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
1Department of Primary and Long-Term Care, University Medical Center Groningen, University of Groningen, Post Code FA21, PO Box 196, Groningen, 9700 AD, The Netherlands, +31 652903891.
Journal of medical Internet research
|December 12, 2025
概括
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.
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.
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