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糖尿病门诊护理中数字解决方案的范围审查:功能和结果
Wenyong Wang1, Mahnaz Samadbeik2, Gaurav Puri3
1Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Queensland Digital Health Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Metro South Hospital and Health Service, Brisbane, Australia.
糖尿病护理中的数字干预措施显示出改善人口健康和患者体验的希望. 需要进一步开发这些工具,以推进更高的视野,以实现更大的系统转型.
科学领域:
- 数字健康数字健康
- 医疗保健信息学 医疗保健信息学
- 糖尿病管理 糖尿病管理
背景情况:
- 数字干预对于现代门诊糖尿病护理至关重要,它解决了医疗保健需求不断增加和劳动力短缺的问题.
- 本研究研究了数字解决方案对四重目标的影响:人口健康,患者体验,临床医生的福祉和成本降低.
研究的目的:
- 研究数字解决方案在糖尿病护理中的功能.
- 评估这些干预措施对四重目标结果的影响.
主要方法:
- 按照乔安娜·布里格斯研究所的指导方针进行了系统审查.
- 搜索涉及主要的数据库 (PubMed,Embase等). 从2019年1月开始到2024年2月.
- 干预措施被映射到数字解决方案地平线 (地平线1,2和3).
主要成果:
- 包括56项研究,包括远程医疗,移动健康 (mHealth) 和人工智能干预.
- 大多数干预 (51/56) 是地平线1;10使用地平线2;5使用地平线3.
- 在人口健康 (41/44项研究) 和患者体验 (29/31项研究) 中注意到了积极的影响.
结论:
- 数字干预对人口健康和糖尿病护理中的患者体验有显著的好处.
- 目前的干预措施主要是基础性的 (地平线1);向地平线2和3推进是转型的关键.
- 未来的研究应该优先考虑成本效益和临床医生的经验,以及健康和患者的结果.
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