Desy Rizki Ariani, Sigit Mulyono, Widyatuti
Risk Factors for the Initiation of Smoking Behavior in Primary School Age Children in Karawang, Indonesia
Comprehensive child and adolescent nursing
explore healthcare practitioners hcps made decisions implementation digital health technologies dhts clinical practice covid19 pandemic multimethods study comprising semistructured interviews conducted prior covid19 pandemic supplemented online survey conducted pandemic different sample ensure qualitative findings remained relevant within rapidly changing healthcare context participants recruited hcp networks snowballing social media data analysed thematically phone interviews online survey hcps represented range professions primary secondary care across england varied socioeconomic deprivation 24 hcps interviewed 16 hcps responded survey interviews hcps described three levels decisions made determined would access dhts health organisation hcp patient levels decisions resulted unequal implementation dhts across health services created barriers hcps using dhts practice influenced hcps decisions patients supply dhts survey hcps described provided support overcome barriers organisation hcp level pandemic however cited similar concerns prepandemic barriers patients faced using dhts eg digital literacy absence centralised guidance manage barriers health services made decisions adapt services struggled dhts decisionmaking health organisation hcp patient levels influences inequalities access dhts hcps patients mobilisation centralised information resources pandemic viewed good practice reducing barriers use dhts hcps however attention must also paid reducing barriers accessing dhts patients