The role of health technologies in multicomponent primary care interventions : systematic review
Background: Several countries around the world have implemented multicomponent interventions to enhance primary care, as a way of strengthening their health systems to cope with an aging chronically ill population and rising costs. Some of these efforts have included technology-based enhancements as...
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Science::Medicine Digital Health Health System Improvements Jimenez, Geronimo Matchar, David Koh, Gerald Choon Huat van der Kleij, Rianne Chavannes, Niels H. Car, Josip The role of health technologies in multicomponent primary care interventions : systematic review |
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Background: Several countries around the world have implemented multicomponent interventions to enhance primary care, as a way of strengthening their health systems to cope with an aging chronically ill population and rising costs. Some of these efforts have included technology-based enhancements as one of the features to support the overall intervention, but their details and impacts have not been explored. Objective: This study aimed to identify the role of digital/health technologies within wider multifeature interventions that are aimed at enhancing primary care, and to describe their aims and stakeholders, types of technologies used, and potential impacts. Methods: A systematic review was performed following Cochrane guidelines. An electronic search, conducted on May 30, 2019, was supplemented with manual and grey literature searches in December 2019, to identify multicomponent interventions that included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive narrative synthesis was used for analysis and presentation of the results. Results: Of 37 articles, 14 (38%) described the inclusion of a technology-based innovation as part of their multicomponent interventions to enhance primary care. The most commonly identified technologies were the use of electronic health records, data monitoring technologies, and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased primary care visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed. Conclusions: Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing primary care, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving primary care. Stronger policy and financial support, and advocacy of key stakeholders are needed to encourage the introduction of efficient technological innovations, which are backed by evidence-based research, so that digital technologies can fulfill the promise of supporting strong sustainable primary care. |
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Lee Kong Chian School of Medicine (LKCMedicine) |
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Lee Kong Chian School of Medicine (LKCMedicine) Jimenez, Geronimo Matchar, David Koh, Gerald Choon Huat van der Kleij, Rianne Chavannes, Niels H. Car, Josip |
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Article |
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Jimenez, Geronimo Matchar, David Koh, Gerald Choon Huat van der Kleij, Rianne Chavannes, Niels H. Car, Josip |
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Jimenez, Geronimo |
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The role of health technologies in multicomponent primary care interventions : systematic review |
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The role of health technologies in multicomponent primary care interventions : systematic review |
title_full |
The role of health technologies in multicomponent primary care interventions : systematic review |
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The role of health technologies in multicomponent primary care interventions : systematic review |
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The role of health technologies in multicomponent primary care interventions : systematic review |
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role of health technologies in multicomponent primary care interventions : systematic review |
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2021 |
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https://hdl.handle.net/10356/146398 |
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sg-ntu-dr.10356-1463982023-03-05T16:44:01Z The role of health technologies in multicomponent primary care interventions : systematic review Jimenez, Geronimo Matchar, David Koh, Gerald Choon Huat van der Kleij, Rianne Chavannes, Niels H. Car, Josip Lee Kong Chian School of Medicine (LKCMedicine) Centre for Population Health Sciences Science::Medicine Digital Health Health System Improvements Background: Several countries around the world have implemented multicomponent interventions to enhance primary care, as a way of strengthening their health systems to cope with an aging chronically ill population and rising costs. Some of these efforts have included technology-based enhancements as one of the features to support the overall intervention, but their details and impacts have not been explored. Objective: This study aimed to identify the role of digital/health technologies within wider multifeature interventions that are aimed at enhancing primary care, and to describe their aims and stakeholders, types of technologies used, and potential impacts. Methods: A systematic review was performed following Cochrane guidelines. An electronic search, conducted on May 30, 2019, was supplemented with manual and grey literature searches in December 2019, to identify multicomponent interventions that included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive narrative synthesis was used for analysis and presentation of the results. Results: Of 37 articles, 14 (38%) described the inclusion of a technology-based innovation as part of their multicomponent interventions to enhance primary care. The most commonly identified technologies were the use of electronic health records, data monitoring technologies, and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased primary care visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed. Conclusions: Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing primary care, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving primary care. Stronger policy and financial support, and advocacy of key stakeholders are needed to encourage the introduction of efficient technological innovations, which are backed by evidence-based research, so that digital technologies can fulfill the promise of supporting strong sustainable primary care. Published version 2021-02-16T03:56:14Z 2021-02-16T03:56:14Z 2021 Journal Article Jimenez, G., Matchar, D., Koh, G. C. H., van der Kleij, R., Chavannes, N. H., & Car, J. (2021). The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review. Journal of Medical Internet Research, 23(1), e20195-. doi:10.2196/20195 1438-8871 https://hdl.handle.net/10356/146398 10.2196/20195 33427676 2-s2.0-85099773932 1 23 en Journal of medical Internet research © Geronimo Jimenez, David Matchar, Choon Huat Gerald Koh, Rianne van der Kleij, Niels H Chavannes, Josip Car. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 11.01.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. application/pdf |