White Alice, Thomas Deborah S K, Ezeanochie Nnamdi, Bull Sheana
Author Affiliations: Colorado School of Public Health, University of Colorado Denver, Anschutz Medical Campus, Aurora (Ms White and Drs Ezeanochie and Bull), and Department of Geography and Environmental Science University of Colorado Denver, Anschutz Medical Campus, Denver (Dr Thomas).
Comput Inform Nurs. 2016 May;34(5):206-13. doi: 10.1097/CIN.0000000000000231.
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 healthcare 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.
本系统评价描述了2009年3月至2015年5月期间从PubMed数据库中检索到的针对资源匮乏地区医护人员的移动健康干预措施。最终选定31篇文章进行综述。综述文章中出现了四类：患者就诊期间的数据收集、医护人员与患者之间的沟通、医护人员之间的沟通以及公共卫生监测。大多数研究采用定量和定性方法相结合的方式，来评估使用的可接受性、使用障碍、医疗服务的变化以及健康结果的改善情况。很少有论文明确纳入理论来指导其移动健康项目的开发和评估。总体而言，证据表明，智能手机和平板电脑等移动技术工具能让医护人员、他们的患者以及医疗服务大幅受益。移动健康工具的局限性包括项目使用不足和可持续性差、互联网和电力不可靠以及安全问题。尽管存在这些局限性，但本系统评价证明了在资源匮乏地区使用移动健康的效用，以及利用技术广泛改善卫生系统的潜力。
