Perspectives of Clients and Health Care Professionals on the Opportunities for Digital Health Interventions in Cerebrovascular Disease Care: Qualitative Descriptive Study

被引:0
作者
Harkonen, Henna [1 ]
Myllykangas, Kirsi [1 ]
Karppa, Mikko [2 ,3 ]
Rasmus, Kirsi Maaria [4 ]
Gomes, Julius Francis [5 ]
Immonen, Milla [6 ]
Hyvamaki, Piia [1 ]
Jansson, Miia [1 ,7 ]
机构
[1] Univ Oulu, Res Unit Hlth Sci & Technol HST, POB 8000, FI-90014 Oulu, Finland
[2] Oulu Univ Hosp, Dept Neurol, Neuroctr, Oulu, Finland
[3] Univ Oulu, Res Unit Clin Med, Oulu, Finland
[4] Univ Oulu, Fac Med, Oulu, Finland
[5] Univ Oulu, Oulu Business Sch, Oulu, Finland
[6] VTT Tech Res Ctr Finland Ltd, Oulu, Finland
[7] RMIT Univ, Coll Sci Technol Engn & Math STEM, Melbourne, Australia
关键词
cerebrovascular disease; stroke; digitalization; interventions; health care professional; client; patient; mHealth; mobile health; application; digital health; smartphones; health system; qualitative; descriptive study; brain; blood vessel disease; cerebrovascular disorder; Finland; interviews; efficiency; information; quality; accountability; neurology; neuroscience; brain injury; mobile phone; CLINICAL DECISION-SUPPORT; ACUTE ISCHEMIC-STROKE; REGISTERED NURSES; EXPERIENCES; INFORMATION; IMPACT;
D O I
10.2196/52715
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Cerebrovascular diseases (CVDs) area major and potentially increasing burden to public health. Digital health interventions (DHIs) could support access to and provision of high-quality health care(eg, outcomes, safety, and satisfaction), but the design and development of digital solutions and technologieslack the assessment of user needs. Research is needed to identify opportunities to address health system challenges and improve CVD care with primary users of services as the key informants of everyday requirements. Objective: This study aims to identify opportunities for DHIs from clients' and health care professionals' perspectives to address health system challenges and improve CVD care. Methods: This study used a qualitative, descriptive approach. Semistructured, in-person interviews were conducted with 22 clients and 26 health care professionals in a single tertiary-level hospital in Finland between August 2021 and March 2022. The data were analyzed using a deductive and inductive content analysis. Results: Identified opportunities for DHIs in CVD care were organized according to clients, health care professionals, and data services and classified into 14 main categories and 27 generic categories, with 126 subcategories of requirements. DHIs for clients could support the long-term management of health and life changes brought on by CVD. They could provide access to personal health data and offer health information, support, and communication possibilities for clients and their caregivers. Health care professionals would benefit from access to relevant patient data, along with systems and tools that support competence and decision-making. Intersectoral and professional collaboration could be promoted with digital platforms and care pathways. DHIs for data services could enhance care planning and coordination with novel predictive data and interoperable systems for data exchange. Conclusions:The combined study of client and health care professional perspectives identified several opportunities and requirements for DHIs that related to the information, availability, quality, acceptability, utilization, efficiency, and accountability challenges of health systems. These findings provide valuable social insights into digital transformation and the emerging design, development, and use of user-centered technologies and applications to address challenges and improve CVD care and health care.
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页数:17
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共 55 条
  • [1] Artificial Intelligence for Clinical Decision Support in Acute Ischemic Stroke: A Systematic Review
    Akay, Ela Marie Z.
    Hilbert, Adam
    Carlisle, Benjamin G.
    Madai, Vince I.
    Mutke, Matthias A.
    Frey, Dietmar
    [J]. STROKE, 2023, 54 (06) : 1505 - 1516
  • [2] The association between patient activation and healthcare resources utilization: a systematic review and meta-analysis
    Anderson, G.
    Rega, M. L.
    Casasanta, D.
    Graffigna, G.
    Damiani, G.
    Barello, S.
    [J]. PUBLIC HEALTH, 2022, 210 : 134 - 141
  • [3] [Anonymous], 2023, Cerebrovascular disease index, age-standardised (up to 2019)
  • [4] [Anonymous], 2016, From innovation to implementation: eHealth in the WHO European Region
  • [5] [Anonymous], Classification of digital health interventions v1.0
  • [6] [Anonymous], 2020, Healthcare and social welfare services in the Oulu University Hospital catchment area of highly specialised medical care in 2019
  • [7] [Anonymous], What are Kanta Services?
  • [8] "It's Difficult, There's No Formula": Qualitative Study of Stroke Related Communication Between Primary and Secondary Healthcare Professionals
    Aquino, Maria Raisa Jessica
    Mullis, Ricky
    Moore, Caroline
    Kreit, Elizabeth
    Lim, Lisa
    McKevitt, Christopher
    Mackintosh, Bundy
    Mant, Jonathan
    [J]. INTERNATIONAL JOURNAL OF INTEGRATED CARE, 2020, 20 (04): : 1 - 10
  • [9] Improving the quality of care for people who had a stroke in a low-/middle-income country: A qualitative analysis of health-care professionals' perspectives
    Baatiema, Leonard
    de-Graft Aikins, Ama
    Sarfo, Fred S.
    Abimbola, Seye
    Ganle, John K.
    Somerset, Shawn
    [J]. HEALTH EXPECTATIONS, 2020, 23 (02) : 450 - 460
  • [10] Patients' Perspectives Regarding Digital Health Technology to Support Self-management and Improve Integrated Stroke Care: Qualitative Interview Study
    Bally, Esmee L. S.
    Cheng, Demi
    van Grieken, Amy
    Sanz, Mireia Ferri
    Zanutto, Oscar
    Carroll, Aine
    Darley, Andrew
    Roozenbeek, Bob
    Dippel, Diederik W. J.
    Raat, Hein
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2023, 25