{"id":"https://openalex.org/W4409118981","doi":"https://doi.org/10.1007/s10916-025-02174-3","title":"Digital Health Transformation in Ecuador: Progress, Barriers, and Future Directions","display_name":"Digital Health Transformation in Ecuador: Progress, Barriers, and Future Directions","publication_year":2025,"publication_date":"2025-04-02","ids":{"openalex":"https://openalex.org/W4409118981","doi":"https://doi.org/10.1007/s10916-025-02174-3","pmid":"https://pubmed.ncbi.nlm.nih.gov/40169438"},"language":"en","primary_location":{"id":"doi:10.1007/s10916-025-02174-3","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s10916-025-02174-3","pdf_url":null,"source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"type":"letter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025087893","display_name":"Jorge V\u00e1sconez-Gonz\u00e1lez","orcid":"https://orcid.org/0000-0003-4573-6217"},"institutions":[{"id":"https://openalex.org/I4210102282","display_name":"Universidad de Las Am\u00e9ricas","ror":"https://ror.org/0198j4566","country_code":"EC","type":"education","lineage":["https://openalex.org/I4210102282"]}],"countries":["EC"],"is_corresponding":true,"raw_author_name":"Jorge Vasconez-Gonzalez","raw_affiliation_strings":["One Health Research Group, Faculty of Health Science, Universidad de las Americas, Quito, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador"],"affiliations":[{"raw_affiliation_string":"One Health Research Group, Faculty of Health Science, Universidad de las Americas, Quito, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador","institution_ids":["https://openalex.org/I4210102282"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116888461","display_name":"Harold Alexander-Le\u00f3n","orcid":null},"institutions":[{"id":"https://openalex.org/I4210102282","display_name":"Universidad de Las Am\u00e9ricas","ror":"https://ror.org/0198j4566","country_code":"EC","type":"education","lineage":["https://openalex.org/I4210102282"]},{"id":"https://openalex.org/I197097402","display_name":"Universidad Peruana Cayetano Heredia","ror":"https://ror.org/03yczjf25","country_code":"PE","type":"education","lineage":["https://openalex.org/I197097402"]},{"id":"https://openalex.org/I4210124132","display_name":"Instituto Nacional de Biodiversidad","ror":"https://ror.org/02veev176","country_code":"EC","type":"facility","lineage":["https://openalex.org/I4210124132"]},{"id":"https://openalex.org/I69094615","display_name":"Universidad San Francisco de Quito","ror":"https://ror.org/01r2c3v86","country_code":"EC","type":"education","lineage":["https://openalex.org/I69094615"]}],"countries":["EC","PE"],"is_corresponding":false,"raw_author_name":"Harold Alexander-Le\u00f3n","raw_affiliation_strings":["Faculty of Administration and Public Health, Universidad Peruana Cayetano Heredia, Lima, Per\u00fa","Research Department, SOLCA N\u00facleo de Quito, Quito, Ecuador"],"affiliations":[{"raw_affiliation_string":"Faculty of Administration and Public Health, Universidad Peruana Cayetano Heredia, Lima, Per\u00fa","institution_ids":["https://openalex.org/I197097402"]},{"raw_affiliation_string":"Research Department, SOLCA N\u00facleo de Quito, Quito, Ecuador","institution_ids":["https://openalex.org/I69094615","https://openalex.org/I4210124132","https://openalex.org/I4210102282"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025003605","display_name":"Esteban Ortiz\u2010Prado","orcid":"https://orcid.org/0000-0002-1895-7498"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Esteban Ortiz-Prado","raw_affiliation_strings":["One Health Research Group, Faculty of Health Science, Universidad de las Americas, Quito, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador. esteban.ortiz.prado@udla.edu.ec"],"affiliations":[{"raw_affiliation_string":"One Health Research Group, Faculty of Health Science, Universidad de las Americas, Quito, Ecuador Calle de los Colimes y Avenida De los Granados, Quito, 170137, Ecuador. esteban.ortiz.prado@udla.edu.ec","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5025087893"],"corresponding_institution_ids":["https://openalex.org/I4210102282"],"apc_list":{"value":3390,"currency":"EUR","value_usd":4390},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.09485288,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"49","issue":"1","first_page":"41","last_page":"41"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9940000176429749,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9940000176429749,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9757000207901001,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14100","display_name":"Scientific Research and Technology","score":0.9187999963760376,"subfield":{"id":"https://openalex.org/subfields/1706","display_name":"Computer Science Applications"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.6963533163070679},{"id":"https://openalex.org/keywords/economic-shortage","display_name":"Economic shortage","score":0.673688530921936},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.6644254922866821},{"id":"https://openalex.org/keywords/digital-transformation","display_name":"Digital transformation","score":0.5770792365074158},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4817762076854706},{"id":"https://openalex.org/keywords/face","display_name":"Face (sociological concept)","score":0.4733980894088745},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.430015504360199},{"id":"https://openalex.org/keywords/developing-country","display_name":"Developing country","score":0.4124317169189453},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.36738264560699463},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.357339084148407},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.3482976257801056},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.1140349805355072},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.1030074954032898},{"id":"https://openalex.org/keywords/sociology","display_name":"Sociology","score":0.10102587938308716}],"concepts":[{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.6963533163070679},{"id":"https://openalex.org/C194051981","wikidata":"https://www.wikidata.org/wiki/Q1337691","display_name":"Economic shortage","level":3,"score":0.673688530921936},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.6644254922866821},{"id":"https://openalex.org/C126082660","wikidata":"https://www.wikidata.org/wiki/Q4252370","display_name":"Digital transformation","level":2,"score":0.5770792365074158},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4817762076854706},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.4733980894088745},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.430015504360199},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.4124317169189453},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.36738264560699463},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.357339084148407},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3482976257801056},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.1140349805355072},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.1030074954032898},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.10102587938308716},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000082222","descriptor_name":"Digital Technology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000082222","descriptor_name":"Digital Technology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000082222","descriptor_name":"Digital Technology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097103","descriptor_name":"Digital Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D003906","descriptor_name":"Developing Countries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004484","descriptor_name":"Ecuador","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004484","descriptor_name":"Ecuador","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004484","descriptor_name":"Ecuador","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004484","descriptor_name":"Ecuador","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D017216","descriptor_name":"Telemedicine","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1007/s10916-025-02174-3","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s10916-025-02174-3","pdf_url":null,"source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},{"id":"pmid:40169438","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40169438","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical systems","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5699999928474426,"display_name":"Partnerships for the goals","id":"https://metadata.un.org/sdg/17"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W2512827249","https://openalex.org/W2617232923","https://openalex.org/W2999365564","https://openalex.org/W3034364899","https://openalex.org/W3114317161","https://openalex.org/W3206225013","https://openalex.org/W4200354935","https://openalex.org/W4288457150","https://openalex.org/W4293224416","https://openalex.org/W4384458244","https://openalex.org/W4387305060","https://openalex.org/W4396637282","https://openalex.org/W4396852756","https://openalex.org/W4399714403"],"related_works":["https://openalex.org/W2579473328","https://openalex.org/W2509147714","https://openalex.org/W4239898203","https://openalex.org/W2586833044","https://openalex.org/W2603666417","https://openalex.org/W46955353","https://openalex.org/W2315021981","https://openalex.org/W2955295882","https://openalex.org/W2145869671","https://openalex.org/W4407933807"],"abstract_inverted_index":null,"counts_by_year":[],"updated_date":"2026-01-13T01:12:25.745995","created_date":"2025-10-10T00:00:00"}