Rapid review: Identification of digital health interventions in atherosclerotic-related cardiovascular disease populations to address racial, ethnic, and socioeconomic health disparities.
Rapid review: Identification of digital health interventions in atherosclerotic-related cardiovascular disease populations to address racial, ethnic, and socioeconomic health disparities.
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DOI：
10.1016/j.cvdhj.2020.11.001
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发表时间：
2020-11
影响因子：
--
通讯作者：
Dankwa-Mullan I
中科院分区：
文献类型：
--
作者：
Thomas Craig KJ;Fusco N;Lindsley K;Snowdon JL;Willis VC;Arriaga YE;Dankwa-Mullan I
心血管疾病（CVD）和相关的健康和医疗保健提供结果的差异部分归因于不同的风险因素，以及城乡环境中种族和民族（包括语言）少数群体以及低社会经济地位（SES）人群的预防和治疗不平等。数字健康干预措施（DHIs）在促进公平获得高质量护理，最佳利用和改善结果方面显示出希望;然而，其潜在作用和影响尚未得到充分探讨。使用来自多个数据库的已发表文献（2008年1月至2020年7月），系统性审查了DHIs在减轻动脉粥样硬化相关CVD不成比例影响人群中上述健康差异驱动因素的作用。研究设计，类型和描述的技术，健康差异的信息，CVD的类型，结果，和显着的障碍和创新与所使用的技术进行了抽象。使用牛津证据等级评估研究质量。纳入的研究描述了数字健康技术在CVD患者中的差异，并报告了结果。在2104篇引文中确定的38项纳入研究中的24项中，DHIs显著改善了受CVD影响不成比例的人群的健康（例如，临床、中间和患者报告）和医疗保健提供（例如，获得、质量和利用护理）结局。高血压控制是最常见的改善临床结局。远程医疗、移动的保健和临床决策支持系统是最常见的DHIs类型。DHI改善了全球农村和城市地区种族/民族群体和低SES人群中CVD相关的健康和医疗保健提供结局。
Disparities in cardiovascular disease (CVD) and associated health and healthcare delivery outcomes have been partially attributed to differential risk factors, and to prevention and treatment inequities within racial and ethnic (including language) minority groups and low socioeconomic status (SES) populations in urban and rural settings. Digital health interventions (DHIs) show promise in promoting equitable access to high-quality care, optimal utilization, and improved outcomes; however, their potential role and impact has not been fully explored. The role of DHIs to mitigate drivers of the health disparities listed above in populations disproportionately affected by atherosclerotic-related CVD was systematically reviewed using published literature (January 2008–July 2020) from multiple databases. Study design, type and description of the technology, health disparities information, type of CVD, outcomes, and notable barriers and innovations associated with the technology utilized were abstracted. Study quality was assessed using the Oxford Levels of Evidence. Included studies described digital health technologies in a disparity population with CVD and reported outcomes. DHIs significantly improved health (eg, clinical, intermediate, and patient-reported) and healthcare delivery (eg, access, quality, and utilization of care) outcomes in populations disproportionately affected by CVD in 24 of 38 included studies identified from 2104 citations. Hypertension control was the most frequently improved clinical outcome. Telemedicine, mobile health, and clinical decision support systems were the most common types of DHIs identified. DHIs improved CVD-related health and healthcare delivery outcomes in racial/ethnic groups and low SES populations in both rural and urban geographies globally.
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影响因子：
8.4
作者：
Akar, Joseph G.;Bao, Haikun;Curtis, Jeptha P.
通讯作者：
Curtis, Jeptha P.
影响因子：
4.7
作者：
Dang, Stuti;Karanam, Chandana;Gomez-Marin, Orlando
通讯作者：
Gomez-Marin, Orlando
手机短信以支持高血压的成年人的治疗依从性（SMS-Text依从性支持[Star]）：一项单盲，随机试验。
影响因子：
37.8
作者：
Bobrow K;Farmer AJ;Springer D;Shanyinde M;Yu LM;Brennan T;Rayner B;Namane M;Steyn K;Tarassenko L;Levitt N
通讯作者：
Levitt N
影响因子：
4.8
作者：
Bove, Alfred A.;Homko, Carol J.;Elliott, Daniel J.
通讯作者：
Elliott, Daniel J.
影响因子：
37.8
作者：
Carnethon, Mercedes R.;Pu, Jia;Yancy, Clyde W.
通讯作者：
Yancy, Clyde W.