为患有精神障碍的患者整合和实施mHealth应用程序的概念:范围审查
Felix Plescher1, Klemens Höfer1, Jürgen Wasem1
1Institute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.
Journal of medical Internet research
|September 8, 2025
概括
移动健康 (mHealth) 应用程序,在德国被称为Digitale Gesundheitsanwendungen (DiGA),显示出对心理健康护理的希望. 成功融入医疗保健系统需要具体的监管和护理相关的概念,以克服当前的障碍,并改善患者的支持.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康护理系统 心理健康护理系统
- 医疗服务研究 医疗服务研究
背景情况:
- 心理和行为障碍每年影响28%的德国成年人,面临门诊护理的准入和容量问题.
- 移动健康 (mHealth) 应用程序,或数字健康应用 (DiGA),提供创新的解决方案,以减少心理健康护理中的障碍.
- 尽管DiGA具有潜力,并通过法定医疗保险获得补偿,但使用率低表明其在德国医疗保健系统中的采用和整合存在挑战.
研究的目的:
- 为成功将移动健康应用程序集成到医疗保健系统中确定国际概念和框架.
- 探索这些国际模型如何适应和转移到德国医疗保健系统中的数字健康应用 (DiGA).
主要方法:
- 根据Arksey和O'Malley的方法框架进行了范围审查.
- 在包括PubMed,Embase和PsycINFO在内的科学数据库中进行了搜索.
- 一个两阶段的选过程 (标题/摘要,然后是全文) 被两个审稿人独立执行.
主要成果:
- 该审查确定了20篇出版物,并补充了3项额外的研究,提供了对心理障碍mHealth应用程序集成的见解.
- 成功的整合需要一般,组织,法律和技术要求,以及具体的实施概念.
- 确定的概念包括监管框架 (例如,应用程序目录) 和与护理相关的策略 (例如,专业培训和支持).
结论:
- 移动健康应用程序在支持患有心理健康障碍的患者方面表现出有效性.
- 实现mHealth应用程序的全部潜力需要无集成到现有的医疗保健结构和流程中.
- 本综述为将mHealth应用程序集成到门诊精神卫生保健机构提供了关键的见解.
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