Health information technology to improve care for people with multiple chronic conditions.
Health information technology to improve care for people with multiple chronic conditions.
复制标题
DOI：
10.1111/1475-6773.13860
复制
发表时间：
2021-10
影响因子：
3.4
通讯作者：
Dorr DA
中科院分区：
文献类型：
--
作者：
Samal L;Fu HN;Camara DS;Wang J;Bierman AS;Dorr DA
审查有关使用卫生信息技术（Health IT）干预措施的证据，以改善对多种慢性病患者的护理，以确定关键的知识差距。我们检索了MEDLINE、CINAHL、PsycINFO、EMBASE、Compendex和IEEE explore数据库，查找2010年至2020年间发表的英文研究。我们确定了PLWMCC的健康IT干预研究，涉及以下三个领域：自我管理支持、护理协调和支持临床决策的算法。创建并验证了结构化搜索查询。反复审查摘要以完善纳入和排除标准。通过人工搜索纳入研究的书目部分来补充搜索。检索包括对嵌套在临床试验中的研究进行前引文检索，以确定临床试验方案和已发表的临床试验结果。数据由两位审稿人独立提取。搜索产生了1907篇文章；44人入选。纳入了9项随机对照试验（rct）和35项其他研究，包括准实验、可用性、可行性、定性研究或分析模型的开发/验证研究。5项随机对照试验有积极结果，其余4项随机对照试验显示干预没有效果。这些研究涉及个体患者的参与，并评估以患者为中心的结果，如生活质量。很少有随机对照试验评估残疾等结果，没有评估死亡率。尽管关于健康IT干预或多组分干预（包括慢性病管理的健康IT组件）的文献越来越多，但目前应用健康IT解决方案改善PLWMCC护理的证据有限。本综述中包含的大量文献提供了有关科学现状的关键信息，以及数字卫生为实现其支持满足PLWMCC需求的护理提供的承诺需要填补的许多空白。
To review evidence regarding the use of Health Information Technology (health IT) interventions aimed at improving care for people living with multiple chronic conditions (PLWMCC) in order to identify critical knowledge gaps. We searched MEDLINE, CINAHL, PsycINFO, EMBASE, Compendex, and IEEE Xplore databases for studies published in English between 2010 and 2020. We identified studies of health IT interventions for PLWMCC across three domains as follows: self‐management support, care coordination, and algorithms to support clinical decision making. Structured search queries were created and validated. Abstracts were reviewed iteratively to refine inclusion and exclusion criteria. The search was supplemented by manually searching the bibliographic sections of the included studies. The search included a forward citation search of studies nested within a clinical trial to identify the clinical trial protocol and published clinical trial results. Data were extracted independently by two reviewers. The search yielded 1907 articles; 44 were included. Nine randomized controlled trials (RCTs) and 35 other studies including quasi‐experimental, usability, feasibility, qualitative studies, or development/validation studies of analytic models were included. Five RCTs had positive results, and the remaining four RCTs showed that the interventions had no effect. The studies address individual patient engagement and assess patient‐centered outcomes such as quality of life. Few RCTs assess outcomes such as disability and none assess mortality. Despite a growing body of literature on health IT interventions or multicomponent interventions including a health IT component for chronic disease management, current evidence for applying health IT solutions to improve care for PLWMCC is limited. The body of literature included in this review provides critical information on the state of the science as well as the many gaps that need to be filled for digital health to fulfill its promise in supporting care delivery that meets the needs of PLWMCC.
登录
查看更多内容
影响因子：
120.7
作者：
Boyd, CM;Darer, J;Wu, AW
通讯作者：
Wu, AW
2018 年美国成年人多种慢性病的患病率。
影响因子：
5.5
作者：
Boersma P;Black LI;Ward BW
通讯作者：
Ward BW
影响因子：
2.8
作者：
Ahn, SangNam;Hussein, Mustafa;Smith, Matthew Lee
通讯作者：
Smith, Matthew Lee
影响因子：
3.5
作者：
Beverly, E. A.;Wray, L. A.;Weinger, K.
通讯作者：
Weinger, K.
影响因子：
7.4
作者：
Carey, Mariko;Noble, Natasha;Sanson-Fisher, Rob
通讯作者：
Sanson-Fisher, Rob