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Mielitz A, Kulau U, Bublitz L, Bittner A, Friederichs H, Albrecht UV. Teaching Digital Medicine to Undergraduate Medical Students with an Interprofessional and Interdisciplinary Approach: A Proof of Concept Study. JMIR MEDICAL EDUCATION 2024. [PMID: 39189929 DOI: 10.2196/56787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/28/2024]
Abstract
BACKGROUND An integration of digital medicine into medical education can help future doctors to shape the digital transformation of medicine. OBJECTIVE A newly developed course for teaching digital medicine (Bielefeld model) is described and evaluated for the first time. METHODS The course was held with undergraduate medical students at Medical School OWL at Bielefeld University, Germany, in 2023, and evaluated via pre-post surveys. The subjective and objective achievement of superordinate learning objectives and the objective achievement of subordinate learning objectives of the course, course design and course importance were evaluated utilizing five-point Likert scales (1="strongly disagree", 5="strongly agree"), a multiple choice format for reasons of absence, and open comments. The superordinate objectives comprise the understanding of factors driving the implementation of digital medical products and processes (1), the application of this knowledge to a project (2), and the empowerment to design such solutions (3) in the future. The subordinate objectives comprise competencies related to the first superordinate objective. RESULTS 10 undergraduate medical students (male: 4, female: 6, mean age 21.7 years, SD: 2.1 years) evaluated the course. The superordinate objectives were achieved well to very well: the medians for the objective achievement were 4 scale units (su) (IQR 4-5 su), 4 su (IQR 3-5 su) and 4 su (IQR 4-4 su) for the first, second and third objective and the medians for the subjective achievement of the first, second and third objective were 4 su (IQR 3-4 su), 4.5 su (IQR 3-5 su) and 4 su (IQR 3-5 su). Participants mastered the subordinate objectives, averagely, better after the course than before (pre-survey median:2.5 su (IQR 2-3 su), post-survey median: 4 su (IQR 3-4 su)). The course concept was rated as highly suitable for achieving the superordinate objectives (medians: 5 su (IQR 4-5 su) for the first, second, and third objective). On average, the students highly liked the course (median: 5 su (IQR 4-5 su)) and gained a benefit from (median: 4.5 su (IQR 4-5 su)). All students fully agreed that the teaching staff was a strength of the course. The category "Positive feedback on the course or positive personal experience with the course" received most comments. CONCLUSIONS The course framework exhibits promise in attaining learning objectives within the realm of digital medicine, notwithstanding the constraint of limited interpretability arising from a small sample size and further limitations. It aligns with insights derived from teaching and learning research and the domain of digital medicine, albeit with identifiable areas for enhancement. A literature review indicates a dearth of publications pertaining to analogous courses in Germany. Future investigations should entail a more exhaustive evaluation of the course. In summary, this course constitutes a valuable contribution to incorporating digital medicine into medical education. CLINICALTRIAL
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Affiliation(s)
- Annabelle Mielitz
- Bielfeld University, Medical School OWL, Department for Digital Medicine, Universitätsstr. 25, Bielefeld, DE
| | - Ulf Kulau
- Hamburg Technical University, Department of Smart Sensors, Hamburg, DE
| | - Lucas Bublitz
- Hamburg Technical University, Department of Smart Sensors, Hamburg, DE
| | - Anja Bittner
- Bielfeld University, Medical School OWL, Dean of Studies, Bielefeld, DE
| | - Hendrik Friederichs
- Bielfeld University, Medical School OWL, Department for Medical Education, Bielefeld, DE
| | - Urs-Vito Albrecht
- Bielfeld University, Medical School OWL, Department for Digital Medicine, Universitätsstr. 25, Bielefeld, DE
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Marsilio M, Calcaterra V, Infante G, Pisarra M, Zuccotti G. The digital readiness of future physicians: nurturing the post-pandemic medical education. BMC Health Serv Res 2024; 24:885. [PMID: 39095757 PMCID: PMC11297791 DOI: 10.1186/s12913-024-11365-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 07/25/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has accelerated the integration of digital technologies in the healthcare sector. Telemedicine has notably emerged as a significant tool, offering a range of benefits. However, various barriers, such as healthcare professionals' insufficient technological skills and competencies, can hinder its effective implementation. Scholars have examined the readiness of future physicians, with some studies exploring their readiness before or during the COVID-19 crisis. There is, however, a noteable gap in the literature concerning the post-pandemic period. This study aims to identify gaps in current medical education programs by examining two primary aspects: (1) technical readiness (encompassing general and health-related digital competencies) and (2) behavioural readiness, which includes prior experiences and future intentions related to telemedicine education and implementation among medical students and residents. METHODS A cross-sectional study was conducted using a web-based questionnaire administered to medical students and residents at a major Northern Italian university. The survey responses were analyzed to ascertain whether their distributions varied across demographic variables such as gender and level of education. RESULTS The most commonly owned technologies were laptops and smartphones, with smartphones perceived as the easiest to use, while desktop computers presented more challenges. Approximately 38% of respondents expressed apprehension about applying digital health information in decision-making processes. There was a significant lack of both personal and academic experience, with only 16% of students and residents having used telemedicine in a university setting. Despite this, 83% of participants expressed a desire for training in telemedicine, and 81% were open to experimenting with it during their academic journey. Moreover, 76% of respondents expressed interest in incorporating telemedicine into their future clinical practice. CONCLUSIONS This study highlights the need for medical students and residents to receive specific education in digital health and telemedicine. Introducing curricula and courses in this domain is critical to addressing the challenges of digital healthcare.
