWindow="_blank">https://research.chalmers.se/publication/545906/file/545906_Fulltext.pdf</link>
PLink https://erproxy.cvtisr.sk/sfx/access?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsswe&AN=edsswe.oai.research.chalmers.se.9c891f46.8a70.48e5.b935.52e9f173fe8b
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2196/58264
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: telemonitoring
        Type: general
      – SubjectFull: macro perspective
        Type: general
      – SubjectFull: semi structured interview
        Type: general
      – SubjectFull: digital health
        Type: general
      – SubjectFull: healthcare ecosystem
        Type: general
      – SubjectFull: technology
        Type: general
      – SubjectFull: self-monitoring
        Type: general
      – SubjectFull: qualitative study
        Type: general
      – SubjectFull: medtech provider
        Type: general
      – SubjectFull: telehealth
        Type: general
      – SubjectFull: healthcare provider
        Type: general
    Titles:
      – TitleFull: 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
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Elg, Mattias
      – PersonEntity:
          Name:
            NameFull: Kabel, Daan
      – PersonEntity:
          Name:
            NameFull: Gremyr, Ida
      – PersonEntity:
          Name:
            NameFull: Olsson, Jesper
      – PersonEntity:
          Name:
            NameFull: Martin, Jason
      – PersonEntity:
          Name:
            NameFull: Smith, Frida
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 14388871
            – Type: issn-locals
              Value: SWEPUB_FREE
            – Type: issn-locals
              Value: CTH_SWEPUB
          Numbering:
            – Type: volume
              Value: 27
          Titles:
            – TitleFull: Journal of Medical Internet Research
              Type: main
ResultId 1