Digital health at fifteen: more human (more needed).

Journal: BMC medicine
Published Date:

Abstract

There is growing appreciation that the success of digital health - whether digital tools, digital interventions or technology-based change strategies - is linked to the extent to which human factors are considered throughout design, development and implementation. A shift in focus to individuals as users and consumers of digital health highlights the capacity of the field to respond to secular developments, such as the adoption of person-centred care and consumer health technologies. We argue that this project is not only incomplete, but is fundamentally 'uncompletable' in the face of a highly dynamic landscape of both technological and human challenges. These challenges include the effects of consumerist, technology-supported care on care delivery, the rapid growth of digital users in low-income and middle-income countries and the impacts of machine learning. Digital health research will create most value by retaining a clear focus on the role of human factors in maximising health benefit, by helping health systems to anticipate and understand the person-centred effects of technology changes and by advocating strongly for the autonomy, rights and safety of consumers.

Authors

  • Kit Huckvale
    Black Dog Institute, Hospital Road, Prince of Wales Hospital, University of New South Wales Sydney, Randwick, NSW, 2031, Australia.
  • C Jason Wang
    Center for Policy, Outcomes, and Prevention, 117 Encina Commons, Stanford University, Stanford, CA, 94305-6019, USA.
  • Azeem Majeed
    Imperial College London, London, UK.
  • Josip Car
    Department of Global Health and Social Medicine, Harvard Medical School, Harvard University, Cambridge, MA, United States.