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Affiliation(s)
- Marta Marsilio
- Department of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy
| | - Valeria Calcaterra
- Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, Pavia, 27100, Italy
- Pediatric Department, Buzzi Children's Hospital, Milan, 20154, Italy
| | - Gabriele Infante
- Department of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy
| | - Martina Pisarra
- Department of Economics, Management and Quantitative Methods (DEMM), University of Milan, Milan, 20122, Italy
| | - Gianvincenzo Zuccotti
- Pediatric Department, Buzzi Children's Hospital, Milan, 20154, Italy.
- Department of Biomedical and Clinical Sciences, University of Milan, Via GB Battista n. 74, Milano, 20157, Italy.
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Ail G, Freer F, Chan CS, Jones M, Broad J, Canale GP, Elston P, Leeney J, Vickerton P. A comparison of virtual reality anatomy models to prosections in station-based anatomy teaching. ANATOMICAL SCIENCES EDUCATION 2024; 17:763-769. [PMID: 38584323 DOI: 10.1002/ase.2419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Revised: 01/16/2024] [Accepted: 03/13/2024] [Indexed: 04/09/2024]
Abstract
Immersive virtual reality (i-VR) is a powerful tool that can be used to explore virtual models in three dimensions. It could therefore be a valuable tool to supplement anatomical teaching by providing opportunities to explore spatial anatomical relationships in a virtual environment. However, there is a lack of consensus in the literature as to its effectiveness as a teaching modality when compared to the use of cadaveric material. The aim of our study was to compare the effectiveness of i-VR in facilitating understanding of different anatomical regions when compared with cadaveric prosections for a cohort of first- and second-year undergraduate medical students. Students (n = 92) enrolled in the MBBS program at Queen Mary University of London undertook an assessment, answering questions using either Oculus i-VR headsets, the Human Anatomy VR™ application, or prosection materials. Utilizing ANOVA with Sidak's multiple comparison test, we found no significant difference between prosections and i-VR scores in the abdomen (p = 0.6745), upper limb (p = 0.8557), or lower limb groups (p = 0.9973), suggesting that i-VR may be a viable alternative to prosections in these regions. However, students scored significantly higher when using prosections when compared to i-VR for the thoracic region (p < 0.0001). This may be due to a greater need for visuospatial understanding of 3D relationships when viewing anatomical cavities, which is challenged by a virtual environment. Our study supports the use of i-VR in anatomical teaching but highlights that there is significant variation in the efficacy of this tool for the study of different anatomical regions.
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Affiliation(s)
- Geetika Ail
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Frances Freer
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Chui Shan Chan
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Melissa Jones
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - John Broad
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Gian Paulo Canale
- Learning Innovation Team, Queen Mary University of London, London, UK
| | - Pedro Elston
- Learning Innovation Team, Queen Mary University of London, London, UK
| | - Jessica Leeney
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Paula Vickerton
- Institute of Health Sciences Education, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
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Hussain Z, Chenmei C, Saeed M, Hassan N, Chiragh F. Personality and teachers' burnout stress: exploring the digital competence as personal job resource in allied health institutions. Front Psychol 2024; 15:1334371. [PMID: 38784619 PMCID: PMC11112098 DOI: 10.3389/fpsyg.2024.1334371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 04/23/2024] [Indexed: 05/25/2024] Open
Abstract
Introduction Job burnout has severe consequences for teachers and students. This study aimed to measure the direct effects of personality traits on job burnout-stress syndrome among allied health educators. Furthermore, teachers' digital competence was evaluated as a personal job resource for mitigating the negative impact of burnout. Methods This study examined direct relationships between work-related stress syndrome and personality traits, namely, extroversion, agreeableness, conscientiousness, emotional stability, and openness to experience. Data was collected from 334 allied health institution teachers through a self-reported questionnaire. Linear regression analysis was used to test for direct effects. Moderating effects were evaluated using Andrew F Hays PROCESS macro v2.16.3. Results All five personality traits had a significant negative relationship to burnout and teachers' digital competence moderated the relationship between personality traits and burnout. This study's findings provide evidence, that personality is significantly related to job burnout among allied health educators. Conclusion These empirical findings conclude that personality traits are related to burnout in the non-Western culture of Pakistan. Furthermore, teachers' digital competence acts as a personal job resource and potential moderator in the current digital working environment. Therefore, future teachers should enrich their digital competencies for improved performance, and advanced digital competency courses should be included in their curriculum.
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Affiliation(s)
- Zawar Hussain
- School of Education, Guangzhou University, Guangzhou, China
| | - Cai Chenmei
- School of Education, Guangzhou University, Guangzhou, China
| | - Muhammad Saeed
- School of Management, Harbin Institute of Technology, Harbin, China
| | - Nazia Hassan
- Department of Education, Allama Iqbal Open University, Islamabad, Pakistan
| | - Fiza Chiragh
- Department of Education, Allama Iqbal Open University, Islamabad, Pakistan
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Shon S, Shin H, Rim D, Jeon H. Nursing faculty development program for digital teaching competence. BMC MEDICAL EDUCATION 2024; 24:511. [PMID: 38720333 PMCID: PMC11080220 DOI: 10.1186/s12909-024-05453-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 04/22/2024] [Indexed: 05/12/2024]
Abstract
BACKGROUND Nursing faculties need to develop digital competencies to effectively use information, communication, and technology-based nursing education. PURPOSE The study aimed to develop and apply a theory-guided faculty development program on digital teaching competencies. METHODS A faculty development program was developed. Between March and April 2020, three five-hour web workshops participated by ninety-three faculty members were held. The program was assessed via mixed methods, combining satisfaction surveys post-workshop with content analysis of open-ended questionnaires to gauge participant evaluation of program content and learning experience. RESULTS Participants were highly satisfied with the program contents and their opportunity for integrating digital technology into education and improving faculty proficiency in digital teaching technology. CONCLUSIONS The program provides faculties with the self-confidence and essential skills to teach students using information, communication, and technology-based nursing education by enhancing their digital teaching competencies. It is critical to integrate both digital proficiency and nursing practice education.
