Implementation Of Health Technologies Research Articles

Technological innovations in mitigating winter health challenges in New York City, USA

This review paper examines the role of technological innovations in mitigating winter health challenges in New York City (NYC). The primary objective is to analyze how emerging technologies are integrated into public health strategies to address the unique health risks posed by the winter season in one of the world's most populous urban environments. The methodology involves a comprehensive literature review focusing on recent advancements in technology within the context of public health and urban planning. Key sources include peer-reviewed articles, case studies, and reports on smart city initiatives, climate change impacts, and the implementation of health technologies in NYC. Key findings reveal that the integration of smart city technologies, such as advanced data analytics, IoT devices, and AI-driven solutions, has significantly improved healthcare delivery and emergency response during winter. However, challenges in implementation, particularly in under-resourced settings, highlight the need for tailored, context-driven technological solutions. The impact of climate change on winter health dynamics underscores the importance of innovative urban planning and public health strategies. The potential of emerging technologies, including nanotechnology for air purification and spatial analysis of health data, offers promising avenues for improving public health in urban settings during winter. The review suggests that technological innovations play a crucial role in enhancing the capacity of NYC to manage winter health risks. It recommends increased investment in smart city technologies, support for under-resourced healthcare settings, and the development of climate change adaptation strategies. The evolution of healthcare in winter contexts is increasingly being shaped by these technological advancements, paving the way for a more resilient and sustainable approach to public health in urban environments.

Implementation of health technologies in Brazil: analysis of federal guidelines for the public health system.

This study aimed to identify the regulatory framework and federal guidelines that support the process of implementing health technologies in the Unified Health System (SUS) through analysis of documents and legislation related to the National Health Technology Management Policy, published between 2009 and 2021. The search and selection of documents and subsequent data extraction were carried out. The documents were grouped into three categories: structural regulatory documents, recommendations on evaluation of technologies, and recommendations on clinical guidelines. In 38.8% of the regulatory documents, citations to implementation related mainly to SUS clinical guidelines were identified; however, no document dedicated to guiding implementation actions was identified. Recommendations related to implementations were identified in 27.1% of the reports and 66.1% of the guidelines, although without standardization and, in general, in little detail, focusing on resources and actions needed for making technology available rather than on methods and interventions for its implementation. The results evidence a gap in formal guidelines to guide the implementation process in Brazil, representing an opportunity for the development of models aligned with the reality of the SUS.

How digital health translational research is prioritised: a qualitative stakeholder-driven approach to decision support evaluation

ObjectivesDigital health is now routinely being applied in clinical care, and with a variety of clinician-facing systems available, healthcare organisations are increasingly required to make decisions about technology implementation and...

Current approaches of health technologies introduction in Ukrainian hospitals

The study aimed to gather insights regarding current decision-making approaches and identify challenges and opportunities related to health technology implementation in Ukrainian hospitals. Materials and methods. A total of 28 respondents from three public hospitals across different regions of Ukraine participated in online semi-structured interviews conducted between September 2022 and March 2023. The respondents for this study encompassed a diverse range of stakeholders, including general managers, medical directors, economists, representatives from procurement departments, heads of clinical and diagnostic departments, clinicians, and pharmacists. To effectively guide the interview process, a comprehensive questionnaire was developed. The data collected from the respondents were analyzed and synthesized to results and conclusions. Results. The semi-structured interview study consistently revealed a common pattern in all the interviewed hospitals regarding the adoption of new health technologies. The process of introducing these technologies entails several stages, each demanding meticulous planning, coordination, and active engagement from various stakeholders. What stood out was that stakeholders from the same speciality were consistently involved in the same decision-making stage across all the hospitals we studied. The technical stages of implementing new health technologies, as outlined by the Law of Ukraine "On Public Procurement," are well-established in Ukrainian hospitals. However, there is room for improvement in selecting which type of health technology to procure. The current assessment process often relies on limited sources of information, lacking comprehensive literature reviews or robust comparisons with existing practices or placebos. This information gap hampers the ability to make well-informed decisions that account for all relevant factors. The study also identifies specific challenges for the future implementation of the Hospital Health Thechnology Assessment (HB-HTA) in Ukraine. These challenges necessitate investment in building HTA expertise at the hospital level, cultivating strong leadership support, providing professional staff training, and establishing robust data collection and management systems. Overcoming these obstacles is crucial for hospitals to bolster their capacity to effectively implement new health technologies and make informed decisions about their utilization. Conclusions. Our study has revealed that all the technical stages involved in implementing new health technologies in Ukraine are well established. It was observed that there is room for improvement in the process of selecting which new health technology to purchase. This stage, known as the decision-making process based on HTA, requires implementation at the hospital level. Our study highlights the evident interest and potential benefits associated with adopting HB-HTA in the hospitals under investigation. By integrating HB-HTA into existing practices and approaches, hospitals can significantly enhance their decision-making processes when introducing new health technologies. There is an urgent need to introduce the term "hospital-based HTA" into Ukrainian legislation, as well as to activate the training of HTA experts at the hospital level

