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Digital health & low-value care.

Monica O'Reilly-Jacob1, Penny Mohr2, Moriah Ellen3

  • 1Boston College, William F. Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, 02467, MA, USA.

Healthcare (Amsterdam, Netherlands)
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PubMed
Summary

Digital health can improve wellbeing but may also create low-value care. This commentary outlines how ineffective, inefficient, and unwanted digital health services can be reduced through policy.

Keywords:
Digital healthLow-value caremHealth

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Area of Science:

  • Digital Health
  • Health Policy
  • Healthcare Management

Background:

  • Digital health innovations offer significant potential for public health and individual well-being.
  • However, the potential for digital health to generate low-value care, a growing policy concern, is under-examined.
  • Reducing low-value care is a key policy priority in modern healthcare systems.

Purpose of the Study:

  • To provide a framework for understanding how consumer-facing digital health can generate low-value care.
  • To identify distinct categories of low-value care stemming from digital health technologies.
  • To propose policy recommendations for mitigating digital health-induced low-value care.

Main Methods:

  • This commentary utilizes a conceptual framework to analyze the generation of low-value care by digital health.
  • It categorizes low-value care into three types: ineffective, inefficient, and unwanted.
  • Policy recommendations are developed based on this analytical framework.

Main Results:

  • Digital health can lead to ineffective care due to underdevelopment.
  • It can result in inefficient care by supplementing rather than substituting existing services.
  • Unwanted care can arise when digital health solutions are misaligned with patient and clinician preferences.

Conclusions:

  • Consumer-facing digital health technologies present a risk of generating low-value care.
  • Addressing ineffective, inefficient, and unwanted digital health services requires targeted policy interventions.
  • Policy efforts should focus on aligning digital health solutions with clinical and patient needs to maximize value.