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数字健康服务中的价值共创与价值破坏:一项系统评价方案

Value Cocreation and Codestruction in Digital Health Services: Protocol for a Systematic Review.

作者信息

Laukka Elina, Tuunanen Tuure, Jansson Miia, Vanhanen Minna, Hirvonen Nina, Palukka Jenni, Vesinurm Märt, Torkki Paulus

机构信息

Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

School of Culture and Wellbeing, Oulu University of Applied Sciences, Oulu, Finland.

出版信息

JMIR Res Protoc. 2025 Jan 14;14:e63015. doi: 10.2196/63015.

Abstract

BACKGROUND

To successfully design, develop, implement, and deliver digital health services that provide value, they should be cocreated with patients. However, occasionally, the value may also be codestructed. In the field of health care, the concepts of value cocreation and codestruction still need to be better established within emerging digital health services. Studying these concepts is essential for developing effective and sustainable patient-centered care.

OBJECTIVE

The aim of the study is (1) to understand the antecedents, decisions, and outcomes of value cocreation and codestruction in digital health services, (2) to define the dynamics between value cocreation and codestruction, and (3) to map future research areas of value cocreation and codestruction within digital health services.

METHODS

The systematic review will be conducted in accordance with the Joanna Briggs Institute methodology for mixed method systematic reviews and the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The review considers scientific qualitative, quantitative, or mixed method studies published in English, Finnish, or Swedish that concern either value cocreation or codestruction in digital health services. Studies focusing on physical robotics and online health communities, as well as non-peer-reviewed and nonscientific papers, will be excluded. The searches were conducted using Scopus and MEDLINE during this protocol creation. Critical appraisal will be done using suitable checklists for qualitative, quantitative, and mixed method studies. The review will adhere to a convergent integrated approach as outlined in the Joanna Briggs Institute methodology for mixed methods systematic reviews.

RESULTS

The searches resulted in a total of 837 records. The antecedents, decisions, and outcomes of value cocreation and codestruction in the context of digital health services will be described in a finalized systematic review. In the outcomes, our main interest is the effect on patient outcomes and experiences and professional experiences.

CONCLUSIONS

Since our study involves diverse scientific fields, there is a risk that our search does not capture all relevant papers. To mitigate this risk, we used 2 large databases for the searches. In addition, the value cocreation or codestruction terms may not have been used in all studies focusing on the collaborative roles of patients and providers, especially in the medical field, and that may be difficult to capture. The review reveals the current understanding of value cocreation and codestruction in digital health services and shapes the research agenda for these phenomena. Value cocreation can be used to both design and efficiently use digital health services trying to maximize the value for patients.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/63015.

摘要

背景

为了成功设计、开发、实施并提供有价值的数字健康服务,这些服务应该与患者共同创造。然而,偶尔价值也可能被共同破坏。在医疗保健领域,价值共创和共同破坏的概念在新兴数字健康服务中仍需得到更好的确立。研究这些概念对于发展有效且可持续的以患者为中心的护理至关重要。

目的

本研究的目的是(1)了解数字健康服务中价值共创和共同破坏的前因、决策和结果,(2)定义价值共创和共同破坏之间的动态关系,以及(3)描绘数字健康服务中价值共创和共同破坏的未来研究领域。

方法

系统评价将按照乔安娜·布里格斯研究所的混合方法系统评价方法和PRISMA(系统评价与Meta分析优先报告项目)声明进行。该评价考虑以英文、芬兰文或瑞典文发表的关于数字健康服务中价值共创或共同破坏的科学定性、定量或混合方法研究。专注于物理机器人技术和在线健康社区的研究,以及未经同行评审和非科学的论文将被排除。在制定本方案期间,使用Scopus和MEDLINE进行检索。将使用适用于定性、定量和混合方法研究的检查表进行批判性评价。该评价将遵循乔安娜·布里格斯研究所混合方法系统评价方法中概述的收敛性综合方法。

结果

检索共得到837条记录。数字健康服务背景下价值共创和共同破坏的前因、决策和结果将在最终的系统评价中进行描述。在结果方面,我们主要关注对患者结局和体验以及专业体验的影响。

结论

由于我们的研究涉及多个不同的科学领域,存在我们的检索未涵盖所有相关论文的风险。为了降低这种风险,我们使用了两个大型数据库进行检索。此外,价值共创或共同破坏的术语可能并未在所有关注患者和提供者协作角色的研究中使用,尤其是在医学领域,这可能难以捕捉到。该评价揭示了当前对数字健康服务中价值共创和共同破坏的理解,并塑造了这些现象的研究议程。价值共创可用于设计并有效利用数字健康服务,力求为患者实现价值最大化。

国际注册报告识别号(IRRID):DERR1-10.2196/63015。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e808/11775491/5fa380cde928/resprot_v14i1e63015_fig1.jpg

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