在患有多种长期疾病的患者中使用数字技术:定性系统性审查
Laura Jefferson1, Ana Castro Avila2, Eleonora Uphoff3
1Department of Health Sciences, University of York, Heslington, York, UK laura.jefferson@york.ac.uk.
BJGP open
|October 8, 2025
概括
数字健康工具可以赋予管理多种长期疾病 (MLTCs) 的患者权力. 以患者为中心的设计对于成功的自我管理至关重要,改善了访问和沟通,同时避免了增加负担或不平等.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者自我管理
背景情况:
- 多重长期疾病 (MLTCs) 在国际上日益流行.
- 长期性疾病不成比例地影响老年人和处于不利地位的社区,增加医疗保健支出.
- 数字技术为基于社区的自我管理支持提供了潜在的解决方案.
研究的目的:
- 综合对患者使用数字技术的经验进行定性研究,用于MLTC自我管理.
- 确定影响数字健康工具有效性和采用的关键因素.
主要方法:
- 对国际文学进行系统审查.
- 在2023年10月之前搜索主要数据库 (Medline,CINAHL,PsycINFO,PubMed).
- 包括14份报告 (13项研究) 和使用CASP评估质量.
主要成果:
- 研究涵盖了互联网健康信息,同行支持,个人健康记录和远程监控.
- 患者的体验是由健康素养,信任和现有的自我管理实践塑造的.
- 有效的数字工具是简单的,以患者为中心的,经过用户测试的,有可能赋予患者权力并改善沟通.
结论:
- 数字技术对赋予MLTC患者自我管理的权利充满希望.
- 以患者为中心的设计对于最大限度地提高效益和防止增加负担或健康不平等至关重要.
- 医疗保健专业人员需要培训,以有效地支持数字工具的整合.
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