Understanding acceptability of digital health technologies among francophone-speaking communities across the world: a meta-ethnographic study

IntroductionIncreasingly, people are turning toward digital health technologies to support their care management, communication with health professionals, and performing activities of daily living. Digital health technologies may be well implemented in clinical practices in several jurisdictions, but the influence of sociocultural factors may sometimes be neglected. To increase use and sustainability of these innovative solutions in health care, we need to understand acceptability among diverse groups of the population such as linguistically diverse populations. Francophone-speaking populations in Canada, for example, are known to endure challenges with income, health and difficulties associated with living in rural areas which impede on their likelihood to use digital health technologies. As part of the University of Ottawa International Francophonie Research Chair on Digital Health Technologies, this study aimed to understand the conditions that make digital health technologies acceptable among francophone-speaking communities.MethodsUsing a meta-ethnography methodology, this study synthesizes international qualitative research on social acceptability of digital health technology among francophone-speaking communities. We focused on four types of digital health technologies: telemedicine, mobile technologies, wearable technologies, and robotic technologies. Using Noblit and Hare's 7 phase approach to conducting a meta-ethnography, we were able to get a comprehensive synthesis and understanding of the research landscape on the issue. Studies published between 2010 and 2020 were included and synthesized using NVivo, excel and a mind mapping technique.ResultsOur coding revealed that factors of social acceptability for digital health technologies could be grouped into the following categories: care organization, self-care support, communication with care team, relational and technical risks, organizational factors, social and ethical values. Our paper discusses the themes evoked in each category and their relevance for the included digital health technologies.DiscussionIn discussing the results, we present commonalities and differences in the social acceptability factors of the different digital health technologies. In addition, we demonstrate the importance of considering sociocultural diversity in the study of social acceptability for digital health technologies.ImplicationsThe results of this study have implications for practitioners who are the instigators of digital health technology implementation with healthcare service users. By understanding factors of social acceptability among francophone-speaking communities, practitioners will be better suited to propose and support the implementation of technologies in ways that are suitable for these individuals. For policymakers, this knowledge could be used for developing policy actions based on consideration for diversity.

“To Err Is Evolution”: We Need the Implementation Report to Learn

JMIR Medical Informatics is pleased to offer implementation reports as a new article type. Implementation reports present real-world accounts of the implementation of health technologies and clinical interventions. This new article type is intended to promote the rapid documentation and dissemination of the perspectives and experiences of those involved in implementing digital health interventions and assessing the effectiveness of digital health projects.

