PICO eligibility criteria.

Chronic disease management is a burden for many patients. Digital health tools (DHTs) can leverage technology to rapidly develop and disseminate interventions to alleviate obstacles faced and promote self-care. Primary care physicians (PCPs) are most directly involved in the care of chronic disease patients; however, their perspective is often overlooked. To develop an effective DHT for chronic disease management, PCP attitudes are critical to ensure improved patient integration, adoption and care outcomes. The purpose of this rapid review is to explore and identify PCPs’ perspectives and attitudes regarding DHTs for chronic disease management and generate major themes from our findings using key literature. The themes will be used to guide DHT creators, clinicians and policy makers on adoption and implementation considerations. We conducted a rapid review of primary qualitative research between 2000 and 2022. Two reviewers, independently, conducted study screening, selection, and data abstraction. The themes identified in the articles were extracted and presented narratively. The data was analyzed using NVIVO12 software. Braun and Clarke’s deductive thematic analysis was used, and the themes identified were extracted and presented narratively. Nine qualitative research studies met the inclusion criteria. Themes were classified into two major categories: physician–patient relationship and physician–technology relationship. Within these, seven subcategories were identified: (1) Increased Physician Workload, (2) Data Capture & Data Quality, (3) Evidence-Based Care, (4) Education and Training, (5) Liability, (6) Patient Interactions, and (7) Patient Empowerment and Suitability. DHT creators/endorsers need to consider how DHTs affect the patient–physician relationship and the physician–technology relationship as this affects how PCPs perceive DHTs. PCPs’ perspectives must be taken into consideration to promote self-care for patients living with chronic diseases.

慢性疾病管理对众多患者而言皆是沉重负担。数字健康工具（Digital Health Tools, DHTs）可依托技术快速开发并传播干预方案，以缓解患者面临的各类障碍，同时促进患者自我照护。
基层全科医生（Primary Care Physicians, PCPs）是慢性疾病患者照护的核心直接参与者，但其视角往往被忽视。若要开发出适用于慢性疾病管理的高效数字健康工具，全科医生的态度至关重要，这将助力提升患者的治疗融入度、工具采纳率与照护结局。
本快速综述旨在探索并梳理基层全科医生针对用于慢性疾病管理的数字健康工具的看法与态度，并通过核心关键文献从研究结果中提炼核心主题。这些主题将用于指导数字健康工具开发者、临床医师与政策制定者开展工具的采纳与落地实施工作。
我们对2000年至2022年间发表的定性研究开展了快速综述。由两名评审员独立完成研究筛选、文献遴选与数据提取工作。纳入文献中的核心主题被提取并以叙事形式呈现。
数据分析采用NVIVO12软件完成。本研究采用布朗与克拉克的演绎主题分析法（deductive thematic analysis），对识别出的主题进行提取并以叙事形式呈现。
共有9项定性研究符合纳入标准。主题被划分为两大核心类别：医患关系与医技关系。在此两大类别之下，共识别出7个子类别：(1) 医师工作负荷增加；(2) 数据采集与数据质量；(3) 循证照护；(4) 教育与培训；(5) 责任界定；(6) 患者互动；(7) 患者赋权与适配性。
数字健康工具的开发者/推广方需考量数字健康工具对医患关系与医技关系的影响，因为这会直接影响基层全科医生对数字健康工具的认知。若要促进慢性疾病患者的自我照护，必须充分纳入基层全科医生的视角。