The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis

IntroductionDigital health has revolutionized the landscape of healthcare through personalized care, moving away from the traditional approach of treating symptoms and conditions. Digital devices provide diagnostic accuracy and treatment effectiveness while equipping patients with control over their...

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Main Authors: Georgia Livieri, Eleni Mangina, Evangelos D. Protopapadakis, Andrie G. Panayiotou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1474956/full
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author Georgia Livieri
Eleni Mangina
Evangelos D. Protopapadakis
Andrie G. Panayiotou
author_facet Georgia Livieri
Eleni Mangina
Evangelos D. Protopapadakis
Andrie G. Panayiotou
author_sort Georgia Livieri
collection DOAJ
description IntroductionDigital health has revolutionized the landscape of healthcare through personalized care, moving away from the traditional approach of treating symptoms and conditions. Digital devices provide diagnostic accuracy and treatment effectiveness while equipping patients with control over their health and well-being. Although the growth of technology provides unprecedented opportunities, there are also certain issues arising from the use of such technology. This scoping review aimed to explore perceived gaps and challenges in the use of digital technology by patients and meta-synthesize them. Identifying such gaps and challenges will encourage new insights and understanding, leading to evidence-informed policies and practices.MethodsThree electronic databases were searched (Cinahl EBSCO, Pubmed, and Web of Science) for papers published in English between January 2010 and December 2023. A narrative meta-synthesis was performed. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2009 checklist.ResultsA total of 345 papers were retrieved and screened, with a noticeable increase in publication numbers after 2015. After the final selection, a total of 28 papers were included in the final meta-synthesis; these were published between 2015 and 2023. A total of 99 individual reports were included in the synthesis of these papers, comprising 25 identified gaps and 74 challenges.DiscussionOur meta-synthesis revealed several gaps and challenges related to patients' use of digital technology in health, including generational differences in digital propensity and deficiencies in the work process. In terms of ethics, the lack of trust in technology and data ownership was highlighted, with the meta-synthesis identifying issues in the realm of disruption of human rights. We, therefore, propose building a model for ethically aligned technology development and acceptance that considers human rights a crucial parameter in the digital healthcare ecosystem.
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spelling doaj-art-95dbd97b23e9498a9edf56976febc17f2025-08-20T03:42:02ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-03-01710.3389/fdgth.2025.14749561474956The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesisGeorgia Livieri0Eleni Mangina1Evangelos D. Protopapadakis2Andrie G. Panayiotou3Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, CyprusComputer Science and Informatics, School of Computer Science, University College Dublin, Dublin, IrelandDepartment of Philosophy, School of Philosophy, National and Kapodistrian University of Athens, Athens, GreeceDepartment of Rehabilitation Sciences, School of Health Sciences, Cyprus University of Technology, Limassol, CyprusIntroductionDigital health has revolutionized the landscape of healthcare through personalized care, moving away from the traditional approach of treating symptoms and conditions. Digital devices provide diagnostic accuracy and treatment effectiveness while equipping patients with control over their health and well-being. Although the growth of technology provides unprecedented opportunities, there are also certain issues arising from the use of such technology. This scoping review aimed to explore perceived gaps and challenges in the use of digital technology by patients and meta-synthesize them. Identifying such gaps and challenges will encourage new insights and understanding, leading to evidence-informed policies and practices.MethodsThree electronic databases were searched (Cinahl EBSCO, Pubmed, and Web of Science) for papers published in English between January 2010 and December 2023. A narrative meta-synthesis was performed. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2009 checklist.ResultsA total of 345 papers were retrieved and screened, with a noticeable increase in publication numbers after 2015. After the final selection, a total of 28 papers were included in the final meta-synthesis; these were published between 2015 and 2023. A total of 99 individual reports were included in the synthesis of these papers, comprising 25 identified gaps and 74 challenges.DiscussionOur meta-synthesis revealed several gaps and challenges related to patients' use of digital technology in health, including generational differences in digital propensity and deficiencies in the work process. In terms of ethics, the lack of trust in technology and data ownership was highlighted, with the meta-synthesis identifying issues in the realm of disruption of human rights. We, therefore, propose building a model for ethically aligned technology development and acceptance that considers human rights a crucial parameter in the digital healthcare ecosystem.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1474956/fulldigital healthpatientsdigital healthcare technologygapschallengesethical framework
spellingShingle Georgia Livieri
Eleni Mangina
Evangelos D. Protopapadakis
Andrie G. Panayiotou
The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
Frontiers in Digital Health
digital health
patients
digital healthcare technology
gaps
challenges
ethical framework
title The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
title_full The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
title_fullStr The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
title_full_unstemmed The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
title_short The gaps and challenges in digital health technology use as perceived by patients: a scoping review and narrative meta-synthesis
title_sort gaps and challenges in digital health technology use as perceived by patients a scoping review and narrative meta synthesis
topic digital health
patients
digital healthcare technology
gaps
challenges
ethical framework
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1474956/full
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