使用健康信息系统支持局部环境中的行为干预:范围审查
Xi Yang1,2, Martin Dijst2,3, Joost G Daams4
1Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 15, Amsterdam, 1105AZ, The Netherlands, 31 0205665205.
将社区背景数据整合到卫生系统中可以改善行为干预. 个人健康记录为动态数据集成和增强健康公平提供了潜力.
科学领域:
- 公共卫生和健康信息学
- 行为科学和健康服务研究 研究 行为科学和健康服务研究
背景情况:
- 个人层面的行为干预旨在改善健康和管理非传染性疾病.
- 邻居地理参考语境 (NGRCs) 显著影响干预成功.
- 将NGRC数据集成到健康信息系统 (HIS) 中可以个性化干预并改善结果,但文献很少.
研究的目的:
- 通过使用HIS进行NGRC专注的行为干预措施的范围审查.
- 检查有关这些干预措施的现状和利益相关者的见解.
主要方法:
- 通过使用MEDLINE (奥维德) 和Scopus进行了系统的文献搜索.
- 包括报告NGRC专注于使用HIS的行为干预措施的出版物.
- 数据提取涵盖了研究特征,HIS,NGRC,干预,结果和建议.
主要成果:
- 包括24项研究,主要使用EHR/EMR (20项研究),使用PHR有限.
- 在整个干预过程 (23项研究) 中,HIS在很大程度上缺席.
- 干预侧重于社会需求 (21项研究) 而不是生活方式变化;NGRC主要针对建筑环境 (24项研究),对时空特征的细节有限.
结论:
- 个人健康记录 (PHR) 显示了整合多种NGRC和支持整个干预过程的潜力,特别是对生活方式的改变.
- 医疗保健提供者可以促进这些干预措施,以推进公共卫生目标和健康公平.
- 需要进一步的研究和开发,以充分利用HIS内部的NGRC进行行为干预.
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