扩展现实技术对健康和程序性焦虑的公平影响:系统审查和以实施为重点的框架
Tom Arthur1, Sophie Robinson1, Samuel Vine1
1Department of Public Health and Sports Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter EX1 2LU, United Kingdom.
概括
扩展现实 (XR) 可以减少健康焦虑,但可能会加剧健康不平等. 一个新的框架有助于指导XR的实施,以确保为所有患者提供公平的访问和结果.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 医疗技术评估 医疗技术评估
背景情况:
- 扩展现实 (XR) 在缓解与医疗治疗和疾病相关的患者焦虑方面表现有前途.
- XR干预对医疗服务不平等的影响在很大程度上仍未得到充分研究.
- 了解公平性影响对于在医疗保健中负责任地部署XR至关重要.
研究的目的:
- 综合关于患者导向的XR干预对健康和程序性焦虑的公平影响的证据.
- 确定XR影响医疗服务可用性,可访问性和可接受性的机制.
- 开发一个新的框架来指导XR的实施和评估.
主要方法:
- 在2023年5月进行了多个数据库 (MEDLINE,Embase,PsycINFO,Epistemonikos) 的系统搜索.
- 从56个审查记录和63个个人试验中提取了数据,重点关注焦虑的XR.
- 分析涉及将股权相关数据推理分类为与情况和技术相关的机制.
主要成果:
- 通过克服交通和成本等障碍,XR干预提供了解决健康不平等问题的机会.
- 相反,XR应用程序可以加剧现有的差异或创造新的差异.
- 确定了影响服务可用性,可访问性和可接受性的机制.
结论:
- 开发的"双重危险,共同影响"框架强调了XR如何既可以减轻又可以产生健康不平等.
- 该框架为设计和评估未来XR干预提供了指导.
- 对XR实施采取谨慎和包容的方法至关重要,以最大限度地提高效益,最大限度地降低损害.
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