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Affiliation(s)
- Soonyoung Shon
- Department of Nursing, Keimyung University, Daegu, Republic of Korea
| | - Hyunsook Shin
- College of Nursing Science, Kyung Hee University, 26 Kyungheedaero, Dongdaemungu, Seoul, 02447, Republic of Korea.
| | - Dahae Rim
- College of Nursing Science, Kyung Hee University, 26 Kyungheedaero, Dongdaemungu, Seoul, 02447, Republic of Korea
| | - Hyejin Jeon
- College of Nursing Science, Kyung Hee University, 26 Kyungheedaero, Dongdaemungu, Seoul, 02447, Republic of Korea
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Sterkenburgh TR, Villalba-Diez J, Ordieres-Meré J. Socio-Technical Analysis of the Benefits and Barriers to Using a Digital Representation of the Global Horse Population in Equine Veterinary Medicine. Animals (Basel) 2023; 13:3557. [PMID: 38003173 PMCID: PMC10668776 DOI: 10.3390/ani13223557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 11/10/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023] Open
Abstract
There is a consensus that future medicine will benefit from a comprehensive analysis of harmonized, interconnected, and interoperable health data. These data can originate from a variety of sources. In particular, data from veterinary diagnostics and the monitoring of health-related life parameters using the Internet of Medical Things are considered here. To foster the usage of collected data in this way, not only do technical aspects need to be addressed but so do organizational ones, and to this end, a socio-technical matrix is first presented that complements the literature. It is used in an exemplary analysis of the system. Such a socio-technical matrix is an interesting tool for analyzing the process of data sharing between actors in the system dependent on their social relations. With the help of such a socio-technical tool and using equine veterinary medicine as an example, the social system of veterinarians and owners as actors is explored in terms of barriers and enablers of an effective digital representation of the global equine population.
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Affiliation(s)
- Tomas Rudolf Sterkenburgh
- DEGIN Doctorate Program, Universidad Politécnica de Madrid, 28006 Madrid, Spain
- Independent Consultant in Veterinary Medicine, 46535 Dinslaken, Germany
| | - Javier Villalba-Diez
- Faculty of Economics, Heilbronn University of Applied Sciences, 74081 Heilbronn, Germany;
| | - Joaquín Ordieres-Meré
- Department of Industrial Management, Universidad Politécnica de Madrid, 28006 Madrid, Spain;
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Virtanen L, Kaihlanen AM, Saukkonen P, Reponen J, Lääveri T, Vehko T, Saastamoinen P, Viitanen J, Heponiemi T. Associations of perceived changes in work due to digitalization and the amount of digital work with job strain among physicians: a national representative sample. BMC Med Inform Decis Mak 2023; 23:252. [PMID: 37940995 PMCID: PMC10631156 DOI: 10.1186/s12911-023-02351-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 10/24/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Physicians' work is often stressful. The digitalization of healthcare aims to streamline work, but not all physicians have experienced its realization. We examined associations of perceived changes in work due to digitalization and the amount of digital work with job strain among physicians. The moderating role of the length of work experience was investigated for these associations. METHODS We used representative survey data on Finnish physicians' (N = 4271) experiences of digitalization from 2021. The independent variables included perceptions on statements about work transformations aligned with digitalization goals, and the extent that information systems and teleconsultations were utilized. Stress related to information systems (SRIS), time pressure, and psychological stress were the dependent variables. We analyzed the associations using multivariable linear and logistic regressions. RESULTS Respondents had a mean SRIS score of 3.5 and a mean time pressure score of 3.7 on a scale of 1-5. Psychological stress was experienced by 60%. Perceptions associated with higher SRIS comprised disagreements with statements asserting that digitalization accelerates clinical encounters (b = .23 [95% CI: .16-.30]), facilitates access to patient information (b = .15 [.07-.23]), and supports decision-making (b = .11 [.05-.18]). Disagreement with accelerated clinical encounters (b = .12 [.04-.20]), and agreements with patients' more active role in care (b = .11 [.04-.19]) and interprofessional collaboration (b = .10 [.02-.18]) were opinions associated with greater time pressure. Disagreeing with supported decision-making (OR = 1.26 [1.06-1.48]) and agreeing with patients' active role (OR = 1.19 [1.02-1.40]) were associated with greater psychological stress. However, perceiving improvements in the pace of clinical encounters and access to patient information appeared to alleviate job strain. Additionally, extensive digital work was consistently linked to higher strain. Those respondents who held teleconsultations frequently and had less than 6 years of work experience reported the greatest levels of time pressure. CONCLUSIONS Physicians seem to be strained by frequent teleconsultations and work that does not meet the goals of digitalization. Improving physicians' satisfaction with digitalization through training specific to the stage of career and system development can be crucial for their well-being. Schedules for digital tasks should be planned and allocated to prevent strain related to achieving the digitalization goals.
