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Platform-Based Patient-Clinician Digital Health Interventions for Care Transitions: Scoping Review.
Chantal Backman1, Rosie Papp1, Aurelie Tonjock Kolle1
1University of Ottawa, Ottawa, ON, Canada.
Journal of Medical Internet Research
|January 3, 2025
Summary
Platform-based digital health interventions (DHIs) show promise for improving care transitions. Key barriers include patient interest and time, while ease of use and access are enablers.
Area of Science:
- Health Informatics
- Digital Health
- Patient Care Management
Background:
- Care transitions are complex, increasing patient vulnerability to adverse events.
- Poor communication between clinicians, patients, and caregivers is a critical gap.
- Digital health interventions (DHIs) can support patients during transitions.
Purpose of the Study:
- To explore literature on platform-based patient-clinician DHIs for hospital-to-home transitions.
- To identify barriers and enablers for DHI uptake and implementation.
Main Methods:
- Scoping review of 4 databases (MEDLINE, CINAHL, Embase, Cochrane).
- Included studies on platform-based DHIs for adult hospital-to-home transitions.
- Data extraction and descriptive/narrative analysis.
Main Results:
- 97 studies met inclusion criteria; DHIs used mobile apps (61%), web platforms (29%), or both (10%).
- Common conditions: cardiac disease (23%) and stroke (11%).
- Barriers: lack of interest (13%), time constraints (10%). Enablers: usability (18%), ease of use (11%). Access to technology was a conflicting theme.
Conclusions:
- Platform-based DHIs can enhance communication, coordination, and information sharing.
- Further research is needed to evaluate DHI effectiveness on patient outcomes.
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