促进慢性疾病管理中的协作决策的健康推系统:范围审查
Antonia Barbaric1,2, Kenneth Christofferson2,3, Susanne M Benseler4,5
1Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.
Digital health
|January 8, 2025
概括
健康推系统 (HRS) 对慢性疾病管理具有前景,但它们在行为改变方面的有效性需要更多的研究. 评估应侧重于整体结果,而不仅仅是为了更好的患者护理的算法.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 健康推系统 (HRS) 越来越多地用于支持临床决策.
- 它们在慢性疾病管理中的应用是一个新兴的领域.
- 患者参与和协作决策对于慢性疾病至关重要.
研究的目的:
- 审查慢性疾病管理中HRS使用的当前情况.
- 探索HRS如何支持患者自我管理疾病.
- 识别有关慢性疾病的HRS设计和评估研究中的差距.
主要方法:
- 使用Arksey和O'Malley的框架进行了范围审查,该框架由Levac等人提出.
- 遵守PRISMA-ScR检查清单确保了方法的严格性.
- 采用了定量和定性数据合成方法.
主要成果:
- 审查了45篇文章,这些文章在糖尿病,心理健康和烟草依赖方面具有常见应用.
- 行为变化理论和权威来源为HRS设计提供了信息,但实施有限.
- 大多数HRS的目的是诱导行为变化,但它们的有效性尚未得到充分研究.
- 协作决策与HRS目的之间的联系需要明确关注.
- 人力资源系统通常提供自我管理功能,如进度跟踪和聊天机器人.
结论:
- 需要更多地强调评估超越算法性能的HRS有效性.
- 建议制定一个以证据为导向的方法论方法来创建优化的HRSs.
- 未来的研究应该专注于整体评估和有意设计流程,以改善患者护理.
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