PP81 Barriers To Implementation Of Health Technology Assessment

IntroductionThe transition from the budget model of the healthcare system to compulsory social health insurance has created a competitive environment among hospitals in Kazakhstan. Managers are interested in introducing the most effective new technologies. Implementation of the health technology assessment (HTA) process in Kazakhstan began in 2010 but few managers have created a structure for HTA development in their hospitals. Our aim was to identify issues in the implementation of new health technologies in hospitals.MethodsStructured interviews were held with hospital managers and physicians in June 2020, and September 2021. In the first stage, the needs of hospitals in the implementation of new technologies were considered. In the second stage, the impact of COVID-19 on the introduction of new technologies in the hospital was addressed. Interviews were held on-line by mobile phone or zoom and lasted 25-30 minutes.ResultsThe first interviews involved 8 managers and 14 physicians from 5 hospitals. The needs of HTA for physicians was noted by respondents of both groups. Only a few physicians had been trained in HTA. Hospital staff lacked time and experience in preparing applications for new technologies by a national assessment unit and could not meet deadlines. Managers were interested in use of HTA for hospitals’ technologies in short-term timeframes within existing policies. However, physicians believed that long-term performance of technologies over 5 years or more should also be considered in hospital management. Physicians were aware of the importance of ethical considerations in the HTA of new health technologies. Managers did not consider ethical issues.At the second stage of the project, 5 managers and 8 physicians were interviewed. COVID-19 had shown the importance and necessity of developing the scientific potential of doctors, and of introducing HTA and training medical personnel in its use.ConclusionsPositive outcomes from the interviews were the interest of respondents in increasing their knowledge of the HTA process and acceptance of its importance at the hospital level.

Formative Evaluation of the Acceptance of HIV Prevention Artificial Intelligence Chatbots By Men Who Have Sex With Men in Malaysia: Focus Group Study.

BackgroundMobile technologies are being increasingly developed to support the practice of medicine, nursing, and public health, including HIV testing and prevention. Chatbots using artificial intelligence (AI) are novel mobile health strategies that can promote HIV testing and prevention among men who have sex with men (MSM) in Malaysia, a hard-to-reach population at elevated risk of HIV, yet little is known about the features that are important to this key population.ObjectiveThe aim of this study was to identify the barriers to and facilitators of Malaysian MSM’s acceptance of an AI chatbot designed to assist in HIV testing and prevention in relation to its perceived benefits, limitations, and preferred features among potential users.MethodsWe conducted 5 structured web-based focus group interviews with 31 MSM in Malaysia between July 2021 and September 2021. The interviews were first recorded, transcribed, coded, and thematically analyzed using NVivo (version 9; QSR International). Subsequently, the unified theory of acceptance and use of technology was used to guide data analysis to map emerging themes related to the barriers to and facilitators of chatbot acceptance onto its 4 domains: performance expectancy, effort expectancy, facilitating conditions, and social influence.ResultsMultiple barriers and facilitators influencing MSM’s acceptance of an AI chatbot were identified for each domain. Performance expectancy (ie, the perceived usefulness of the AI chatbot) was influenced by MSM’s concerns about the AI chatbot’s ability to deliver accurate information, its effectiveness in information dissemination and problem-solving, and its ability to provide emotional support and raise health awareness. Convenience, cost, and technical errors influenced the AI chatbot’s effort expectancy (ie, the perceived ease of use). Efficient linkage to health care professionals and HIV self-testing was reported as a facilitating condition of MSM’s receptiveness to using an AI chatbot to access HIV testing. Participants stated that social influence (ie, sociopolitical climate) factors influencing the acceptance of mobile technology that addressed HIV in Malaysia included privacy concerns, pervasive stigma against homosexuality, and the criminalization of same-sex sexual behaviors. Key design strategies that could enhance MSM’s acceptance of an HIV prevention AI chatbot included an anonymous user setting; embedding the chatbot in MSM-friendly web-based platforms; and providing user-guiding questions and options related to HIV testing, prevention, and treatment.ConclusionsThis study provides important insights into key features and potential implementation strategies central to designing an AI chatbot as a culturally sensitive digital health tool to prevent stigmatized health conditions in vulnerable and systematically marginalized populations. Such features not only are crucial to designing effective user-centered and culturally situated mobile health interventions for MSM in Malaysia but also illuminate the importance of incorporating social stigma considerations into health technology implementation strategies.

Innovation is needed in creating electronic health records for humanitarian crises and displaced populations.