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Affiliation(s)
- Lotta Virtanen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O.Box 30, 00271, Helsinki, Finland.
| | - Anu-Marja Kaihlanen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O.Box 30, 00271, Helsinki, Finland
| | - Petra Saukkonen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O.Box 30, 00271, Helsinki, Finland
| | - Jarmo Reponen
- Research Unit of Health Sciences and Technology, University of Oulu, P.O.Box 5000, 90014, Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O.Box 8000, 90014, Oulu, Finland
| | - Tinja Lääveri
- Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, P.O.Box 700, 00029, Helsinki, Finland
- Department of Computer Science, Aalto University, P.O.Box 15400, 00076, Espoo, Finland
| | - Tuulikki Vehko
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O.Box 30, 00271, Helsinki, Finland
| | | | - Johanna Viitanen
- Department of Computer Science, Aalto University, P.O.Box 15400, 00076, Espoo, Finland
| | - Tarja Heponiemi
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O.Box 30, 00271, Helsinki, Finland
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Papadopoulos I, Koulouglioti C, Lazzarino R, Ali S, Wright S, Martín-García Á, Oter-Quintana C, Kouta C, Rousou E, Papp K, Krepinska R, Tothova V, Malliarou M, Apostolara P, Lesińska-Sawicka M, Nagórska M, Liskova M, Nortvedt L, Alpers LM, Biglete-Pangilinan S, Oconer-Rubiano MF, Chaisetsampun W, Wichit N, Ghassemi AE, Jafarjalal E, Zorba A, Kuckert-Wöstheinrich A, Malla R, Toda T, Akman Ö, Öztürk C, Puvimanasinghe T, Ziaian T, Eldar-Regev O, Nissim S. Views about perceived training needs of health care professionals in relation to socially assistive robots: an international online survey. Contemp Nurse 2023; 59:344-361. [PMID: 37540738 DOI: 10.1080/10376178.2023.2238095] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 07/13/2023] [Indexed: 08/06/2023]
Abstract
BACKGROUND As Artificial Intelligence and social robots are increasingly used in health and social care, it is imperative to explore the training needs of the workforce, factoring in their cultural background. OBJECTIVES Explore views on perceived training needs among professionals around the world and how these related to country cultures. DESIGN Cross-sectional, descriptive, mixed-methods international online survey. METHODS Descriptive statistical analysis explored the ranking across countries and relationships with three Hofstede cultural dimensions. Thematic analysis was conducted on the open-ended text responses. RESULTS A sample of N = 1284 participants from eighteen countries. Knowing the capabilities of the robots was ranked as the top training need across all participating countries and this was also reflected in the thematic analysis. Participants' culture, expressed through three Hofstede's dimensions, revealed statistically significant ranking differences. CONCLUSIONS Future research should further explore other factors such as the level of digital maturity of the workplace. IMPACT STATEMENT Training needs of health and social care staff to use robotics are fast growing and preparation should factor in patient safety and be based on the principles of person- and culture-centred care.
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Affiliation(s)
- Irena Papadopoulos
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, School of Health and Education, Middlesex University, London, UK
| | - C Koulouglioti
- Research Centre for Transcultural Studies in Health, Middlesex University & University Hospitals Sussex NHS Foundation Trust, Worthing, West Sussex, UK
| | - R Lazzarino
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, School of Health and Education, Middlesex University, London, UK
| | - S Ali
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, School of Health and Education, Middlesex University, London, UK
| | - S Wright
- Research Centre for Transcultural Studies in Health, Department of Mental Health and Social Work, School of Health and Education, Middlesex University, London, UK
| | - Á Martín-García
- San Blas Primary Healthcare Centre (Southern Area) of the Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain
| | - C Oter-Quintana
- Nursing Department, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
| | - C Kouta
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - E Rousou
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - K Papp
- University of Debrecen, Debrecen, Hungary
| | - R Krepinska
- SZŠ a VOŠZ Havlíčkův Brod (School of Nursing), Havlíčkův Brod, Czech Republic
| | - V Tothova
- Faculty of Health and Social Sciences, University of South Bohemia České Budějovice, České Budějovice, Czech Republic
| | | | - P Apostolara
- Faculty of Nursing, Campus Egaleo Park, University of West Attica, Athens, Greece
| | - M Lesińska-Sawicka
- Nursing Department, State University of Applied Sciences in Pila, Pila, Poland
| | - M Nagórska
- Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
| | - M Liskova
- Faculty of Social Sciences and Health Care, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic
| | - L Nortvedt
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - L-M Alpers
- VID Specialized University, Oslo, Norway
| | - S Biglete-Pangilinan
- College of Nursing and Midwifery, Bataan Peninsula State University-Main Campus, Bataan, Philippines
| | | | - W Chaisetsampun
- Faculty of Nursing, Suratthani Rajabhat University, Suratthani Province, Thailand
| | - N Wichit
- Faculty of Nursing, Suratthani Rajabhat University, Suratthani Province, Thailand
| | - A-E Ghassemi
- Nursing Department, Hartwick College, Oneonta, NY, USA
| | - E Jafarjalal
- Nursing and Midwifery Care Research Center, Health Management Research Institute, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - A Zorba
- Department of Psychology, Faculty of Arts and Science, Eastern Mediterranean University, Famagusta, Cyprus
| | - A Kuckert-Wöstheinrich
- Manager Bachelor Programme Nursing, Vorarlberg University of Applied Sciences, Dornbirn, Austria
| | | | - T Toda
- Department of Nursing, Faculty of Nursing and Rehabilitation, Konan Women's University, Kobe, Japan
| | - Ö Akman
- Faculty of Health Sciences, Nursing Department, Istanbul Aydin University, İstanbul, Turkey
| | - C Öztürk
- Faculty of Nursing, Near East University, Nicosia, Turkey
| | - T Puvimanasinghe
- Magill Campus | University of South Australia, Magill, Australia
| | - T Ziaian
- Centre for Workplace Excellence (CWeX), University of South Australia, Adelaide, Australia
| | | | - S Nissim
- Tel Aviv University, Tel Aviv, Israel
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Jovičić SŽ, Vitkus D. Digital transformation towards the clinical laboratory of the future. Perspectives for the next decade. Clin Chem Lab Med 2023; 61:567-569. [PMID: 36628420 DOI: 10.1515/cclm-2023-0001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 01/04/2023] [Indexed: 01/12/2023]
Abstract
The transformation of clinical laboratories towards digitalization requires processes that improve digital maturity. This requires establishing connectivity, end-to-end workflow, and advanced analytical technologies and techniques. Digital technologies have the key role here, directing laboratory personnel and scientists to move their focus from routine to more complex and meaningful work. This requires their empowerment in working with new instruments and software. Strategies leading clinical laboratories through this transformation are not without challenges, but different models are being developed to overcome them. The essential is the role of interoperability.
