mHealth in health systems: barriers to implementation
DOI:
https://doi.org/10.56294/hl20227Keywords:
mHealth Implementation, mHealth, Mobile HealthAbstract
The implementation of mobile health or mHealth in health systems is subject to a number of challenges that are the subject of analysis by the scientific community. In this review, aspects such as interoperability with existing systems, the need for policies and regulatory frameworks, and adaptation to different local and national realities are discussed. The main barriers focus on the acceptability of this mode of care, scaling and sustainability, technological and knowledge barriers, and integration with existing systems. The article highlights the importance of overcoming these barriers to take advantage of the potential of mHealth in improving people's health and well-being. These limitations must be addressed so that mHealth does not represent a gap, instead of an alternative in equitable access to health services
References
1. García-Saisó S. La transformación digital para una salud pública más equitativa y sostenible en la era de la interdependencia digital La transformación digital para una salud pública más equitativa y sostenible en la era de la interdependencia digital. Revista Panamericana de Salud Pública 2023;46.
2. Rodríguez FAR, Flores LG, Vitón-Castillo AA. Artificial intelligence and machine learning: present and future applications in health sciences. Seminars in Medical Writing and Education 2022;1:9-9. https://doi.org/10.56294/mw20229.
3. Nahi HA, Hasan MA, Lazem AH, Alkhafaji MA. Securing Virtual Architecture of Smartphones based on Network Function Virtualization. Metaverse Basic and Applied Research 2023;2:37-37. https://doi.org/10.56294/mr202337.
4. Shahid M, Ashraf C, Laher AE, Adam A. mHealth app usage amongst paediatric department doctors in South Africa. African Health Sciences 2023;23.
5. Rivera-Romero O, Gabarron E, Ropero J, Denecke K. Designing personalised mHealth solutions: An overview. Journal of Biomedical Informatics 2023;146:104500. https://doi.org/10.1016/j.jbi.2023.104500.
6. Lee-Ventola MS. Mobile Devices and Apps for Health Care Professionals: Uses and Benefits. P&T 2014;39.
7. Ammenwerth E, Wilk S, Huang Z. Call for Papers: Personalization in mHealth – Innovative informatics methods to improve patient experience and health outcome. Journal of Biomedical Informatics 2022;133:104143. https://doi.org/10.1016/j.jbi.2022.104143.
8. Goldstein, M. Systematic Review of mHealth Interventions for Adolescent and Young Adult HIV Prevention and the Adolescent HIV Continuum of Care in Low to Middle Income Countries. AIDS and Behavior 2023;27:94-115.
9. Aguilar-Camprubí L. Uso de la tecnología aplicada en lactancia: análisis de las usuarias y el uso de una mHealth. Universitat Jaume I, 2023.
10. Chao DY, Lin TM, Ma WY. Enhanced Self-Efficacy and Behavioral Changes Among Patients With Diabetes: Cloud-Based Mobile Health Platform and Mobile App Service. JMIR Diabetes 2019;4.
11. Ghanvatkar S, Kankanhalli A, Rajan V. User Models for Personalized Physical Activity Interventions: Scoping Review. JMIR mHealth and uHealth 2019;7.
12. Araujo-Inastrilla CR, Vitón-Castillo AA. Blockchain in health sciences: Research trends in Scopus. Iberoamerican Journal of Science Measurement and Communication 2023;3.
13. Cruz MBVDL, Zegarra CIL, Vega RMB, Sime CLT, Narro JBS, Ferrer-Peñaranda L-A, et al. Evaluation of the effectiveness of personal electronic health assistants in monitoring patients with chronic diseases. EAI Endorsed Transactions on Pervasive Health and Technology 2023;9. https://doi.org/10.4108/eetpht.9.4215.
14. Carpio-Delgado FD, Bernedo-Moreira DH, Espiritu-Martinez AP, Aguilar-Cruzado JL, Joo-García CE, Mamani-Laura MR, et al. Telemedicine and eHealth Solutions in Clinical Practice. EAI Endorsed Transactions on Pervasive Health and Technology 2022;9.
15. Cano CAG, Castillo VS, Castillo-Gonzalez W, Vitón-Castillo AA, Gonzalez-Argote J. Internet of Things and Wearable Devices: A Mixed Literature Review. EAI Endorsed Transactions on Internet of Things 2023;9:e3-e3. https://doi.org/10.4108/eetiot.v9i4.4276.
16. Araujo-Inastrilla CR. La tecnología NFT y la información en salud: un debate ético contemporáneo. Revista Cubana de Informática Médica 2023;15.