OPINION article Front. Digit. Health, 29 September 2022Sec. Health Technology Implementation Volume 4 - 2022 | https://doi.org/10.3389/fdgth.2022.939168

RESOURCE-ORIENTED METHODOLOGY FOR DEVELOPING LEADERSHIP COMPETENCE OF TEACHERS OF THE SUBJECT "DEFENSE OF UKRAINE"

In the article authors present the resource-oriented methodology for the development of leadership competence of teachers of the subject "Defense of Ukraine" and the results of its experimental testing. Leadership competence of the teacher of "Defense of Ukraine" is interpreted as readiness for effective leadership in the implementation of health technologies, to manage military-applied activities of students, to a leadership position in the orientation of students to protect Ukraine from occupiers, which are a set of mutual related components (personal-motivational, activity-behavioral, information-communicative and result-target components). Resource-oriented methodology for the development of leadership competence of teachers of the subject "Defense of Ukraine" authors consider as a set of organizational and methodological conditions - specific interrelated factors (goals, content, forms and methods of activity, leadership communication in the student body, internal and external resources, etc.), necessary for the systematic impact on the personality of teachers in order to develop in the process of continuing pedagogical education their leadership competence. The article presents the results of a local pedagogical experiment, which showed positive dynamics - a decrease in the number of teachers of "Defense of Ukraine", who demonstrated a low level of leadership competence in all components, a significant increase in intermediate and high levels.

Frameworks for Implementation, Uptake, and Use of Cardiometabolic Disease-Related Digital Health Interventions in Ethnic Minority Populations: Scoping Review.

BackgroundDigital health interventions have become increasingly common across health care, both before and during the COVID-19 pandemic. Health inequalities, particularly with respect to ethnicity, may not be considered in frameworks that address the implementation of digital health interventions. We considered frameworks to include any models, theories, or taxonomies that describe or predict implementation, uptake, and use of digital health interventions.ObjectiveWe aimed to assess how health inequalities are addressed in frameworks relevant to the implementation, uptake, and use of digital health interventions; health and ethnic inequalities; and interventions for cardiometabolic disease.MethodsSCOPUS, PubMed, EMBASE, Google Scholar, and gray literature were searched to identify papers on frameworks relevant to the implementation, uptake, and use of digital health interventions; ethnically or culturally diverse populations and health inequalities; and interventions for cardiometabolic disease. We assessed the extent to which frameworks address health inequalities, specifically ethnic inequalities; explored how they were addressed; and developed recommendations for good practice.ResultsOf 58 relevant papers, 22 (38%) included frameworks that referred to health inequalities. Inequalities were conceptualized as society-level, system-level, intervention-level, and individual. Only 5 frameworks considered all levels. Three frameworks considered how digital health interventions might interact with or exacerbate existing health inequalities, and 3 considered the process of health technology implementation, uptake, and use and suggested opportunities to improve equity in digital health. When ethnicity was considered, it was often within the broader concepts of social determinants of health. Only 3 frameworks explicitly addressed ethnicity: one focused on culturally tailoring digital health interventions, and 2 were applied to management of cardiometabolic disease.ConclusionsExisting frameworks evaluate implementation, uptake, and use of digital health interventions, but to consider factors related to ethnicity, it is necessary to look across frameworks. We have developed a visual guide of the key constructs across the 4 potential levels of action for digital health inequalities, which can be used to support future research and inform digital health policies.

Examining the cultural dimension of contact-tracing app adoption during the COVID-19 pandemic: a cross-country study in Singapore and Switzerland

ABSTRACT Contact-tracing applications (CTAs) have been introduced as part of the COVID-19 containment strategy worldwide. In most countries, however, their uptake has been too low to realize their full potential. This study contributes to the understanding of CTA adoption by investigating the influence of public perceptions on adoption and the role of media in forming these perceptions in Singapore and Switzerland. In a comparative approach, online surveys in both countries (Singapore: N = 998; Switzerland: N = 1,022) and multigroup structural equation modeling reveal national differences. First, attention to media was associated more strongly with app-related perceptions in Singapore than in Switzerland, with news media attention correlating positively with favorable perceptions in both countries (i.e., perceived usefulness of the CTA, perceived social norms of adoption) and social media attention correlating negatively with these perceptions in Singapore. Second, regarding the influence of these perceptions on CTA adoption, perceived usefulness was associated with CTA adoption in Switzerland but not in Singapore; conversely, perceived social norms were more important in Singapore than in Switzerland. These results suggest that the communicative formation of public perceptions and their behavioral relevance are contingent on media systems (authoritarian vs. democratic media system) and cultural values (collectivism vs. individualism), highlighting the theoretical value of a country-comparative approach and the practical need for a culturally sensitive implementation of health technologies.

