Barriers and facilitators to utilizing digital health technologies by healthcare professionals

Autor: Israel Júnior Borges do Nascimento, Hebatullah Abdulazeem, Lenny Thinagaran Vasanthan, Edson Zangiacomi Martinez, Miriane Lucindo Zucoloto, Lasse Østengaard, Natasha Azzopardi-Muscat, Tomas Zapata, David Novillo-Ortiz
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: npj Digital Medicine, Vol 6, Iss 1, Pp 1-28 (2023)
Druh dokumentu: article
ISSN: 2398-6352
DOI: 10.1038/s41746-023-00899-4
Popis: Abstract Digital technologies change the healthcare environment, with several studies suggesting barriers and facilitators to using digital interventions by healthcare professionals (HPs). We consolidated the evidence from existing systematic reviews mentioning barriers and facilitators for the use of digital health technologies by HP. Electronic searches were performed in five databases (Cochrane Database of Systematic Reviews, Embase®, Epistemonikos, MEDLINE®, and Scopus) from inception to March 2023. We included reviews that reported barriers or facilitators factors to use technology solutions among HP. We performed data abstraction, methodological assessment, and certainty of the evidence appraisal by at least two authors. Overall, we included 108 reviews involving physicians, pharmacists, and nurses were included. High-quality evidence suggested that infrastructure and technical barriers (Relative Frequency Occurrence [RFO] 6.4% [95% CI 2.9–14.1]), psychological and personal issues (RFO 5.3% [95% CI 2.2–12.7]), and concerns of increasing working hours or workload (RFO 3.9% [95% CI 1.5–10.1]) were common concerns reported by HPs. Likewise, high-quality evidence supports that training/educational programs, multisector incentives, and the perception of technology effectiveness facilitate the adoption of digital technologies by HPs (RFO 3.8% [95% CI 1.8–7.9]). Our findings showed that infrastructure and technical issues, psychological barriers, and workload-related concerns are relevant barriers to comprehensively and holistically adopting digital health technologies by HPs. Conversely, deploying training, evaluating HP’s perception of usefulness and willingness to use, and multi-stakeholders incentives are vital enablers to enhance the HP adoption of digital interventions.
Databáze: Directory of Open Access Journals