Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. cdenking@ bidmc.harvard.edu
Int J Tuberc Lung Dis. 2013 Jun;17(6):719-27. doi: 10.5588/ijtld.12.0638. Epub 2013 Mar 25.
The use of mobile phones has substantially increased throughout the world over the last decade. This has opened up opportunities for the integration of mobile phones as health intervention tools in many aspects of health care, including prevention, diagnosis, data collection, treatment and adherence monitoring and surveillance. Several applications have been explored in human immunodeficiency virus care. The field of tuberculosis (TB) has not exploited the potential of mobile health (m-health) to the same extent, although the opportunities have been recognized. A number of proof-of-concept and pilot studies have been published on m-health in TB care, and an even larger number of studies are available in the grey literature. This article summarizes publications and recent developments at the intersection of TB care and m-health. We show that more rigorous studies evaluating different applications and implementation strategies are needed to establish an evidence base that serves to inform policy and decision making. We outline further areas of research that should be addressed and potential challenges that lie ahead if m-health applications are to enhance the accessibility and quality of TB care.
在过去的十年中,全球范围内手机的使用量大幅增加。这为将手机集成到医疗保健的许多方面的健康干预工具中提供了机会,包括预防、诊断、数据收集、治疗以及依从性监测和监测。在人类免疫缺陷病毒护理中已经探索了几种应用。尽管已经认识到这一机会,但结核病(TB)领域并没有充分利用移动健康(m-health)的潜力。已经发表了一些关于结核病护理中的移动健康的概念验证和试点研究,并且在灰色文献中还有更多的研究。本文总结了结核病护理和移动健康交叉领域的出版物和最新发展。我们表明,需要更严格的研究来评估不同的应用和实施策略,以建立一个证据基础,为政策和决策提供信息。我们概述了应该解决的进一步研究领域以及如果要提高结核病护理的可及性和质量,移动健康应用面临的潜在挑战。