Table 2.
Challenges and recommendations to overcome them.
| Challenges | Possible approaches to overcome |
|---|---|
| Technical | |
| Data structure and heterogeneity (interoperability) | Unify data format, security and sharing requirements |
| Digital technology infrastructure | Cloud computing and storage; use of blockchain for secured and decentralized data storage and transport |
| Non-technical (4 Ps) | |
| Patient (lack of acceptance, privacy issue, lack of motivation, fear of technology, etc.) | More “how to use” quick guides and ready-to-help staff; more patient involvement in the design; more support to caregivers; encourage promotion from the patient’s attending physicians |
| Physician (resistance, lack of incentives, fear of losing jobs, changing roles, etc.) | System overhaul and accredited points for continuous professional development schemes; establish clarity in regulation and standardization |
| Public/society (ethics, acceptance, public education etc.) | Promotional campaigns led by celebrities; evaluate and demonstrate evidence of cost-effectiveness |
| Policy (ethics, financial, regulatory, especially in less resourceful countries) | Lobbying and public-private partnerships; establish clear legal framework regarding reimbursement schemes and data transparency; provide subsidy to cover high start-up costs or incentivize the use |