Digital health integration for noncommunicable diseases: Comprehensive process mapping for full-life-cycle management

IF 3.6 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Evidence‐Based Medicine Pub Date : 2024-02-15 DOI:10.1111/jebm.12583
Tianrui He, Wenbin Cui, Yuxuan Feng, Xingyi Li, Guangjun Yu
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Abstract

Aim

To create a systematic digital health process mapping framework for full-life-cycle noncommunicable disease management grounded in key stakeholder engagement.

Methods

A triphasic, qualitative methodology was employed to construct a process mapping framework for digital noncommunicable disease management in Shanghai, China. The first phase involved desk research to examine current guidance and practices. In the second phase, pivotal stakeholders participated in focus group discussions to identify prevalent digital touchpoints across lifetime noncommunicable disease management. In the final phase, the Delphi technique was used to refine the framework based on expert insights and obtain consensus.

Results

We identified 60 digital touchpoints across five essential stages of full-life-cycle noncommunicable disease management. Most experts acknowledged the rationality and feasibility of these touchpoints.

Conclusions

This study led to the creation of a comprehensive digital health process mapping framework that encompasses the entire life cycle of noncommunicable disease management. The insights gained emphasize the importance of a systemic strategic, person-centered approach over a fragmented, purely technocentric approach. We recommend that healthcare professionals use this framework as a linchpin for efficient disease management and seamless technology incorporation in clinical practice.

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针对非传染性疾病的数字医疗整合:为全生命周期管理绘制综合流程图。
目的:在关键利益相关者参与的基础上,为非传染性疾病的全生命周期管理创建一个系统的数字健康流程图框架:采用三阶段定性方法,在中国上海构建非传染性疾病数字化管理流程图框架。第一阶段包括案头研究,以检查当前的指导和实践。在第二阶段,关键利益相关者参加了焦点小组讨论,以确定非传染性疾病终身管理中普遍存在的数字接触点。在最后阶段,采用德尔菲技术,根据专家的见解完善框架并达成共识:结果:我们在非传染性疾病全生命周期管理的五个重要阶段确定了 60 个数字接触点。大多数专家认可这些接触点的合理性和可行性:这项研究促成了一个全面的数字健康流程映射框架的建立,该框架涵盖了非传染性疾病管理的整个生命周期。所获得的见解强调了以人为本的系统性战略方法的重要性,而不是零散的、纯粹以技术为中心的方法。我们建议医疗保健专业人员将这一框架作为高效疾病管理和将技术无缝融入临床实践的关键。
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来源期刊
Journal of Evidence‐Based Medicine
Journal of Evidence‐Based Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
11.20
自引率
1.40%
发文量
42
期刊介绍: The Journal of Evidence-Based Medicine (EMB) is an esteemed international healthcare and medical decision-making journal, dedicated to publishing groundbreaking research outcomes in evidence-based decision-making, research, practice, and education. Serving as the official English-language journal of the Cochrane China Centre and West China Hospital of Sichuan University, we eagerly welcome editorials, commentaries, and systematic reviews encompassing various topics such as clinical trials, policy, drug and patient safety, education, and knowledge translation.
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