Using evidence-based internet interventions to reduce health disparities worldwide.
Using evidence-based internet interventions to reduce health disparities worldwide.
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使用基于证据的互联网干预措施来减少全球健康差异。
DOI：
10.2196/jmir.1463
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发表时间：
2010-12-17
影响因子：
7.4
通讯作者：
Muñoz RF
中科院分区：
文献类型：
--
作者：
Muñoz RF
健康差距是世界范围内持续存在的问题。减少健康差距的一个主要障碍是依赖“消耗性干预措施”，即一旦使用就不能再次使用的干预措施。为了减少健康差距，需要采取干预措施，这些措施可以反复使用，而不会失去其治疗效果，即使当地卫生保健系统不能为人们提供所需的卫生保健，也可以接触到他们，并且可以在全球范围内共享，而不会从制定干预措施的人口那里拿走资源。本文提出的论点是，自动自助循证互联网干预符合上述标准，可以有助于减少世界各地的健康差距。概念验证研究表明，基于证据的因特网干预措施可惠及全世界数十万人，并可用于公共部门，以扩大现有服务，并提供目前尚不具备的服务（如预防干预措施）。本文提出了一个框架，系统地填写一个矩阵组成的列代表常见的健康问题和行代表语言。为了使基于证据的互联网干预措施惠及服务不足的人群，公共部门诊所应建立电子健康资源中心，通过该中心，患者可以在线筛查常见疾病，并提供目前诊所无法提供的基于证据的互联网干预服务。这些资源应以患者的语言提供，格式不需要识字，并且可以通过移动的设备访问。这种基于证据的互联网干预措施应与公共部门诊所以及世界各地的个人分享。最后，本文讨论了可持续性，并描述了一个连续的循证互联网干预措施，以分享国家和世界各地。这一扩大保健服务提供的办法将大大有助于减少全世界的保健差距，为经常引用的口号“放眼全球，在当地采取行动”增添了第三句话：“全球分享”。
Health disparities are a persistent problem worldwide. A major obstacle to reducing health disparities is reliance on “consumable interventions,” that is, interventions that, once used, cannot be used again. To reduce health disparities, interventions are required that can be used again and again without losing their therapeutic power, that can reach people even if local health care systems do not provide them with needed health care, and that can be shared globally without taking resources away from the populations where the interventions were developed. This paper presents the argument that automated self-help evidence-based Internet interventions meet the above criteria and can contribute to the reduction of health disparities worldwide. Proof-of-concept studies show that evidence-based Internet interventions can reach hundreds of thousands of people worldwide and could be used in public sector settings to augment existing offerings and provide services not currently available (such as prevention interventions). This paper presents a framework for systematically filling in a matrix composed of columns representing common health problems and rows representing languages. To bring the benefits of evidence-based Internet interventions to the underserved, public sector clinics should establish eHealth resource centers, through which patients could be screened online for common disorders and provided with evidence-based Internet intervention services not currently available at the clinics. These resources should be available in the patients’ languages, in formats that do not require literacy, and that can be accessed with mobile devices. Such evidence-based Internet interventions should then be shared with public sector clinics as well as individuals anywhere in the world. Finally, this paper addresses sustainability and describes a continuum of evidence-based Internet interventions to share nationally and across the world. This approach to expanding health service delivery will significantly contribute to a reduction of health disparities worldwide, adding to the often-quoted slogan, “Think globally, act locally,” a third line: “Share globally.”
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DOI：
10.1146/annurev-clinpsy-033109-132040
发表时间：
2010-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 6
影响因子：
--
作者：
Munoz, Ricardo F.;Cuijpers, Pim;Leykin, Yan
通讯作者：
Leykin, Yan
影响因子：
3.2
作者：
Chan-Olmsted, SM;Kim, Y
通讯作者：
Kim, Y
DOI：
10.1146/annurev.clinpsy.032408.153538
发表时间：
2009-01-01
影响因子：
18.4
作者：
Marks, Isaac;Cavanagh, Kate
通讯作者：
Cavanagh, Kate
影响因子：
3.5
作者：
DiMasi, JA;Hansen, RW;Grabowski, HG
通讯作者：
Grabowski, HG
影响因子：
5.9
作者：
Muñoz, RF;Mendelson, T
通讯作者：
Mendelson, T