基于技术的干预措施在促进患者接受肺癌查和决策方面的有效性
Safa Elkefi1,2, Nelson Gaillard2,3, Rongyi Wu2,4
1School of Systems Science and Industrial Engineering, Watson College, Binghamton University, Vestal, NY 13902, USA.
概括
数字工具有望促进肺癌查和改善患者的决策. 然而,数字素养和获取等挑战必须得到解决,
科学领域:
- 公共卫生
- 医疗信息学
- 预防癌症
背景情况:
- 肺癌查对于早期发现至关重要.
- 基于技术的干预措施越来越多地用于促进LCS.
- 患者参与和共同决策是有效查的关键.
研究的目的:
- 审查以技术为基础的LCS推广干预措施.
- 评估它们对共同决策和患者参与的影响.
- 确定促进和阻碍其实施和有效性的因素.
主要方法:
- 对六个数据库进行系统的文献搜索 (2025年2月).
- 包括2014年至2025年间发表的28项研究.
- 分析了家庭自主干预 (视频,网站,应用程序,远程医疗,门户).
主要成果:
- 干预措施通常包括风险计算器,多媒体和EMR集成.
- 82%提高了知识和决策信心;一些增加了查.
- 障碍包括有限的互联网接入,数字素养,提供者的时间,以及患者的担忧 (成本,辐射).
结论:
- 数字健康工具有助于促进生活安全和参与.
- 有效性取决于经过深思熟虑的设计,临床整合和公平的获取.
- 未来的努力必须解决解决方案的结构性障碍,并减少选差异.
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