ReviewMayo Clinic proceedings. Digital health2025
Sustainable by Design: Digital Health Business Models for Equitable Global Health Impact in Low-Income and Low-Middle-Income Countries.
Review in Mayo Clinic proceedings. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Beyond technology: Understanding digital healthcare through patient experience and sociotechnical resilience in Northern Ghana.Dialogues in health · 2026Article
- Africa's Digital Health Revolution: The Digital Fit-Viability Model to Move From Innovation to Scaled Implementation.Journal of medical Internet research · 2026Article
- Opportunities and Challenges for Designing in Connected Health: Insights From an Expert Workshop.Journal of medical Internet research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study explores challenges and potential strategies related to sustaining digital health business models and markets in low-income and low-middle-income countries using a critical interpretive synthesis approach. We extracted 21 articles from a database search that yielded over 1300 hits and used insights from 7 expert reviewers with experience operating or funding digital health companies in low-middle -income countries. Findings reveal 4 key challenges: (1) internal challenges related to managing value creation for complex stakeholder networks and external challenges related to (2) infrastructure, (3) financing, and (4) regulation. Entrepreneurs must address these through iterative business strategies, but broader market-shaping interventions remain essential. Such interventions could include facilitating strategic partnerships, fit-for-purpose regulation, enhancing public procurement, and innovative financing instruments. Health systems can tailor interventions around their unique contexts by prioritizing technologies, recruiting local market participants, analyzing shared barriers in the business environment, focusing on feasible interventions, and iterating to sustain a competitive environment.
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.