Exploring Success Factors for Digital Patient Decision Aid Implementation: A Hybrid Fuzzy Delphi and DEMATEL Approach
Pages 71 - 80
Abstract
Patient decision aid (PtDA) is an important tool that can help patients make decisions and realize the concept of shared decision-making. In the context of digital healthcare, PtDAs are gradually shifting to digital platforms. However, the implementation of digital PtDA is still very limited and gaps exist in understanding the influencing factors that contribute to its implementation. This study proposes a hybrid approach based on the Fuzzy Delphi method and the Decision Making Trial and Evaluation Laboratory (DEMATEL) method to determine main influencing factors (MIFs) and key influencing factors (KIFs) for prioritization and to analyze the causality between these factors. Through the HME framework and literature review, the researchers identified 28 preliminary influencing factors (PIFs). And then through the fuzzy Delphi method, 15 of the MIFs were identified. Finally, through the DEMATEL method, the influential relation map of the MIFs was constructed and 8 KIFs were identified. Among them, “information accuracy”, “integration with current healthcare systems” and “healthcare team training” are the most important KIFs that can contribute to the successful implementation of digital PtDAs. This study not only helps policy makers and managers to develop more effective implementation strategies in this digital context, but also provides valuable information for designers and developers of digital PtDAs.
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May 2024
514 pages
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DOI:10.1145/3677892
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