在资源有限的环境中加强移动健康干预措施的实施和整合:范围审查
Wilson Tumuhimbise1, Stefanie Theuring2, Fred Kaggwa3
1Faculty of Computing and Informatics, Mbarara University of Science and Technology, Mbarara, Uganda. twilson@must.ac.ug.
Implementation science : IS
|October 14, 2024
概括
移动健康 (mHealth) 干预措施在缺乏资源的环境中难以扩展. 一个新的框架,TRIMI (培训,重组,激励,授权,整合),指导移动健康的实施和整合到日常护理中.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 移动健康 (mHealth) 干预措施显示出希望,但很少有效地扩展.
- 现有的mHealth研究往往是小规模的,短期的,由捐助者资助的,缺乏广泛采用的证据.
- 在专门针对低资源环境中的移动健康实施和整合的框架中存在差距.
研究的目的:
- 综合现有的干预实施和整合框架.
- 开发一个新的框架,适用于低资源环境中的移动健康干预.
主要方法:
- 从2000年到2023年对理论,模型和框架进行了范围审查.
- 搜索了PubMed,谷歌学者和科学直接数据库.
- 从经过审查的框架中整合构造,以创建一个新的实施框架.
主要成果:
- 确定了102个实施领域的8个框架;没有一个是针对低资源环境中的mHealth的.
- 确定的主要领域包括培训,重组,激励,授权和整合.
- 开发了TRIMI框架 (培训,重组,激励,授权,整合) 用于移动健康的实施.
结论:
- TRIMI框架为在低资源环境中实施和整合移动健康所面临的挑战提供了一种实际的解决方案.
- 这一框架可以指导在常规医疗保健系统中有效扩展移动健康干预的努力.
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