Catching up with rapid technology implementation: mobilities, electronic medical records, and primary care work in the Philippines

ABSTRACT There is an increasing demand for the rapid implementation of technologies that can address persisting and evolving needs of the health sector. However, to make technologies work in local health settings, a mutual alignment between technologies and local context is needed. Despite existing scholarship on health technology implementation, few have examined how human and non-human actors move towards technology implementation. Using the mobilities lens, we explore how healthcare providers negotiated the varied and conflicting movements of human and non-human entities in health technology implementation. We draw our findings from the experiences of Filipino primary care workers in implementing electronic medical records (EMR) in rural health units. We argue that conflicting speeds of mobilities make visible the workarounds employed by healthcare providers. These workarounds provide spaces for technology users to perform their routine practices and spaces for technologies to perform its work. Furthermore, we show how attention to mobility and speed reveals how preoccupation with fast-tracked, rapid intervention implementation may undermine the value of technologies in the practice of their intended beneficiaries. We conclude this article by discussing how a focus on mobility can further complicate the discussion on health technology implementation.

Implementation of Interdisciplinary Health Technologies as Active Learning Strategies in the Classroom: A Course Redesign.

The number of health psychology courses offered in higher education institutions has dramatically increased over the past 30 years. Health psychology courses provide students a unique opportunity to learn about important public health issues and health disparities affecting our society from a biopsychosocial perspective. Prior research indicates that students taking these courses, many of whom are non-biology majors, often report feeling anxious about learning the underlying biological mechanisms that affect health outcomes, particularly as they relate to stress and disease. Therefore, innovative teaching strategies, such as the use of active learning approaches, are needed to promote student confidence and engagement in learning these interdisciplinary models of health. Despite rapid advancements and innovations in health technologies, few health psychology courses have integrated these technologies as a modality of active learning. This article describes the implementation of health technologies (e.g., biosensors, biofeedback equipment, wearable technologies) as an active learning modality and innovative teaching approach to promote student engagement and learning outcomes in an undergraduate health psychology course taught in the U.S. Eighty students from a minority-serving university participated in this pilot course redesign. Student responses to the use of health technologies in their course were very positive. A description of the course curriculum is provided and results from student responses and feedback are presented. Implications and recommendations for implementing these technologies and pedagogies in future health courses are also discussed, including university support for sustaining these high impact teaching practices.

Undergraduate Nurses' Attitude Change to Health Technology Implementation.

The poster will report upon a longitudinal study exploring the attitudes towards the implementation of health technology into clinical and community nursing practice from the perspective of third year undergraduate students studying adult, child, mental health and learning disability nursing.

Twitter, Telepractice, and the COVID-19 Pandemic: A Social Media Content Analysis.

Purpose Telepractice was extensively utilized during the COVID-19 pandemic. Little is known about issues experienced during the wide-scale rollout of a service delivery model that was novel to many. Social media research is a way to unobtrusively analyze public communication, including during a health crisis. We investigated the characteristics of tweets about telepractice through the lens of an established health technology implementation framework. Results can help guide efforts to support and sustain telehealth beyond the pandemic context. Method We retrieved a historical Twitter data set containing tweets about telepractice from the early months of the pandemic. Tweets were analyzed using a concurrent mixed-methods content analysis design informed by the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Results Approximately 2,200 Twitter posts were retrieved, and 820 original tweets were analyzed qualitatively. Volume of tweets about telepractice increased in the early months of the pandemic. The largest group of Twitter users tweeting about telepractice was a group of clinical professionals. Tweet content reflected many, but not all, domains of the NASSS framework. Conclusions Twitter posting about telepractice increased during the pandemic. Although many tweets represented topics expected in technology implementation, some represented phenomena were potentially unique to speech-language pathology. Certain technology implementation topics, notably sustainability, were not found in the data. Implications for future telepractice implementation and further research are discussed.

