Extent of Digital Health Fragmentation and Potential Implications for Antimicrobial Prescribing: Rapid Evidence Review - Takeaways - MDSpire
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Assessing the Degree of Fragmentation in Digital Health and Its Potential Effects on Antimicrobial Prescribing: A Rapid Evidence Review

  • By

  • Verena Schneider

  • Akish Luintel

  • Bethan Balch

  • Shivani Gangadia

  • Grainne Brady

  • Emma McGuire

  • Gwenan M Knight

  • Laura Shallcross

  • Steve Harris

  • Cecilia Vindrola-Padros

  • October 6, 2026

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  • 1

    In the UK, 25% of patients were treated by more than one NHS trust during 2017/2018, highlighting potential digital health fragmentation.

  • 2

    Digital health fragmentation can hinder patient care by limiting access to complete clinical information necessary for safe antimicrobial prescribing.

  • 3

    Technical fragmentation involves interoperability and data availability, while workflow fragmentation pertains to usability despite interoperability.

  • 4

    Good interoperability is linked to better medication safety, but the specific impact of digital health fragmentation on antimicrobial stewardship remains unclear.

  • 5

    The effects of digital health fragmentation are context-dependent, influenced by health system organization and digital infrastructure.

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