Issues in mHealth: findings from key informant interviews.
Issues in mHealth: findings from key informant interviews.
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DOI：
10.2196/jmir.1989
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发表时间：
2012-10-02
影响因子：
7.4
通讯作者：
Whittaker R
中科院分区：
文献类型：
--
作者：
Whittaker R
在美国，移动医疗正受到相当大的兴趣和私人投资。少量但越来越多的证据表明，在支持健康的行为改变和长期疾病的自我管理方面有一些希望。移动电话给保健倡议带来的独特好处，例如不论时间或地点都能直接获得保健信息，可能会给这些倡议的执行带来具体问题。其他问题可与一般卫生信息技术发展共享。从美国卫生系统内部和在美国从事移动医疗工作的人的角度确定实施移动医疗面临的重要问题。对来自美国卫生和移动卫生部门的27名关键举报人进行了半结构化访谈。在对美国移动医疗进行环境扫描或在移动医疗工作人员的建议下，直接与受访者接触。最常见的问题是隐私和数据安全、资金、缺乏移动医疗在实践中的功效和成本效益的好例子，以及需要更多高质量的研究。根据问题主要发生的环境对问题进行概述和分类：政策和监管环境；无线行业；卫生系统；现有的移动医疗实践；和研究。通过充分利用当前的美国医疗改革环境，制定战略和协调的方法，并寻求改进移动医疗实践，可以解决许多这些问题。
mHealth is enjoying considerable interest and private investment in the United States. A small but growing body of evidence indicates some promise in supporting healthy behavior change and self-management of long-term conditions. The unique benefits mobile phones bring to health initiatives, such as direct access to health information regardless of time or location, may create specific issues for the implementation of such initiatives. Other issues may be shared with general health information technology developments. To determine the important issues facing the implementation of mHealth from the perspective of those within the US health system and those working in mHealth in the United States. Semistructured interviews were conducted with 27 key informants from across the health and mHealth sectors in the United States. Interviewees were approached directly following an environmental scan of mHealth in the United States or recommendation by those working in mHealth. The most common issues were privacy and data security, funding, a lack of good examples of the efficacy and cost effectiveness of mHealth in practice, and the need for more high-quality research. The issues are outlined and categorized according to the environment within which they predominantly occur: policy and regulatory environments; the wireless industry; the health system; existing mHealth practice; and research. Many of these issues could be addressed by making the most of the current US health reform environment, developing a strategic and coordinated approach, and seeking to improve mHealth practice.
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DOI：
10.1089/tmj.2008.0099
发表时间：
2009-04-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Krishna, Santosh;Boren, Suzanne Austin;Balas, E. Andrew
通讯作者：
Balas, E. Andrew
影响因子：
168.9
作者：
Lester, Richard T.;Ritvo, Paul;Plummer, Francis A.
通讯作者：
Plummer, Francis A.
影响因子：
9.7
作者：
McKethan, Aaron;Brammer, Craig;Jain, Sachin H.
通讯作者：
Jain, Sachin H.
影响因子：
3.8
作者：
Fjeldsoe, Brianna S.;Miller, Yvette D.;Marshall, Alison L.
通讯作者：
Marshall, Alison L.
影响因子：
168.9
作者：
Free, Caroline;Knight, Rosemary;Robertson, Steven;Whittaker, Robyn;Edwards, Phil;Zhou, Weiwei;Rodgers, Anthony;Cairns, John;Kenward, Michael G.;Roberts, Ian
通讯作者：
Roberts, Ian