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Affiliation(s)
- Snežana Ž Jovičić
- Department of Medical Biochemistry, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia
| | - Dalius Vitkus
- Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
- Centre of Laboratory Medicine, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
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Gungoren MS. Crossing the chasm: strategies for digital transformation in clinical laboratories. Clin Chem Lab Med 2023; 61:570-575. [PMID: 36753305 DOI: 10.1515/cclm-2022-1229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 01/16/2023] [Indexed: 02/09/2023]
Abstract
Total testing process in a clinical laboratory is designed to produce useful information for patients and clinicians. The changing landscape of healthcare industry forces clinical laboratory leaders to meet the needs of their stakeholders, maximize operational efficiency and improve overall quality of patient care at the same time. The increasing number of data produced force healthcare services industry to digital transformation. Digital transformation is a process of change which includes finding solutions to novel and unmet requirements of an industry by integrating information, computing, communication and connectivity technologies to minimize the number of low-value tasks and focus on high-value tasks. As the process of digital transformation includes not only the modernization of IT infrastructure but also a paradigm shift in perception of value creation and delivery to improve the quality and cost-effectiveness of laboratory operations in the long run, financial, managerial, and educational issues have been blocking the widespread implementation. Clinical laboratories are at the crossroads on the road to the future. Laboratories that fail to align themselves with data-driven practices will risk losing a competitive advantage. In this review, strategies for a successful digital transformation will be overviewed in the context of clinical laboratory settings.
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Tsopra R, Peiffer-Smadja N, Charlier C, Campeotto F, Lemogne C, Ruszniewski P, Vivien B, Burgun A. Putting undergraduate medical students in AI-CDSS designers' shoes: An innovative teaching method to develop digital health critical thinking. Int J Med Inform 2023; 171:104980. [PMID: 36681042 DOI: 10.1016/j.ijmedinf.2022.104980] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 12/31/2022]
Abstract
INTRODUCTION Digital health programs are urgently needed to accelerate the adoption of Artificial Intelligence and Clinical Decision Support Systems (AI-CDSS) in clinical settings. However, such programs are still lacking for undergraduate medical students, and new approaches are required to prepare them for the arrival of new and unknown technologies. At University Paris Cité medical school, we designed an innovative program to develop the digital health critical thinking of undergraduate medical students that consisted of putting medical students in AI-CDSS designers' shoes. METHODS We followed the six steps of Kern's approach for curriculum development: identification of needs, definition of objectives, design of an educational strategy, implementation, development of an assessment and design of program evaluation. RESULTS A stand-alone and elective AI-CDSS program was implemented for fourth-year medical students. Each session was designed from an AI-CDSS designer viewpoint, with theoretical and practical teaching and brainstorming time on a project that consisted of designing an AI-CDSS in small groups. From 2021 to 2022, 15 students were enrolled: they rated the program 4.4/5, and 80% recommended it. Seventy-four percent considered that they had acquired new skills useful for clinical practice, and 66% felt more confident with technologies. The AI-CDSS program aroused great enthusiasm and strong engagement of students: 8 designed an AI-CDSS and wrote two scientific 5-page articles presented at the Medical Informatics Europe conference; 4 students were involved in a CDSS research project; 2 students asked for a hospital internship in digital health; and 1 decided to pursue PhD training. DISCUSSION Putting students in AI-CDSS designers' shoes seemed to be a fruitful and innovative strategy to develop digital health skills and critical thinking toward AI technologies. We expect that such programs could help future doctors work in rapidly evolving digitalized environments and position themselves as key leaders in digital health.
