Assessing the potential of wearable health monitors for health system strengthening in low- and middle-income countries: a prospective study of technology adoption in Cambodia.
Cambodia
cardiovascular disease
digital health
health wearables
mHealth
non-communicable disease
Journal
Health policy and planning
ISSN: 1460-2237
Titre abrégé: Health Policy Plan
Pays: England
ID NLM: 8610614
Informations de publication
Date de publication:
13 Sep 2022
13 Sep 2022
Historique:
received:
08
10
2021
revised:
24
01
2022
accepted:
26
02
2022
pubmed:
10
3
2022
medline:
16
9
2022
entrez:
9
3
2022
Statut:
ppublish
Résumé
Wearable health monitors are a rapidly evolving technology that may offer new opportunities for strengthening health system responses to cardiovascular and other non-communicable diseases (NCDs) in low- and middle-income countries (LMICs). In light of this, we explored opportunities for, and potential challenges to, technology adoption in Cambodia, considering the complexity of contextual factors that may influence product uptake and sustainable health system integration. Data collection for this study involved in-depth interviews with national and international stakeholders and a literature review. The analytical approach was guided by concepts and categories derived from the non-adoption, abandonment, scale-up, spread, and sustainability (NASSS) framework-an evidence-based framework that was developed for studying health technology adoption and the challenges to scale-up, spread and sustainability of such technologies in health service organizations. Three potential applications of health wearables for the prevention and control of NCDs in Cambodia were identified: health promotion, follow-up and monitoring of patients and surveys of NCD risk factors. However, several challenges to technology adoption emerged across the research domains, associated with the intended adopters, the organization of the national health system, the wider infrastructure, the regulatory environment and the technology itself. Our findings indicate that, currently, wearables could be best used to conduct surveys of NCD risk factors in Cambodia and in other LMICs with similar health system profiles. In the future, a more integrated use of wearables to strengthen monitoring and management of patients could be envisaged, although this would require careful consideration of feasibility and organizational issues.
Identifiants
pubmed: 35262172
pii: 6545194
doi: 10.1093/heapol/czac019
pmc: PMC9469886
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
943-951Subventions
Organisme : Medical Research Council
ID : MR/R003548/1
Pays : United Kingdom
Informations de copyright
© The Author(s) 2022. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
Références
Lancet. 2017 Sep 16;390(10100):1151-1210
pubmed: 28919116
PLoS Med. 2016 Feb 02;13(2):e1001953
pubmed: 26836780
BMC Med. 2017 Feb 6;15(1):24
pubmed: 28162090
Trials. 2013 Dec 12;14:427
pubmed: 24330763
BMC Health Serv Res. 2016 Jan 27;16:32
pubmed: 26818827
BMJ Glob Health. 2018 Oct 1;3(5):e000866
pubmed: 30294457
Wellcome Open Res. 2018 Jun 12;3:69
pubmed: 30116791
BMC Public Health. 2020 Aug 1;20(1):1193
pubmed: 32738884
PLoS One. 2019 Jul 3;14(7):e0219141
pubmed: 31269070
BMJ Glob Health. 2017 Aug 29;2(Suppl 3):e000235
pubmed: 29291130
Per Med. 2018 Sep;15(5):429-448
pubmed: 30259801
Sci Adv. 2020 Jun 10;6(24):eaba5320
pubmed: 32577523
BMC Pregnancy Childbirth. 2017 Oct 16;17(1):356
pubmed: 29037179
Nat Biotechnol. 2019 Apr;37(4):389-406
pubmed: 30804534
J Rural Med. 2020 Oct;15(4):212-216
pubmed: 33033544
NPJ Digit Med. 2020 Jun 5;3:84
pubmed: 32550652
Glob Health Action. 2018;11(1):1496887
pubmed: 30040605
PLoS One. 2016 Jan 27;11(1):e0146147
pubmed: 26815916
Glob Health Action. 2017 Jun;10(sup3):1327686
pubmed: 28838302
BMC Health Serv Res. 2020 Aug 8;20(1):729
pubmed: 32771024
Lancet. 2019 Aug 24;394(10199):652-662
pubmed: 31327566
NPJ Digit Med. 2018 Sep 20;1:48
pubmed: 31304327
BMC Med. 2019 Dec 30;17(1):233
pubmed: 31888718
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Heart Asia. 2013 Dec 13;5(1):253-8
pubmed: 27326148
Heliyon. 2021 Mar 31;7(3):e06639
pubmed: 33869857
Implement Sci. 2015 Mar 11;10:32
pubmed: 25889672
Health Policy Plan. 2020 Oct 1;35(8):1011-1020
pubmed: 33049780
Milbank Q. 2004;82(4):581-629
pubmed: 15595944
J Med Internet Res. 2017 Nov 01;19(11):e367
pubmed: 29092808
BMJ Open. 2015 Nov 17;5(11):e009367
pubmed: 26576813
Sci Rep. 2019 Mar 4;9(1):3415
pubmed: 30833649
Wellcome Open Res. 2020 Jan 14;5:7
pubmed: 32399497
Glob Health Res Policy. 2021 Sep 23;6(1):33
pubmed: 34556184
Clin Pharmacol Ther. 2018 Jul;104(1):42-52
pubmed: 29205294
BMJ Glob Health. 2018 Jun 22;3(3):e000652
pubmed: 29946486
NPJ Digit Med. 2019 Jun 3;2:45
pubmed: 31304391
Int J Equity Health. 2017 Jul 14;16(1):125
pubmed: 28705242