Stakeholders Cocreate Equitable Digital Health Principles

This study (June 2024–April 2025) reports a large-scale participatory human-centered design process in Catalonia that engaged 265 stakeholders—including 106 citizens/caregivers, 83 clinicians, 50 managers, and 26 experts—to cocreate actionable principles for equitable digital health transformation. The process generated ten fundamental design principles addressing digital literacy, fragmented systems, inclusion, data use, and trust. These principles offer a framework for person-centered, integrated information systems and call for sustained cross-sector partnerships.