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Affiliation(s)
- Rosy Tsopra
- Université Paris Cité, UFR de Médecine, Digital Health Program, Paris, France; Université Paris Cité, Sorbonne Université, Inserm, Centre de Recherche des Cordeliers, F-75006 Paris, France; Inria, HeKA, PariSanté Campus Paris, France; Department of Medical Informatics, AP-HP, Hôpital Européen Georges-Pompidou, F-75015 Paris, France
| | - Nathan Peiffer-Smadja
- Université Paris Cité, UFR de Médecine, Paris, France; Université Paris Cité, INSERM, IAME, F-75018 Paris, France; Infectious Diseases Department, Bichat-Claude Bernard Hospital, AP-HP, F-75018 Paris, France
| | - Caroline Charlier
- Université Paris Cité, UFR de Médecine, Paris, France; Cochin University Hospital, Division of Infectious Diseases and Tropical Medicine, AP-HP, Paris, France; Institut Pasteur, National Reference Center and WHO Collaborating Center Listeria, Paris, France; Institut Pasteur, Inserm U1117, Biology of Infection Unit, Paris, France
| | - Florence Campeotto
- Université Paris Cité, UFR de Médecine, Paris, France; Régulation Régionale Pédiatrique, SAMU de Paris, AP-HP, Hôpital Necker - Enfants Malades, Paris, France; Gastro-entérologie pédiatrique, AP-HP, Hôpital Necker - Enfants Malades, Paris, France; Faculté de Pharmacie, Université Paris Cité, Inserm UMR S1139, Paris, France
| | - Cédric Lemogne
- Université Paris Cité, UFR de Médecine, Paris, France; Université Paris Cité, INSERM U1266, Institut de Psychiatrie et Neurosciences de Paris, F-75014 Paris, France; Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, F-75004 Paris, France
| | - Philippe Ruszniewski
- Université Paris Cité, UFR de Médecine, Paris, France; Université de Paris, Centre of Research on Inflammation, INSERM U1149, Paris, France; Service de gastro-entérologie et pancréatologie, Hôpital Beaujon AP-HP, Paris, France
| | - Benoît Vivien
- Université Paris Cité, UFR de Médecine, Paris, France; Régulation Régionale Pédiatrique, SAMU de Paris, AP-HP, Hôpital Necker - Enfants Malades, Paris, France
| | - Anita Burgun
- Université Paris Cité, UFR de Médecine, Digital Health Program, Paris, France; Université Paris Cité, Sorbonne Université, Inserm, Centre de Recherche des Cordeliers, F-75006 Paris, France; Inria, HeKA, PariSanté Campus Paris, France; Department of Medical Informatics, AP-HP, Hôpital Européen Georges-Pompidou, F-75015 Paris, France
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Burzyńska J, Bartosiewicz A, Januszewicz P. Dr. Google: Physicians-The Web-Patients Triangle: Digital Skills and Attitudes towards e-Health Solutions among Physicians in South Eastern Poland-A Cross-Sectional Study in a Pre-COVID-19 Era. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:978. [PMID: 36673740 PMCID: PMC9858975 DOI: 10.3390/ijerph20020978] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/20/2022] [Accepted: 12/30/2022] [Indexed: 05/27/2023]
Abstract
The investment in digital e-health services is a priority direction in the development of global healthcare systems. While people are increasingly using the Web for health information, it is not entirely clear what physicians' attitudes are towards digital transformation, as well as the acceptance of new technologies in healthcare. The aim of this cross-sectional survey study was to investigate physicians' self-digital skills and their opinions on obtaining online health knowledge by patients, as well as the recognition of physicians' attitudes towards e-health solutions. Principal component analysis (PCA) was performed to emerge the variables from self-designed questionnaire and cross-sectional analysis, comparing descriptive statistics and correlations for dependent variables using the one-way ANOVA (F-test). A total of 307 physicians participated in the study, reported as using the internet mainly several times a day (66.8%). Most participants (70.4%) were familiar with new technologies and rated their e-health literacy high, although 84.0% reported the need for additional training in this field and reported a need to introduce a larger number of subjects shaping digital skills (75.9%). 53.4% of physicians perceived Internet-sourced information as sometimes reliable and, in general, assessed the effects of its use by their patients negatively (41.7%). Digital skills increased significantly with frequency of internet use (F = 13.167; p = 0.0001) and decreased with physicians' age and the need for training. Those who claimed that patients often experienced health benefits from online health showed higher digital skills (-1.06). Physicians most often recommended their patients to obtain laboratory test results online (32.2%) and to arrange medical appointments via the Internet (27.0%). Along with the deterioration of physicians' digital skills, the recommendation of e-health solutions decreased (r = 0.413) and lowered the assessment of e-health solutions for the patient (r = 0.449). Physicians perceive digitization as a sign of the times and frequently use its tools in daily practice. The evaluation of Dr. Google's phenomenon and online health is directly related to their own e-health literacy skills, but there is still a need for practical training to deal with the digital revolution.
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Affiliation(s)
- Joanna Burzyńska
- Institute of Health Sciences, Medical College of Rzeszow University, 35-959 Rzeszów, Poland
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The Impact of Digital Competence on Telehealth Utilization. HEALTH POLICY AND TECHNOLOGY 2023. [DOI: 10.1016/j.hlpt.2023.100724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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14
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Jose A, Tortorella GL, Vassolo R, Kumar M, Mac Cawley AF. Professional Competence and Its Effect on the Implementation of Healthcare 4.0 Technologies: Scoping Review and Future Research Directions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:478. [PMID: 36612799 PMCID: PMC9819051 DOI: 10.3390/ijerph20010478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/16/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND The implementation of Healthcare 4.0 technologies faces a number of barriers that have been increasingly discussed in the literature. One of the barriers presented is the lack of professionals trained in the required competencies. Such competencies can be technical, methodological, social, and personal, contributing to healthcare professionals managing and adapting to technological changes. This study aims to analyse the previous research related to the competence requirements when adopting Healthcare 4.0 technologies. METHODS To achieve our goal, we followed the standard procedure for scoping reviews. We performed a search in the most important databases and retrieved 4976 (2011-present) publications from all the databases. After removing duplicates and performing further screening processes, we ended up with 121 articles, from which 51 were selected following an in-depth analysis to compose the final publication portfolio. RESULTS Our results show that the competence requirements for adopting Healthcare 4.0 are widely discussed in non-clinical implementations of Industry 4.0 (I4.0) applications. Based on the citation frequency and overall relevance score, the competence requirement for adopting applications of the Internet of Things (IoT) along with technical competence is a prominent contributor to the literature. CONCLUSIONS Healthcare organisations are in a technological transition stage and widely incorporate various technologies. Organisations seem to prioritise technologies for 'sensing' and 'communication' applications. The requirements for competence to handle the technologies used for 'processing' and 'actuation' are not prevalent in the literature portfolio.
