{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T08:15:38Z","timestamp":1774685738632,"version":"3.50.1"},"reference-count":91,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["2022.10605.BD"],"award-info":[{"award-number":["2022.10605.BD"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> Digital health is described as the use and development of all types of digital technologies to improve health outcomes. It could be used to prevent medication errors, a priority for health systems worldwide. However, the adoption of such tools remains slow. This study aims to identify factors (attitudes, knowledge and beliefs) acting as barriers and\/or facilitators reported by healthcare professionals (HCPs) for the adoption of digital health-related tools for medication appropriateness. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A systematic review was performed by searching the literature in the MEDLINE PubMed, and EMBASE scientific databases for original articles regarding qualitative and quantitative data. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Fifteen articles were included and a total of 125 barriers and 108 facilitators were identified, consolidated and categorized into technical (n\u2009=\u200948), organizational (n\u2009=\u200912), economical (n\u2009=\u20094), user-related (n\u2009=\u200934), and patient-related (n\u2009=\u20098) components. The most often reported barriers and facilitators were technical component-related ones concerning the need for additional training (n\u2009=\u20096), the time consumed (n\u2009=\u20096), and the easy way of using or learning how to use the tools (n\u2009=\u20099), respectively. Regarding setting analysis, agreement with clinical decision recommendations and impact on the doctor\u2013patient relationship were more valued in primary care, while the user interface and system design were in the hospital. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> The barriers and facilitators identified in this study provide relevant information to developers and it can be used as a starting point for the designing of successful digital health-related tools, specifically related to medication appropriateness. Future research includes economic evaluation-focused studies and in-depth case studies of specific barriers and facilitators. <\/jats:p><\/jats:sec>","DOI":"10.1177\/20552076231225133","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T07:28:12Z","timestamp":1705562892000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Barriers and facilitators of health professionals in adopting digital health-related tools for medication appropriateness: A systematic review"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4708-8965","authenticated-orcid":false,"given":"Daniela A.","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Research Laboratory on Epidemiology and Population Health, Polytechnic of Guarda (IPG), Guarda, Portugal"},{"name":"Health Sciences Research Centre, University of Beira Interior (CICS-UBI), Covilh\u00e3, Portugal"},{"name":"University of Salamanca, Salamanca, Spain"}]},{"given":"Maria","family":"Roque","sequence":"additional","affiliation":[{"name":"Hospital de Santa Maria, Lisbon, Portugal"}]},{"given":"Ramona","family":"Mateos-Campos","sequence":"additional","affiliation":[{"name":"Area of Preventive Medicine and Public Health, Department of Biomedical and Diagnostic Sciences, University of Salamanca, Salamanca, Spain"}]},{"given":"Adolfo","family":"Figueiras","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain"},{"name":"Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain"},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiology and Public Health-CIBERESP), Madrid, Spain"}]},{"given":"Maria Teresa","family":"Herdeiro","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0169-3788","authenticated-orcid":false,"given":"F\u00e1tima","family":"Roque","sequence":"additional","affiliation":[{"name":"Research Laboratory on Epidemiology and Population Health, Polytechnic of Guarda (IPG), Guarda, Portugal"},{"name":"Health Sciences Research Centre, University of Beira Interior (CICS-UBI), Covilh\u00e3, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"key":"bibr1-20552076231225133","volume-title":"Global strategy on digital health 2020\u20132025","author":"WHO","year":"2021"},{"key":"bibr2-20552076231225133","unstructured":"Fahy N, Williams GA. 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