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From Theory to Practice: Viewpoint on Economic Indicators for Trust in Digital Health
Felix Gille1,2, Laura Maaß3,4, Benjamin Ho5
1University of Zurich, Digital Society Initiative, Zurich, Switzerland.
Journal of Medical Internet Research
|January 15, 2025
Summary
Building user trust in digital health interventions (DHI) requires economic considerations. Developing actionable trust-performance indicators is crucial for measuring cost-effectiveness and ensuring successful DHI implementation.
Area of Science:
- Health Informatics
- Digital Health Systems
- Trustworthy AI
Background:
- User trust is essential for the widespread adoption of digital health interventions (DHI).
- Existing trust-building guidelines for DHIs, including AI, often lack economic considerations.
- This oversight hinders the practical application of guidelines for resource allocation and cost-benefit analysis.
Purpose of the Study:
- To highlight the critical need for economic considerations in DHI trust-building guidelines.
- To propose the development of actionable trust-performance indicators for assessing cost-effectiveness.
- To provide guidance on navigating trust complexities and refining the discourse around DHI trustworthiness.
Main Methods:
- Literature review of existing trust-building guidelines for DHIs.
- Conceptual analysis of trust and trustworthiness in the context of economic factors.
- Proposal for developing and implementing trust-performance indicators.
Main Results:
- Current guidelines inadequately address the economic aspects of building trust in DHIs.
- A lack of economic focus limits the ability to measure trade-offs between costs and benefits.
- Actionable trust-performance indicators are proposed as a solution to bridge this gap.
Conclusions:
- Integrating economic considerations is vital for the successful implementation and adoption of DHIs.
- Trust-performance indicators can provide evidence for the cost-effectiveness of trust-building strategies.
- Sharpening the discourse on trust and economics is key to fostering trustworthy digital health systems.
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