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Affiliation(s)
- Abey Jose
- Department of Industrial and Systems Engineering, Pontificia Universidad Católica de Chile, Santiago 7820000, Chile
| | - Guilherme L. Tortorella
- Department of Mechanical Engineering, The University of Melbourne, Melbourne, VIC 3010, Australia
- IAE Business School, Universidad Austral, Buenos Aires B1630FHB, Argentina
- Department of Production and Systems Engineering, Universidade Federal de Santa Catarina, Florianopolis 88040-900, Brazil
| | - Roberto Vassolo
- IAE Business School, Universidad Austral, Buenos Aires B1630FHB, Argentina
| | - Maneesh Kumar
- Logistics and Operations Management Section, Cardiff Business School, Cardiff University, Cardiff CF10 3EU, UK
| | - Alejandro F. Mac Cawley
- Department of Industrial and Systems Engineering, Pontificia Universidad Católica de Chile, Santiago 7820000, Chile
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Bosch J, Ludwig C, Fluch-Niebuhr J, Stoevesandt D. Empowerment for the Digital Transformation: Results of a Structured Blended-Learning On-the-Job Training for Practicing Physicians in Germany. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12991. [PMID: 36293572 PMCID: PMC9603236 DOI: 10.3390/ijerph192012991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Practicing physicians have not been in the focus of structured qualifications in basic digital competences so far. However, they are the current gatekeepers to implement digital technologies and need empowerment to proactively take part in the ongoing digital transformation process. The present study investigates if a structured blended-learning training for practicing physicians in Germany enhances both physicians' knowledge about central aspects of the digital transformation (including awareness of personal possibilities to act) and their attitudes towards a more digitally empowered mindset. (2) Methods: Participants (n = 32) self-assessed their knowledge (19 items, 10-point Likert-scale) and attitudes (6 items, 5-point Likert-scale) towards the digital transformation at the beginning and at the end of the training. MANCOVAs were conducted. (3) Results: Participants reported an increase in every knowledge domain, representing large effects (Hedges' g 1.06 to 2.82). Attitudes were partly shifted towards a more empowered mindset with decreased insecurity towards technological, legal, and ethical aspects of the digital transformation (Hedges' g -0.82 to -1.40). However, preparedness for the digital transformation remained low. (4) Conclusions: Generally, the hypotheses were confirmed. The presented on-the-job training had the desired effects on practicing physicians' knowledge and attitudes. Nevertheless, additional empowerment and support are essential.
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Affiliation(s)
- Josefin Bosch
- Dorothea Erxleben Learning Center, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), Germany
| | - Christiane Ludwig
- Dorothea Erxleben Learning Center, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), Germany
- Department for Internal Medicine, University Medicine Halle, 06120 Halle (Saale), Germany
| | | | - Dietrich Stoevesandt
- Dorothea Erxleben Learning Center, Medical Faculty of the Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), Germany
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Petersson L, Larsson I, Nygren JM, Nilsen P, Neher M, Reed JE, Tyskbo D, Svedberg P. Challenges to implementing artificial intelligence in healthcare: a qualitative interview study with healthcare leaders in Sweden. BMC Health Serv Res 2022; 22:850. [PMID: 35778736 PMCID: PMC9250210 DOI: 10.1186/s12913-022-08215-8] [Citation(s) in RCA: 38] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 06/20/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Artificial intelligence (AI) for healthcare presents potential solutions to some of the challenges faced by health systems around the world. However, it is well established in implementation and innovation research that novel technologies are often resisted by healthcare leaders, which contributes to their slow and variable uptake. Although research on various stakeholders' perspectives on AI implementation has been undertaken, very few studies have investigated leaders' perspectives on the issue of AI implementation in healthcare. It is essential to understand the perspectives of healthcare leaders, because they have a key role in the implementation process of new technologies in healthcare. The aim of this study was to explore challenges perceived by leaders in a regional Swedish healthcare setting concerning the implementation of AI in healthcare. METHODS The study takes an explorative qualitative approach. Individual, semi-structured interviews were conducted from October 2020 to May 2021 with 26 healthcare leaders. The analysis was performed using qualitative content analysis, with an inductive approach. RESULTS The analysis yielded three categories, representing three types of challenge perceived to be linked with the implementation of AI in healthcare: 1) Conditions external to the healthcare system; 2) Capacity for strategic change management; 3) Transformation of healthcare professions and healthcare practice. CONCLUSIONS In conclusion, healthcare leaders highlighted several implementation challenges in relation to AI within and beyond the healthcare system in general and their organisations in particular. The challenges comprised conditions external to the healthcare system, internal capacity for strategic change management, along with transformation of healthcare professions and healthcare practice. The results point to the need to develop implementation strategies across healthcare organisations to address challenges to AI-specific capacity building. Laws and policies are needed to regulate the design and execution of effective AI implementation strategies. There is a need to invest time and resources in implementation processes, with collaboration across healthcare, county councils, and industry partnerships.
