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. 2021 Mar 20;38(3):101581. doi: 10.1016/j.giq.2021.101581

Table 2.

Factors affecting the public value of eHealth applications.

Endogenous Factors Exogenous Factors
User orientation
  • SCs and CTAs do not enable direct communication between end-users and healthcare professionals

  • CTAs do not integrate symptom checkers or information updates on the disease

  • SCs do not provide personalised information

Participation
  • Closed source software

  • Lack of transparency on the algorithms used in SCs and HMAs

  • Market power of digital platforms

Legality
  • Centralised model for data storage

  • Lack of transparency on the governance of personal data

  • The application is not available at a national level

  • The application is not available in non-official languages

  • Trade-off between individual right to privacy and public value of big data.

Equity
  • The service can only be accessed by inserting a personal ID.

  • Structural inequalities in the access to digital technologies.

Source: Developed by authors based on the analysis of the case studies in Appendix 2.