Robert Sternszus, Natasha Khursigara Slattery, Richard L Cruess, Olle Ten Cate, Stanley J Hamstra, Yvonne Steinert
Contradictions and Opportunities: Reconciling Professional Identity Formation and Competency-Based Medical Education
Perspectives on medical education
england digital technologies exploited transform way health social care provided encompass wide range hardware devices software used aspects health care however little known extent health care providers differ digital health technology capabilities relates geographical regional differences health care capacities resources paper aims identify set digital technologies deployed national health services clinical commissioning groups nhs ccgs england respond calls shed light internal dynamics variation form digital capability england terms health service regional differences health diversity equity inclusion collected 135 annual reports belong 106 nhs ccgs england comprising 18000 pages total released 2020 2021 using data set identified 2163 pages related digital technologies labeled using content analysis follow construct taxonomy used digital options theory theory management information systems field analyzing organizational resource investment choices classifying observed technologies according digital themesinherent design patterns identified explained used hierarchical clustering method extract groups nhs ccgs implement similar technology themes found 31 technologies reports grouped 9 digital themes 9 themes assigned 1 3 constructs digital options theory identification patients requirements identified information portals 76106 digital health engagement 67106 digital inclusion support 45106 development new work patterns identified telehealth 87106 telemedicine 35106 care home technologies 40106 realization improvements efficiency public accessibility identified online booking 26106 online triage 104106 digital mental health services 74106 3 clusters ccgs identified based 8 themes hopkins09914 silhouette0186 namely 1 digitally disengaged 2 digitally engaged 3 digital torchbearer findings show prominent digital themes within construct group namely information portals telehealth online triage covering peoples fundamental health information needs almost half ccgs fell digitally disengaged group london ccgs 5106 belonged group propose practitioners offer specialized assistance regions limited digital engagement emphasizing digital health literacy inclusion support ongoing evaluation rather concentrating solely technical advancements