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. 2024 Jun 19;45:1606371. doi: 10.3389/phrs.2024.1606371

TABLE 1.

Advantages and Barriers for implementing virtual hospital (Suresnes, France, 2024).

Advantages Barriers
Patients
− Ongoing surveillance of chronic illnesses
− Remote access to specialized services and expert guidance
− Enhanced healthcare access and equity
− Time and cost savings
− Swift and precise diagnoses through tailored care plans and treatment profiles
− Heightened predictability
− Early detection and analysis of diseases
− Fostered trust within the patient-health professional relationship
− Elevated patient care experiences
− Mitigation of aggravating factors and reduction in mortality
− Diminished exposure to pathogens
− Continuous care provided by a multidisciplinary team (team care)
− Care delivery coordination with an Evidence-Based Medicine approach
− Heightened autonomy and self-management verified by healthcare professionals, rather than self-referral
− Improved patient-practitioner communication and relationships
− Enhanced overall experiences and outcomes
− Significant enhancement in quality of life
Healthcare providers
− Capacity to care for more patients
− Reduction in waitlists
− Resource conservation and sustainability improvement
− Fewer emergency room admissions, hospital (re)admissions, and healthcare costs
− Increased care efficiency and efficacy
− Improved work-life balance for healthcare professionals, reducing burnout risks
− Strengthened relationships and trust with patients, leading to fewer in-person consultations and hospital readmissions
− Automation of repetitive tasks and hospital administrative and support services
− Enhanced triage and organizational decision-making processes
− Lowered error rates
Health systems
− Improved response to healthcare and social needs
− Enhanced management of chronic conditions within communities
− Superior health data sharing and information
− More efficient allocation of resources and budgets
− Enhanced quality and performance indicators for social and healthcare services
Infrastructure and Technology
− Limited capacity for data collection and digitalization
− Insufficient interoperability between devices and information systems
− Absence of shared and interoperable standards for data digitalization
− Lack of integrated data repositories (cloud-based and privacy considerations)
− Uneven and fragile information technology infrastructure across the region
− Limited adoption of Electronic Health Records
Digital Competencies
− Inadequate training in technology utilization
− Scarce promotion of a digital culture
− Shortage of experienced professionals in digital health, robotics, and automation
Organization
− Reluctance to embrace change and technological innovation
− Complicated coordination among healthcare professionals with diverse skills
− Complex regional organization and alignment with social needs
− Necessity to revamp traditional care models with performance-driven logic and Diagnosis-Related Groups
− Requirement to redefine career paths and roles of staff
− Limited application to patient follow-up
− Absence of common national objectives
− Absence of a specific regulatory framework
Culture
− Low digital literacy
− Restricted collaboration among stakeholders
− Limited trust in digital health services from both clinicians and patients
− Disruption of traditional value systems