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still unclear whether the use of patient portals improves health service utilization and efficiency. Digital health interventions (DHIs) have the potential to improve public health by combining effective interventions and population reach. However, what biomedical researchers and digital developers consider an effective intervention differs, thereby creating an ongoing challenge to integrating their respective approaches when evaluating DHIs. This study aims to report on the Public Health England (PHE) initiative set out to operationali
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