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Global Health: Science and Practice

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Table of Contents

October 2018 | Volume 6 | Number Supplement 1

Digital Health and Health Systems of the Future

EDITORIALS

  • Open Access
    Digital Health and Health Systems of the Future
    Alain Labrique, Lavanya Vasudevan, Garrett Mehl, Ellen Rosskam and Adnan A. Hyder
    Global Health: Science and Practice October 2018, 6(Supplement 1):S1-S4; https://doi.org/10.9745/GHSP-D-18-00342

    Digital strategies have been formally recognized as a critical health systems strengthening strategy to help meet the Sustainable Development Goals and universal health coverage targets. This landscaping collection reviews multiple possible approaches across health system pillars, from digital referrals to decision support systems, identifying key knowledge gaps across these domains and recognizing the growth needed in the field to realize its full potential.

COMMENTARIES

  • Open Access
    Establishing Standards to Evaluate the Impact of Integrating Digital Health into Health Systems
    Alain Labrique, Lavanya Vasudevan, William Weiss and Kate Wilson
    Global Health: Science and Practice October 2018, 6(Supplement 1):S5-S17; https://doi.org/10.9745/GHSP-D-18-00230

    The key milestones in the rise of digital health illustrate efforts to bridge gaps in the evidence base, a shifting focus to scale-up and sustainability, growing attention to the precise costing of these strategies, and an emergent implementation science agenda that better characterizes the ecosystem—the social, political, economic, legal, and ethical context that supports digital health implementation—necessary to take digital health approaches to scale.

ORIGINAL ARTICLES

  • Open Access
    What Does It Take to Be an Effective National Steward of Digital Health Integration for Health Systems Strengthening in Low- and Middle-Income Countries?
    Michael J. Frost, Jacqueline B. Tran, Fatema Khatun, Ingrid K. Friberg and Daniela C. Rodríguez
    Global Health: Science and Practice October 2018, 6(Supplement 1):S18-S28; https://doi.org/10.9745/GHSP-D-18-00270

    A purposeful literature review of peer-reviewed and gray literature identified 4 broad thematic areas of digital health stewardship—strategic direction, policies and procedures, roles and responsibilities, and health service delivery—that need further research and development in order for digital health to be better positioned to positively impact low- and middle-income country health systems.

  • Open Access
    The Role of Digital Strategies in Financing Health Care for Universal Health Coverage in Low- and Middle-Income Countries
    Bruno Meessen
    Global Health: Science and Practice October 2018, 6(Supplement 1):S29-S40; https://doi.org/10.9745/GHSP-D-18-00271

    The development and adoption of effective digital health financing solutions that fit well in both coherent digital health information architectures and the universal health coverage agenda will require strong partnerships between entrepreneurs, developers, implementers, policy makers, and funders.

  • Open Access
    Digital Technologies for Health Workforce Development in Low- and Middle-Income Countries: A Scoping Review
    Lesley-Anne Long, George Pariyo and Karin Kallander
    Global Health: Science and Practice October 2018, 6(Supplement 1):S41-S48; https://doi.org/10.9745/GHSP-D-18-00167

    Digital health interventions have the potential to improve the health workforce by supporting training, supervision, and communication. More evidence is needed on the effectiveness of interventions implemented at scale, including the return on investment, the effect of government and donor policies on scale up, and the role of the private sector.

  • Open Access
    The State of Digital Interventions for Demand Generation in Low- and Middle-Income Countries: Considerations, Emerging Approaches, and Research Gaps
    Dustin G. Gibson, Tigest Tamrat and Garrett Mehl
    Global Health: Science and Practice October 2018, 6(Supplement 1):S49-S60; https://doi.org/10.9745/GHSP-D-18-00165

    Despite advances in digital technology to generate demand for health services, considerable gaps remain in our understanding of which interventions are effective, which characteristics mediate their benefit for different target populations and health domains, and what is necessary to ensure effective deployment. Future research should examine the long-term effects of, equity in access to, and cost-effectiveness and efficiency of digital demand generation interventions.

  • Open Access
    Strengthening Delivery of Health Services Using Digital Devices
    Maeghan Orton, Smisha Agarwal, Pierre Muhoza, Lavanya Vasudevan and Alexander Vu
    Global Health: Science and Practice October 2018, 6(Supplement 1):S61-S71; https://doi.org/10.9745/GHSP-D-18-00229

    Delivery of high-quality efficient health services is a cornerstone of the global agenda to achieve universal health coverage. Digital health interventions for service delivery, such as digital health-enhanced referral coordination and mobile clinical decision support systems, demonstrate considerable potential to improve the quality and comprehensiveness of care received by patients but require greater standardization and engagement of health workers at different levels of the health system for effective scale up.

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In this issue

Global Health: Science and Practice: 6 (Supplement 1)
Global Health: Science and Practice
Vol. 6, No. Supplement 1
October 10, 2018
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