What gap exists despite high accuracy of systems like ingestible sensors in routine practice?

A gap between invention and adoption due to Feasibility and Implementation categories.

Even when highly accurate objective monitoring systems, such as ingestible sensors capable of detecting ingestion with up to 99.1% accuracy, are developed, their successful integration into routine clinical practice remains infrequent. This widespread lack of adoption points to a significant gap that exists between the successful *invention* of a measuring device and its successful *adoption* as a functional adherence *system*. This gap is often attributed to failing to account for the Feasibility and Implementation category required for sustained use. Many advanced devices are too expensive, lack necessary integration with existing clinical software workflows, or impose an unnecessary administrative burden on clinicians responsible for managing large volumes of data. If a technology does not align with workflow and affordability standards, it remains a promising but unused artifact.