Contextualising Digital Health Contributions to Fighting the COVID-19 Pandemic

Keywords: COVID-19, clinical process, health system, stakeholder, technology, framework

Abstract

The COVID-19 pandemic has catalysed numerous changes worldwide in healthcare systems and service delivery practices, many relying on biomedical technologies including digital health. The rapid development and widespread adoption of these changes has led to many being reported on extensively in grey literature and public media, but not yet in the conventional scientific peer reviewed literature. In particular, digital health contributions have received much attention but the main topics of reporting have been prominent public perception issues, with technical aspects being largely ignored. This perspective paper therefore responds to the need for a systematic contextualisation framework to describe digital health contributions to the current COVID-19 pandemic situation.  The framework recommends four focus areas or “dimensions” for contextual settings: clinical processes, health system, stakeholder and technology.  Two examples are used to motivate these dimensions:  mobile phone tracking, and telehealth consultations. It is suggested that use of the framework in presenting digital health innovations more broadly and in context using these example cases, will convey a more informative understanding of the nature of such contributions now and in the post-COVID-19 period.

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Author Biography

Niranjan Bidargaddi, Flinders University

References

Ohannessian R, Duong TA, Odone A. Global telemedicine implementation and integration within health systems to fight the COVID-19 Pandemic: A call to action. JMIR Public Health Surveill 2020;6(2):e18810. DOI:10.2196/18810

Song X, Liu X, Wang C. The role of telemedicine during the COVID-19 epidemic in China-experience from Shandong province. Crit Care 2020;24(1):178. DOI:10.1186/s13054-020-02884-9

Smith AC, Thomas E, Snoswell CL, et al. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare 2020 Mar 20:1357633X20916567. DOI: 10.1177/1357633X20916567. Epub ahead of print.

Ting DSW, Carin L, Dzau V, Wong TY. Digital technology and COVID-19. Nat Med 2020;26(4):459‐461. DOI:10.1038/s41591-020-0824-5

Kostkova P. Grand challenges in digital health. Front Public Health 2015;3:134. DOI: 10.3389/fpubh.2015.00134

Marcos-Pablos S, García-Peñalvo FJ. Technological ecosystems in care and assistance: A systematic literature review. Sensors 2019;19(3):708. DOI: 10.3390/s19030708

Iyawa GE, Herselman M, Botha A. Digital health innovation ecosystems: From systematic literature review to conceptual framework. Procedia Comput Sci 2016;100:244-252. DOI: 10.1016/j.procs.2016.09.149

Bardhan I, Chen H, Karahanna E. Connecting systems, data and people: a multidisciplinary research roadmap for chronic disease management. MIS Q 2020;44(1):185-200. DOI: 10.25300/MISQ/2020/14644

Michie S, van Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci 2011;6:42. DOI: 10.1186/1748-5908-6-42

Nepal S, Li J, Jang-Jaccard J, Alem L. A framework for telehealth program evaluation. Telemed J E Health 2014;20(4):393-404. DOI: 10.1089/tmj.2013.0093

Williams P, Maeder A. A conceptual framework for secure mobile health. J Int Soc Telemed eHealth 2013;1(1):44-51. Available at: https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/33 accessed 17 Apr 2020

Fortney JC, Burgess JF, Bosworth HB, et al. A re-conceptualization of access for 21st century healthcare. J Gen Intern Med 2011;26(2):639. DOI: 10.1007/s11606-011-1806-6

Cano I, Lluch-Ariet M, Gomez-Cabrero D, et al.Biomedical research in a digital health framework. J Transl Med 2014;12 Suppl 2:S10. DOI: 10.1186/1479-5876-12-S2-S10

Norgaard O, Furstrand D, Klokker L, et al. The e-health literacy framework: a conceptual framework for characterizing e-health users and their interaction with e-health systems. Knowl Manag E-learn: Int J 2015;7(4):522-540. DOI: 10.34105/j.kmel.2015.07.035

Khoja S, Durrani H, Scott RE, et al. Conceptual framework for development of comprehensive e-health evaluation tool. Telemed e-Health 2013;19(1):48-53. DOI: 10.1089/tmj.2012.0073

World Health Organization, 2016. Monitoring and evaluating digital health interventions: a practical guide to conducting research and assessment. Available at: https://apps.who.int/iris/bitstream/handle/10665/252183/9789241511766-eng.pdf?sequence=1&ua=1 accessed 17 Apr 2020

Vis C, Bührmann L, Riper H, Ossebaard HC. Health technology assessment frameworks for eHealth: A systematic review. Int J Technol Assess Health Care 2020;:1-13. DOI: 10.1017/S026646232000015X

World Health Organization. (2019). Who Guideline Recommendations on digital interventions for health system strengthening: executive summary. Available at: https://apps.who.int/iris/bitstream/handle/10665/311977/WHO-RHR-19.8-eng.pdf?ua=1 accessed 17 Apr 2020

Snowdon, A. Digital Health: a framework for health systems transformation, HIMSS 2019. Available at: https://pages.himssanalytics.org/rs/922-ZLW-292/images/Digital%20Health%20-%20A%20Framework%20For%20Healthcare%20Transformation.pdf accessed 17 Apr 2020

Editorial. Show evidence that apps for COVID-19 contact-tracing are secure and effective. Nature 2020 Apr;580(7805):563. DOI: 10.1038/d41586-020-01264-1

Abeler J, Bäcker M, Buermeyer U, Zillessen H. COVID-19 Contact tracing and data protection can go together. JMIR Mhealth Uhealth 2020;8(4):e19359. DOI: 10.2196/19359

Pérez Sust P, Solans O, Fajardo JC, et al. Turning the crisis into an opportunity: digital health strategies deployed during the COVID-19 outbreak. JMIR Public Health Surveill 2020;6(2):e19106. DOI: 10.2196/19106

Mahmood S, Hasan K, Colder Carras M, Labrique A. Global preparedness against COVID-19: We must leverage the power of digital health. JMIR Public Health Surveill 2020;6(2):e18980. DOI: 10.2196/18980

Meskó B, Drobni Z, Bényei É, Gergely B, Győrffy Z. Digital health is a cultural transformation of traditional healthcare. Mhealth 2017;3:38. DOI: 10.21037/mhealth.2017.08.07

Stephanie L, Sharma RS. Digital health eco-systems: An epochal review of practice-oriented research. Int J Inf Manage 2019:102032. DOI: 10.1016/j.ijinfomgt.2019.10.017

Mathews SC, McShea MJ, Hanley, CL, et al. Digital health: a path to validation. NPJ Digit Med 2019;2:38. DOI: 10.1038/s41746-019-0111-3

Published
2020-05-10
How to Cite
Maeder, A., Bidargaddi, N., & Williams, P. (2020). Contextualising Digital Health Contributions to Fighting the COVID-19 Pandemic. Journal of the International Society for Telemedicine and EHealth, 8, e3 (1-5). https://doi.org/10.29086/JISfTeH.8.e3
Section
Perspectives