数字健康在慢性疾病管理中的当前实施:范围审查
Candelyn Pong1, Rachel Marjorie Wei Wen Tseng2,3, Yih Chung Tham2,4,5
1Health Services and Systems Research, Duke-NUS Medical School, National University of Singapore, Singapore, Singapore.
Journal of medical Internet research
|December 12, 2024
概括
针对慢性疾病管理的数字健康创新显示了很低的吸收率. 本次审查确定了实施策略,数据隐私等障碍,以及医疗保健工作者培训等推动因素,为更好的采用提供了见解.
科学领域:
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
- 实施科学 实施科学
背景情况:
- 多重慢性疾病影响了相当一部分成年人群.
- 数字健康工具旨在改善慢性疾病护理的连续性和管理.
- 对于慢性疾病管理而言,有意义地采用数字健康仍然是一个挑战,实施和评估方法不清楚.
研究的目的:
- 进行范围审查,确定在慢性疾病管理中的数字健康创新实施和评估.
- 分析使用的实施框架,方法和策略.
- 确定数字健康实施的成功率,障碍,促进因素和经验教训.
主要方法:
- 根据乔安娜·布里格斯研究所的方法进行了范围审查.
- 在五个数据库 (PubMed,Scopus,CINAHL,PsycINFO,IEEE Xplore) 搜索了2015年1月至2023年3月的研究.
- 包括任何设计的初级研究,包括针对慢性疾病的数字健康创新,提取实施和评估数据.
主要成果:
- 包括252项研究,主要是移动健康,电子健康和远程健康.
- 只有9.1%的人使用实施科学框架; 57.1%的人使用2-5实施策略.
- 关键障碍包括数据隐私和个人护理的偏好;支持者是医疗保健工作者培训和个性化功能. 通常测量的是可接受性,可行性和采用性,但不经常评估服务和患者健康结果.
结论:
- 本综述总结了慢性疾病管理中的当前数字健康实施和评估,为利益相关者提供了资源.
- 未来的研究应该探索使用实施科学框架对结果的影响.
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