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Affiliation(s)
- Lena Petersson
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden.
| | - Ingrid Larsson
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden
| | - Jens M Nygren
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden
| | - Per Nilsen
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden.,Department of Health, Medicine and Caring Sciences, Division of Public Health, Faculty of Health Sciences, Linköping University, Linköping, Sweden
| | - Margit Neher
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden.,Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping, Sweden
| | - Julie E Reed
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden
| | - Daniel Tyskbo
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden
| | - Petra Svedberg
- School of Health and Welfare, Halmstad University, Box 823, 301 18, Halmstad, Sweden
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Cimen SG, Eraslan A, Uysal FS, Dogan AE, Kokurcan A, Yilmaz MS, Baylan B, Cimen S. Utilization of Internet Resources by Surgeons for Continuous Professional Development in the Era of Prevailing COVID-19 Pandemic: Trends and Obstacles. Front Surg 2022; 9:899803. [PMID: 35774385 PMCID: PMC9237357 DOI: 10.3389/fsurg.2022.899803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 05/25/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundTo investigate the use of internet resources by surgeons for continuing professional development (CPD).ResultsThis cross-sectional study was carried out between July 1, 2021, to October 31, 2021, at the Department of Medicine, Health Sciences University Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey, with participants from nine surgical specialties: General surgery, neurosurgery, orthopedics, urology, plastic surgery, ear-nose-throat surgery, cardiovascular surgery, ophthalmology, and anesthesiology. All study participants were asked to complete a questionnaire comprising 23 questions regarding their age, duration of work experience, appointment status, venue, and time spent on internet resources and preferred online resources for CPD purposes. In addition, participants were divided into two groups according to their appointment status: academic faculty and staff surgeons. Data analysis was performed using IBM SPSS Statistics version 17.0. The target population consisted of 216 specialists. The survey was completed by 204 (94.4%) surgical specialists. The majority of the specialists (n = 137, 67.2%) reported using the internet for work-related purposes every day. Daily time spent on internet resources was reported to be 30–60 min by 39.2% (n = 80) participants, whereas 52 (25.5%) reported spending less than 30 min. The participants wished to spend more time on internet resources. The majority of surgeons found the hospital and home equally effective in using the internet and preferred to engage alone. The mean age, English language level, usage of online resources, and the attitude score toward the perceived credibility and usefulness of e-resources were significantly higher in the academic faculty group than staff surgeons (p < 0.005). On the other hand, the use of Google/Google scholar was similar between the two groups (p = 0.192). Technical difficulties such as slow internet, need for website registration, and article fees were considered drawbacks for internet resources among all the participants.ConclusionsThis study showed that most surgeons use internet resources daily for CPD and stated they would like to engage longer despite technical difficulties. Institutions should address these technical difficulties.
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Affiliation(s)
- Sanem Guler Cimen
- Department of General Surgery, Health Sciences University Diskapi Training and Research Hospital, Saglik Bilimleri Universitesi, Ankara, Turkey
- Correspondence: Sanem Guler Cimen
| | - Asir Eraslan
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Fahrettin Samil Uysal
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Ahmet Emin Dogan
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Alihan Kokurcan
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Muhammet Sahin Yilmaz
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Burhan Baylan
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
| | - Sertac Cimen
- Department of Urology, Health Sciences University Diskapi Training and Research Hospital, Ankara, Turkey
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Cohen AB, Stump L, Krumholz HM, Cartiera M, Jain S, Scott Sussman L, Hsiao A, Lindop W, Ying AK, Kaul RL, Balcezak TJ, Tereffe W, Comerford M, Jacoby D, Navai N. Aligning mission to digital health strategy in academic medical centers. NPJ Digit Med 2022; 5:67. [PMID: 35654885 PMCID: PMC9163186 DOI: 10.1038/s41746-022-00608-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 04/29/2022] [Indexed: 01/09/2023] Open
Abstract
The strategies of academic medical centers arise from core values and missions that aim to provide unmatched clinical care, patient experience, research, education, and training. These missions drive nearly all activities. They should also drive digital health activities - and particularly now given the rapid adoption of digital health, marking one of the great transformations of healthcare; increasing pressures on health systems to provide more cost-effective care; the pandemic-accelerated funding and rise of well-funded new entrants and technology giants that provide more convenient forms of care; and a more favorable regulatory and reimbursement landscape to incorporate digital health approaches. As academic medical centers emerge from a pandemic-related reactionary digital health posture, where pressures to adopt more digital health technologies mount, a broad digital health realignment that leverages the strengths of such centers is required to accomplish their missions.
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Affiliation(s)
- Adam B Cohen
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA.
| | - Lisa Stump
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA
| | | | | | - Sanchita Jain
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
| | - L Scott Sussman
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA
| | - Allen Hsiao
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA
| | - Walter Lindop
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA
| | - Anita Kuo Ying
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
| | - Rebecca L Kaul
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
| | | | - Welela Tereffe
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
| | | | - Daniel Jacoby
- Yale New Haven Health, 20 York Street, New Haven, CT, 06510, USA
| | - Neema Navai
- The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA
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