Skip to content
DraconiticResearch
Search Sources API
194,161 studies31 sourcesUpdated 26 min ago
Peer-reviewedCC BY 4.0Frontiers in Public Health

Digital self-management for chronic disease care: a mini review of service integration, equity, and public health implementation priorities

  • Fanchang Wang1
  • Hongyang Qiao2
  • Yuqin Wu3
  • Xiaoming He3
  • Lan Ying3
  1. 1The Second School of Clinical Medicine, Zhejiang Chinese Medical University
  2. 2The First Affiliated Hospital of Wenzhou Medical University
  3. 3The Second Affiliated Hospital of Zhejiang Chinese Medical University
Read full textPDFDOICite

Abstract

Digital self-management is increasingly used to support people with chronic non-communicable diseases between visits, but its public health value depends on integration into routine care. This SANRA-informed critical narrative mini review synthesized 28 sources identified through PubMed/MEDLINE, backward citation tracking and targeted supplementary searches. It examines digital self-management as service redesign across three delivery models: patient centered digital support, remote patient monitoring, and integrated primary care or community coordination. It also analyzes three implementation tensions: empowerment versus digital exclusion, data visibility versus clinical accountability, and engagement versus uncertain long term outcomes and workload. Evidence suggests benefits for engagement, behavioral support and selected intermediate indicators, but these benefits remain uneven. Public health implementation should therefore prioritize accountable workflows, interoperable procurement, equity oriented support, safe use of large language model based agents, and evaluation of outcomes, safety, equity, cost and workforce burden. Digital self-management should be judged by whether it supports routine, inclusive and sustainable chronic disease care.

Related

  1. Response pathways and clinical workflow integration of digital symptom management platforms for breast cancer: A scoping review
    Jing Yu, Shouze Jin, Yuening Liu +4
    Asia-Pacific Journal of Oncology NursingPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  2. Digital, Mobile and Artificial Intelligence‐Supported Interventions for Pressure Injury Prevention and Management: A Systematic Review of Clinical, Workflow and Implementation Outcomes
    Tuba Sengul, Fadime Koyuncu, Seda Sarıköse +2
    International wound journalPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  3. Exploring needs and priorities in digital health management for rare disease patients and their caregivers: A mixed-methods study
    Anita Burgun, Christina Khnaisser, Roxanne Dault +1
    PLOS Digital HealthPeer-reviewedCC BY 4.0Full textGeneral medicinePLOS
  4. Common barriers and facilitators to the implementation of digital medicine in chronic respiratory diseases: a systematic review of reviews
    Julia Korel, Sebastian Kuhn, Rainer Gloeckl +16
    Frontiers in Digital HealthPeer-reviewedCC BYFull textEpidemiology & public healthDOAJ
  5. Exploring patients’ experiences with artificial intelligence and digital health literacy in chronic disease self-management: a qualitative study
    Eidah Farhan AL-Anazi, Seham Mansour Alyousef
    BMC Public HealthPeer-reviewedCC BY 4.0Epidemiology & public healthCrossref

Cite

BibTeXRIS
BibTeX
@article{wang2026digital,
  title = {{Digital self-management for chronic disease care: a mini review of service integration, equity, and public health implementation priorities}},
  author = {Fanchang Wang and Hongyang Qiao and Yuqin Wu and Xiaoming He and Lan Ying},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1883085},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1883085/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Digital self-management for chronic disease care: a mini review of service integration, equity, and public health implementation priorities
AU  - Fanchang Wang
AU  - Hongyang Qiao
AU  - Yuqin Wu
AU  - Xiaoming He
AU  - Lan Ying
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1883085
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1883085/full
AB  - Digital self-management is increasingly used to support people with chronic non-communicable diseases between visits, but its public health value depends on integration into routine care. This SANRA-informed critical narrative mini review synthesized 28 sources identified through PubMed/MEDLINE, backward citation tracking and targeted supplementary searches. It examines digital self-management as service redesign across three delivery models: patient centered digital support, remote patient monitoring, and integrated primary care or community coordination. It also analyzes three implementation tensions: empowerment versus digital exclusion, data visibility versus clinical accountability, and engagement versus uncertain long term outcomes and workload. Evidence suggests benefits for engagement, behavioral support and selected intermediate indicators, but these benefits remain uneven. Public health implementation should therefore prioritize accountable workflows, interoperable procurement, equity oriented support, safe use of large language model based agents, and evaluation of outcomes, safety, equity, cost and workforce burden. Digital self-management should be judged by whether it supports routine, inclusive and sustainable chronic disease care.
SN  - 2296-2565
ER  -