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医疗保健沟通和协作的数字生态系统:范围审查
Augustino Mwogosi1, Cesilia Mambile1
1University of Dodoma, Department of Information Systems and Technology, Dodoma, Tanzania.
Digital health
|September 15, 2025
概括
数字生态系统增强了医疗保健沟通和协作,特别是在资源较少的环境中. 关键组件包括互操作性和以患者为中心的工具,具有诸如基础设施碎片化等挑战,以及诸如利益相关者参与等推动因素.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 全球健康 全球健康
背景情况:
- 数字生态系统是相互连接的系统,支持医疗保健提供.
- 之前的研究集中在技术上,忽视了沟通和协作方面的方面.
- 对于低资源环境中的数字生态系统的理解有限.
研究的目的:
- 探索数字生态系统如何促进医疗保健中的沟通和协作.
- 识别数字生态系统的关键组件,应用,障碍和推动因素.
- 提供有关数字生态系统在低资源医疗保健环境中的作用的见解.
主要方法:
- 根据Arksey和O'Malley框架进行了范围审查,Levac等加强了该框架.
- 在Scopus,PubMed,JSTOR和Emerald中进行了对2009年至2024年间发表的研究的搜索.
- 根据PRISMA-ScR标准,对15项符合条件的研究进行了主题分析.
主要成果:
- 确定了五个核心组件:互操作性,利益相关者的多样性,以患者为中心的工具,创新平台和知识共享.
- 生态系统通过远程医疗和移动健康改善了实时通信,服务协调和护理可访问性.
- 低资源环境中的障碍包括分散的基础设施和供应商的阻力;支持者包括利益相关者参与和低带宽解决方案.
结论:
- 数字生态系统的价值在于沟通和协作,而不仅仅是技术.
- 详细介绍了低收入和中等收入国家的实施挑战和适应措施.
- 未来的研究应该专注于标准化框架,在代表性不足的环境中进行经验研究,以及包容性,可扩展的设计.
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