Health Worker mHealth Utilization: A Systematic Review.
Health Worker mHealth Utilization: A Systematic Review.
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DOI：
10.1097/cin.0000000000000231
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发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Bull S
中科院分区：
文献类型：
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作者：
White A;Thomas DS;Ezeanochie N;Bull S
本系统性综述描述了2009年3月至2015年5月期间PubMed数据库中针对低资源环境中的医护人员的移动健康干预措施。选择了31篇文章进行最终审查。从审查的文章中出现了四个类别：患者就诊期间的数据收集;卫生工作者与患者之间的沟通;卫生工作者之间的沟通;以及公共卫生监督。大多数研究使用定量和定性方法相结合来评估使用的可接受性、使用障碍、医疗保健服务的变化和改善的健康结局。很少有论文包含明确的理论来指导他们的移动健康计划的开发和评估。总体而言，有证据表明，智能手机和平板电脑等移动的技术工具使医疗工作者、他们的患者和医疗保健服务受益匪浅。移动健康工具的局限性包括程序使用和可持续性不足，互联网和电力不可靠以及安全问题。尽管存在这些局限性，但本系统性综述证明了在资源匮乏的环境中使用移动医疗的实用性，以及利用技术广泛改善卫生系统的潜力。
This systematic review describes mHealth interventions directed at healthcare workers in low resource settings from the PubMed database from March, 2009 to May, 2015. Thirty-one articles were selected for final review. Four categories emerged from the reviewed articles: data collection during patient visits; communication between health workers and patients; communication between health workers; and public health surveillance. Most studies used a combination of quantitative and qualitative methods to assess acceptability of use, barriers to use, changes in healthcare delivery, and improved health outcomes. Few papers included theory explicitly to guide development and evaluation of their mHealth programs. Overall, evidence indicated that mobile technology tools, such as smartphones and tablets, substantially benefit healthcare workers, their patients, and health care delivery. Limitations to mHealth tools included insufficient program use and sustainability, unreliable Internet and electricity, and security issues. Despite these limitations, this systematic review demonstrates the utility of using mHealth in low-resource settings and the potential for widespread health system improvements using technology.