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Bridging Implementation Gaps in Digital Health: A Translational Research Imperative for Equitable Healthcare

Laiba Husain1, Katherine Kitchens1, Saroop Raja2

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Clinical and Translational Science
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Summary

Digital health

Keywords:
digital healthhealth equityimplementation scienceprecision implementationtranslational research

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Area of Science:

  • Digital health
  • Health equity
  • Implementation science

Background:

  • Digital health technologies promise to broaden healthcare access but face significant implementation hurdles.
  • Existing frameworks often overlook structural determinants, potentially worsening health inequities.
  • Limited regulatory approvals and inadequate reimbursement models hinder the translation of digital health innovations.

Purpose of the Study:

  • To examine systemic barriers impeding the translation of digital health technologies.
  • To propose a novel framework for precision implementation in digital health.
  • To explore how implementation science can be integrated into technological development.

Main Methods:

  • Analysis of systemic barriers in digital health translation.
  • Examination of sociotechnical systems, organizational readiness, and community contexts.
  • Proposal of a precision implementation framework.

Main Results:

  • Prevailing implementation frameworks inadequately address structural determinants of health inequities.
  • Regulatory-innovation disjunctures and financial constraints limit digital health adoption.
  • A precision implementation approach is suggested to integrate implementation science early in development.

Conclusions:

  • Digital health's impact on health disparities depends on addressing systemic issues.
  • Reconceptualizing implementation as socio-organizational transformation is crucial.
  • Regulatory harmonization, sustainable economic models, and equity-centered engagement are necessary for equitable digital health.