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移动医疗:一项更新的系统评价,重点关注使用手机对 HIV/AIDS 和结核病进行长期管理。

mHealth: An updated systematic review with a focus on HIV/AIDS and tuberculosis long term management using mobile phones.

机构信息

Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taiwan.

Department of Pharmacy Practice, ISF College of Pharmacy, India.

出版信息

Comput Methods Programs Biomed. 2015 Nov;122(2):257-65. doi: 10.1016/j.cmpb.2015.08.003. Epub 2015 Aug 10.


DOI:10.1016/j.cmpb.2015.08.003
PMID:26304621
Abstract

OBJECTIVE: To evaluate the utilization of mobile phone technology for treatment adherence, prevention, education, data collection, monitoring long-term management of HIV/AIDS and TB patients. METHODS: Articles published in English language from January 2005 until now from PubMed/MEDLINE, EMBASE, Web of Science, WHO databases, and clinical trials were included. Data extraction is based on medication adherence, quality of care, prevention, education, motivation for HIV test, data collection from HIV lab test results and patient monitoring. Articles selected for the analysis cover RCTs and non RCTs related to the use of mobile phones for long-term care and treatment of HIV/AIDS and TB patients. RESULTS: Out of 90 articles selected for the analysis, a large number of studies, 44 (49%) were conducted in developing countries, 24 (26%) studies from developed countries, 12 (13%) are systematic reviews and 10 (11%) did not mention study location. Forty seven (52.2%) articles focused on treatment, 11 (12.2%) on quality of care, 8 (9%) on prevention, 13 (14.4%) on education, 6 (6.6%) on data collection, and 5 (5.5%) on patient monitoring. Overall, 66 (73%) articles reported positive effects, 21 (23%) were neutral and 3 (4%) reported negative results. CONCLUSIONS: Mobile phone technology is widely reported to be an effective tool for HIV/AIDS and TB long-term care. It can substantially reduce disease burden on health care systems by rendering more efficient prevention, treatment, education, data collection and management support.

摘要

目的:评估手机技术在治疗依从性、预防、教育、数据收集、监测艾滋病毒/艾滋病和结核病患者的长期管理方面的应用。

方法:纳入了 2005 年 1 月至现在发表在英文文献中的来自 PubMed/MEDLINE、EMBASE、Web of Science、世界卫生组织数据库和临床试验的文章。数据提取基于药物依从性、护理质量、预防、教育、艾滋病毒检测动机、艾滋病毒实验室检测结果和患者监测的数据收集。选择用于分析的文章涵盖了与使用手机进行艾滋病毒/艾滋病和结核病患者的长期护理和治疗相关的 RCT 和非 RCT。

结果:在 90 篇被选中进行分析的文章中,大量研究(49%)是在发展中国家进行的,24 项(26%)来自发达国家,12 项(13%)是系统综述,10 项(11%)没有提到研究地点。47 篇(52.2%)文章关注治疗,11 篇(12.2%)关注护理质量,8 篇(9%)关注预防,13 篇(14.4%)关注教育,6 篇(6.6%)关注数据收集,5 篇(5.5%)关注患者监测。总的来说,66 篇(73%)文章报告了积极的效果,21 篇(23%)是中性的,3 篇(4%)报告了负面的结果。

结论:手机技术被广泛报道为艾滋病毒/艾滋病和结核病长期护理的有效工具。它可以通过提供更有效的预防、治疗、教育、数据收集和管理支持,大大减轻医疗保健系统的疾病负担。

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[10]
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