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支持电子健康包容的战略和干预措施:范围审查

Wieke E Bouwes1,2, Nynke D Scherpbier1, Eveline Hage3

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多主体合作有效地提高了数字健康技能,改善了电子健康包容性. 结合人际关系,组织和政策努力是数字健康素养和公平获取的关键.

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科学领域:

  • 数字健康数字健康
  • 医疗信息学 医疗信息学
  • 健康 公平 卫生 公平

背景情况:

  • 政策制定者为提高效率而促进电子健康,但数字化可能会使数字脆弱群体被排除在外.
  • 有限的数字素养和资源获取限制,造成了电子健康参与的障碍.
  • 关于组织针对电子健康包容性提供有针对性的支持的证据仍然很少.

研究的目的:

  • 绘制出促进电子健康包容性的策略.
  • 确定数字健康的具体支持干预措施.
  • 评估针对电子健康公平的干预措施的结果.

主要方法:

  • 根据PRISMA-ScR指南进行范围审查.
  • 从2014年开始搜索主要的数据库 (PubMed,Scopus,Web of Science,Embase) 进行了搜索.
  • 包括40个经验研究,分类为微,中和宏观层面的参与者.

主要成果:

  • 在策略中,人际支持是常见的;卫生服务提供者主导了干预.
  • 采用干预措施的有效性有限;使用干预措施的成功程度有限.
  • 多主体干预措施在不同背景下显著提高了数字和电子健康素养.

结论:

  • 多主体合作对于提高电子卫生技能和包容性至关重要.
  • 仅仅医疗保健机构对广泛的数字健康素养是不够的.
  • 未来的研究应该探索干预措施的可持续性,可扩展性和上下文因素.