17. Tapia-Conyer R, Saucedo-Martínez R. Digital Health: a catalyst for the transformation of primary care in Mexico. Horizonte Sanitario 2022;22.
18. Nichiata L, Passaro T. mHealth e saúde pública: a presença digital do Sistema Único de Saúde do Brasil por meio de aplicativos de dispositivos móveis. Revista Eletrônica de Comunicação, Informação & Inovação em Saúde 2023;17.
19. Sugajara-Mitsuzaka J. Hacia una nueva generación de servicios de salud a través de plataformas digitales en la clínica Centenario - Asociación Peruano Japonesa. Universidad de Lima, 2023.
20. Farias M, Báscolo E, Badino M, Marti M, García-Saisó S, D`Agostino M. La transformación digital como estrategia para el fortalecimiento de las funciones esenciales de salud pública en las Américas. PMC 2023;47:1-7.
21. Gavilondo Mariño X, Vialart Vidal MN. Salud Móvil: retos y perspectivas de aplicación en Cuba. Revista Cubana de Enfermería 2016;32:98-106.
22. research2guidance. mHealth Economics 2017/2018. Connectivity in Digital Health. 2017.
23. Canova-Barrios C, Machuca-Contreras F. Interoperability standards in Health Information Systems: systematic review. Seminars in Medical Writing and Education 2022;1:7-7. https://doi.org/10.56294/mw20227.
24. Nielsen M, Villarreal V, Muñoz L. Interoperabilidad: el reto de las aplicaciones móviles en la salud en Panamá. Memorias de Congresos UTP 2019:153-9.
25. Jameel L, Valmaggia L, Barnes G, Cella M. mHealth technology to assess, monitor and treat daily functioning difficulties in people with severe mental illness: A systematic review. J Psychiatr Res 2021;145:35-49. https://doi.org/10.1016/j.jpsychires.2021.11.033.
26. Gire N, Mohmed N, McKeown M, Duxbuy J, Husain N. Development of a mHealth Intervention (TechCare) for First Episode Psychosis: A Focus Group Study With Mental Health Professionals. BJPsych Open 2022;8:S52. https://doi.org/10.1192/bjo.2022.195.
27. Gyamfi N, Dayie R, Asiedu E. Challenges to Scaling up Mhealth in Ghana. A Framework for Assessing the Health System. Webology 2022;19:458-79. https://doi.org/10.14704/WEB/V19I1/WEB19033.
28. Paduano S, Incerti F, Borsari L, Benski AC, Ernest A, Mwampagatwa I, et al. Use of a mHealth System to Improve Antenatal Care in Low and Lower-Middle Income Countries: Report on Patients and Healthcare Workers’ Acceptability in Tanzania. Int J Environ Res Public Health 2022;19:15342. https://doi.org/10.3390/ijerph192215342.
29. Bagge-Petersen CM, Langstrup H, Larsen JE, Frølich A. Critical user-configurations in mHealth design: How mHealth-app design practices come to bias design against chronically ill children and young people as mHealth users. Digit Health 2022;8:20552076221109531. https://doi.org/10.1177/20552076221109531.
30. Kim H, Lee S-H, Cho N-B, You H, Choi T, Kim J. User-Dependent Usability and Feasibility of a Swallowing Training mHealth App for Older Adults: Mixed Methods Pilot Study. JMIR Mhealth Uhealth 2020;8:e19585. https://doi.org/10.2196/19585.
31. Dzenowagis J. Reducir la brecha digital en la esfera de la salud. Naciones Unidas 2023.
32. mHealth: Garantizar una Vida Sana y Bienestar para Todos. The CIU 2021. https://www.theciu.com/publicaciones-2/2021/11/29/mhealth-garantizar-una-vida-sana-y-bienestar-para-todos.
33. Bally E, Cesuroglu T. Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives. Front Public Health 2019;7:407.
34. Lopez Castro MB. “De la interoperabilidad de la bolsita a la Cobertura Universal de Salud”. Un análisis sobre la agenda política y los sentidos de los sistemas de información. Cuest sociol 2021:e127. https://doi.org/10.24215/23468904e127.
35. Damaceno N, Lima M, Pucci VR, Weiller TH. Health care networks: a strategy for health systems integration. Rev Enferm UFSM – REUFSM 2020;10:e14. https://doi.org/10.5902/2179769236832.
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Copyright (c) 2022 Jhossmar Cristians Auza Santiváñez , José Alejandro Carías Díaz , Oscar Angel Vedia Cruz, Sara Milca Robles Nina , Carlos Sánchez Escalante, Blas Apaza Huanca (Author)
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