Special Delivery: An Analysis of mHealth in Maternal and Newborn Health Programs and Their Outcomes Around the World
Special Delivery: An Analysis of mHealth in Maternal and Newborn Health Programs and Their Outcomes Around the World
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DOI：
10.1007/s10995-011-0836-3
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发表时间：
2012-07-01
影响因子：
2.3
通讯作者：
Kachnowski, Stan
中科院分区：
文献类型：
--
作者：
Tamrat, Tigest;Kachnowski, Stan
移动医疗（mHealth）包括在日益移动化和无线化的医疗服务系统中使用移动电信和多媒体技术，并且每年有可能改善数以万计的生命质量。移动电话的普及和广泛渗透为在孕产妇和新生儿护理中利用移动医疗提供了机会，特别是在资源匮乏的医疗生态系统中。此外，在实现儿童和孕产妇健康的千年发展目标方面进展缓慢以及资金受限，促使人们利用移动医疗等创新措施来解决这些公共卫生重点问题。这篇文献综述简要概述了整合移动医疗以改善产前和新生儿健康结果的成效、障碍和策略。使用预先确定的检索词对六个电子数据库进行了系统检索。然后根据先前研究中确定的主题对检索到的文章进行分类。共有34篇文章和报告为研究结果提供了信息，这些信息涉及移动医疗在产前和新生儿医疗保健获取及服务提供方面的使用情况和局限性。卫生系统已经实施了移动医疗项目，以促进紧急医疗响应、医疗现场支持、健康促进和数据收集。然而，用于资助、协调和指导产前和新生儿移动医疗服务可持续采用的政策基础设施仍然不发达。将移动医疗整合到产前和新生儿健康服务中已显示出积极的效果，但运营的可持续性和可扩展性需要从正在进行的项目中获取进一步反馈并进行评估。
Mobile health (mHealth) encompasses the use of mobile telecommunication and multimedia into increasingly mobile and wireless health care delivery systems and has the potential to improve tens of thousands of lives each year. The ubiquity and penetration of mobile phones presents the opportunity to leverage mHealth for maternal and newborn care, particularly in under-resourced health ecosystems. Moreover, the slow progress and funding constraints in attaining the Millennium Development Goals for child and maternal health encourage harnessing innovative measures, such as mHealth, to address these public health priorities. This literature review provides a schematic overview of the outcomes, barriers, and strategies of integrating mHealth to improve prenatal and neonatal health outcomes. Six electronic databases were methodically searched using predetermined search terms. Retrieved articles were then categorized according to themes identified in previous studies. A total of 34 articles and reports contributed to the findings with information about the use and limitations of mHealth for prenatal and neonatal healthcare access and delivery. Health systems have implemented mHealth programs to facilitate emergency medical responses, point-of-care support, health promotion and data collection. However, the policy infrastructure for funding, coordinating and guiding the sustainable adoption of prenatal and neonatal mHealth services remains under-developed. The integration of mobile health for prenatal and newborn health services has demonstrated positive outcomes, but the sustainability and scalability of operations requires further feedback from and evaluation of ongoing programs.