如何衡量数字健康适合社区? 一个系统的审查
John Geracitano1, Luke Barron2, David McSwain3
1Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Digital health
|October 14, 2024
概括
一项系统性审查发现没有全面的工具来衡量数字健康的适用性. 需要一个新的指数,包括社会经济地位,数字化访问和健康的社会决定因素,以实现公平参与.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 数字健康服务越来越受欢迎,对患者和医疗机构来说都是有益的.
- 在衡量患者和社区为采用数字健康做好准备方面存在重大差距.
研究的目的:
- 系统地审查和评估衡量个人和社区适应数字卫生服务的方法.
- 确定现有的工具,并评估它们在评估数字健康可访问性方面的全面性.
主要方法:
- 在2024年2月,在主要数据库 (PubMed,CINAHL,Embase,IEEE Xplore) 进行了系统的文献搜索.
- 确定了1044个独特的参考文献,经过两个选阶段,包括了10篇文章进行审查.
主要成果:
- 审查发现,对于数字健康适合性的整体评估机制存在严重缺乏.
- 现有的工具测量孤立因素 (例如宽带接入),但缺乏全面性.
- 没有一个单一的机制能够充分地向提供者,政策制定者或研究人员提供关于整体数字健康准备的信息.
结论:
- 一个全面的指数对于准确评估数字卫生服务的适用性至关重要.
- 该指数的关键组成部分应该包括社会经济地位,数字访问 (设备,互联网) 和健康的社会决定因素.
- 这些因素共同决定了个人参与数字健康的能力.
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