Legal Provision of Components of the Structural-Functional Model of Public Administration in the Field of Healthcare

Relevance of research. Medical care providing for bronchopulmonary dysplasia is an urgent problem of modern medicine. Currently, there is a need to develop a model of medical care for children with bronchopulmonary dysplasia with a high risk of dysplastic pathology of the bronchopulmonary system. The relevance of such a model is due to the existing socio-medical significance of the problem of health. The purpose of the study: to develop a set of regulatory and legal support for the structural and functional model of medical care for children with bronchopulmonary dysplasia. Materials and methods of research. The analysis of scientific sources and practical management questions is carried out, the directions of the further research are chosen. The following methods are used: system approach, bibliosemantic, epidemiological and statistical. Results and discussion. The article examines various scientific sources and discusses the results of management decisions in medical institutions. The draft laws discussed in the publication offer tools for formulating and implementing public health policy. This model of the system of medical care for children with bronchopulmonary dysplasia has such distinctive features as systemic and personalized approach with the integration of efforts of specialists of related profiles, as well as cost-effectiveness, as the resource base is effectively used in the medical system. Conclusions. The author clarifies the powers of the subjects of public health policy, details the requirements for monitoring the implementation of public health policy, the procedure for conducting and evaluating effectiveness. In order to improve the legal framework, the article presents the directions of implementation of draft laws prepared during 2013–2016. The terminological apparatus, which is harmonized with international standards, has been supplemented. Prospects for further research. Further research should focus on the socio-medical effectiveness of the legislative and regulatory support of the components of the structural-functional model, which are related to assessing their impact on the implementation of health technologies at the regional, local community and family levels.

Hospital contextual factors affecting the implementation of health technologies: a systematic review

Hospital contextual factors affecting the implementation of health technologies: a systematic review

Design and implementation of health care technologies in the process of physical education of students of higher education institutions

The article reveals the features of the implementation of health technologies in the process of physical education of students of higher education institutions. It is determined that the design is aimed at changing the type of thinking of project participants in accordance with the needs of the modern labor market and globally is seen as a global trend in connection with increasing levels of production, training, life in general. The concept of health-preserving technologies of physical education based on a healthy lifestyle has been developed, which in accordance with the laws of morpho- functional development of the body and social expectations provides the formation of a young specialist, whose spiritual, physical, social and moral characteristics are adequate to new living conditions. The psychological and pedagogical conditions for the implementation of health-preserving technology in the process of physical education are determined. Socio-economic and socio- political reorganization of all spheres of Ukrainian society is inevitable and entails changes in the spiritual life of people, in the motives of their behavior, values, social attitudes. In this regard, the higher education system faces the problem of transition from the traditional pedagogical paradigm to innovative learning based on the development of a culture of designing various technologies and, above all, technologies for developing and promoting the health of students potential of the nation.
 Modern educational space is actively filled with pedagogical technologies, the multiplicity of which generates a variety of definitions of this concept, among which the thematically closest to us is the definition, pedagogical technology

Hospital contextual factors affecting the implementation of health technologies: a systematic review

BackgroundTo keep a high quality of assistance it is important for hospitals to invest in health technologies (HTs) that have the potential of improving health outcomes. Even though guidance exists on how HTs should be introduced, used and dismissed, there is a surprising gap in literature concerning the awareness of hospitals in the actual utilization of HTs.MethodsWe performed a systematic literature review of qualitative and quantitative studies aimed at investigating hospital contextual factors that influence the actual utilization of HTs. PubMed, Scopus, Web of Science, Econlit and Ovid Medline electronic databases were searched to retrieve articles published in English and Italian from January 2000 to January 2019. The quality of the included articles was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies, Newcastle-Ottawa Scale for the cross-sectional studies and the Mixed Methods Appraisal Tool for mixed method studies.ResultsWe included 33 articles, which were of moderate to high methodological quality. The included articles mostly addressed the contextual factors that impact the implementation of information and communication technologies (ICTs). Overall, for all HTs, the hospital contextual factors were part of four categories: hospital infrastructure, human resource management, financial resources and leadership styles.ConclusionOur systematic review reported that the contextual factors influencing the HTs utilization at hospital level are mainly explored for ICTs. Several factors should be considered when planning the implementation of a new HTs at hospital level. A potential publication bias might be present in our work, since we included articles published only in English and Italian Language, from January 2000 to January 2019. There remains a gap in the literature on the facilitators and barriers influencing the implementation and concrete utilization of medical and surgical HTs, suggesting the need for further studies for a better understanding.