来自移动卫生技术的患者生成健康数据对医疗保健管理和临床决策的影响:叙述范围审查
Ava Keeling1,2,3, John Downey4, Matthew Halkes5
1Centre for Mathematical Sciences, School of Engineering, Computing and Mathematics, University of Plymouth, Kirkby Place, Drake Circus, Plymouth, PL4 8AA, United Kingdom.
Journal of medical Internet research
|December 19, 2025
概括
移动健康 (mHealth) 患者数据可以改善长期疾病的护理,但整合挑战和专业怀疑阻碍了广泛的临床使用. 需要进一步的研究来克服障碍,实现移动健康.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者生成的健康数据
背景情况:
- 全球慢性病和多重疾病的增加给医疗保健系统带来了压力.
- 移动健康 (mHealth) 技术在临床环境之外收集患者生成的健康数据 (PGHD).
- 在实践中,PGHD支持个性化护理和临床决策的潜力仍未得到充分探索.
研究的目的:
- 绘制和综合有关从mHealth获得的PGHD在长期疾病的成年人门诊临床决策中的使用和影响的文献.
- 确定mHealth数据集成如何影响临床工作流程和患者-提供者互动.
主要方法:
- 2014年至2025年间发表的同行评审研究的叙述范围审查.
- 在Embase,MEDLINE,知识和图书馆中心,英国护理指数和ProQuest健康研究高级集合中进行搜索.
- 纳入标准:英语语言,PGHD使用超出了可行性,参考临床医生行为或患者互动;排除:儿科人口,灰色文献.
主要成果:
- 包括16项研究,主要来自高收入国家,重点关注类风湿关节炎和糖尿病.
- 移动健康数据集成影响了医疗保健决策和患者提供者互动,支持以患者为中心的护理.
- 确定了预期的PGHD使用和临床实施之间的差距,包括专业怀疑和整合挑战在内的障碍.
结论:
- PGHD具有提高临床决策和以人为中心的护理的潜力.
- 技术,专业和标准化障碍阻碍了将其整合到日常实践中.
- 未来的研究应侧重于整合支持,数据呈现,长期成果评估和政策框架.
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