Shaping the Future of Digital Health Education in Canada: Prioritizing Competencies for Healthcare professionals using the Quintuple Aim (Preprint)
Bibliographic record
Abstract
UNSTRUCTURED The integration of digital health and informatics competencies into healthcare education in Canada is essential for preparing a workforce capable of leveraging healthcare technologies to enhance care delivery and patient outcomes. Despite significant advancements, the current educational landscape in digital health remains inconsistent, characterized by fragmented curricula and uneven competency attainment. Addressing these gaps requires an innovative reframing of digital health competencies guided by a robust, outcomes-oriented framework. These authors propose the Quintuple Aim as an effective framework for outlining and organizing digital health and informatics competencies, focusing simultaneously on improving patient experience, enhancing population health, reducing healthcare costs, improving healthcare provider experience, and advancing health equity. Each dimension of the Quintuple Aim provides a critical lens for identifying, prioritizing, and contextualizing core competencies. Within the "patient experience" aim, competencies prioritize patient-centered technology use, including digital literacy, privacy awareness, and the ability to empower patients through technology. "Healthcare provider experience" competencies prioritize usability, workflow integration, and strategies to mitigate technology-related burnout. Under "population health," competencies emphasize data-driven decision-making, analytics, and health informatics to support effective public health interventions. Competencies associated with "cost reduction" focus on operational efficiency, resource optimization, and economic evaluation of digital health solutions. Lastly, "health equity" competencies emphasize inclusivity, cultural safety, and the elimination of digital divides, ensuring equitable access to digital health technologies. Potential assessment strategies aligned with each competency area are highlighted, emphasizing formative and summative evaluations that include simulation-based assessments, real-world technology integration projects, and reflective practice portfolios. By applying the Quintuple Aim as a guiding structure, digital health education can achieve greater standardization, clarity, and alignment with healthcare system needs, while simultaneously allowing for tailored adaptations responsive to specific regional and institutional priorities.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.012 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.004 |
| Science and technology studies | 0.012 | 0.005 |
| Scholarly communication | 0.012 | 0.003 |
| Open science | 0.001 | 0.009 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".