The performance of mHealth in cancer supportive care: a research agenda.
The performance of mHealth in cancer supportive care: a research agenda.
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DOI：
10.2196/jmir.3764
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发表时间：
2015-02-13
影响因子：
7.4
通讯作者：
Guerrazzi C
中科院分区：
文献类型：
--
作者：
Nasi G;Cucciniello M;Guerrazzi C
自智能手机出现以来，mHealth已经引起了医疗保健系统的注意，因为它可能会从根本上改变迄今为止医疗保健的看待，管理和交付方式。这对于癌症尤其重要，因为癌症是全球主要的死亡原因之一，对于癌症支持性护理也是如此，因为患者和护理人员在管理副作用方面发挥着关键作用。如果有足够的知识，他们就能够期待得到适当的评估和干预。在这种情况下，移动医疗在以下方面具有巨大潜力：将患者、护理人员和医疗保健专业人员联系起来;实现早期检测和干预;降低成本;提高生活质量。鉴于其巨大的潜力，重要的是要评估mHealth的性能。这可以从几个角度来考虑，其中组织绩效特别相关，因为移动医疗可以提高医疗保健提供者的生产力，从而甚至提高医疗保健系统的生产力。本文旨在回顾有关移动医疗绩效评估的研究，特别关注癌症护理和癌症支持性护理流程，重点关注其对组织绩效的贡献，并确定进一步研究议程的一些迹象。我们进行了文献综述，旨在确定与一般mHealth性能相关的研究或专注于癌症护理和癌症支持性护理。我们的分析表明，研究几乎总是基于单一的性能维度。对移动保健绩效的任何评价都基于非常不同的方法和措施，主要侧重于与效率有关的问题。这没有考虑到移动健康可以为改善医疗保健提供者、医疗保健系统和一般生活质量的表现提供的真实的贡献。进一步的研究应首先说明和解释什么是mHealth的性能的评价，然后进行更深入的分析，以创建共享的框架，具体确定mHealth的性能的不同方面。
Since the advent of smartphones, mHealth has risen to the attention of the health care system as something that could radically change the way health care has been viewed, managed, and delivered to date. This is particularly relevant for cancer, as one of the leading causes of death worldwide, and for cancer supportive care, since patients and caregivers have key roles in managing side effects. Given adequate knowledge, they are able to expect appropriate assessments and interventions. In this scenario, mHealth has great potential for linking patients, caregivers, and health care professionals; for enabling early detection and intervention; for lowering costs; and achieving better quality of life. Given its great potential, it is important to evaluate the performance of mHealth. This can be considered from several perspectives, of which organizational performance is particularly relevant, since mHealth may increase the productivity of health care providers and as a result even the productivity of health care systems. This paper aims to review studies on the evaluation of the performance of mHealth, with particular focus on cancer care and cancer supportive care processes, concentrating on its contribution to organizational performance, as well as identifying some indications for a further research agenda. We carried out a review of literature, aimed at identifying studies related to the performance of mHealth in general or focusing on cancer care and cancer supportive care. Our analysis revealed that studies are almost always based on a single dimension of performance. Any evaluations of the performance of mHealth are based on very different methods and measures, with a prevailing focus on issues linked to efficiency. This fails to consider the real contribution that mHealth can offer for improving the performance of health care providers, health care systems, and the quality of life in general. Further research should start by stating and explaining what is meant by the evaluation of mHealth’s performance and then conduct more in-depth analysis in order to create shared frameworks to specifically identify the different dimensions of mHealth’s performance.