Faculty of Health Sciences, The University of Sydney, Sydney, NSW 2141, Australia.
Faculty of Education and Arts, The University of Newcastle, Newcastle, NSW 2308, Australia.
Int J Environ Res Public Health. 2017 Oct 25;14(11):1289. doi: 10.3390/ijerph14111289.
This review aimed to identify research that described how eHealth facilitates interdisciplinary cancer care and to understand the ways in which eHealth innovations are being used in this setting. An integrative review of eHealth interventions used for interdisciplinary care for people with cancer was conducted by systematically searching research databases in March 2015, and repeated in September 2016. Searches resulted in 8531 citations, of which 140 were retrieved and scanned in full, with twenty-six studies included in the review. Analysis of data extracted from the included articles revealed five broad themes: (i) data collection and accessibility; (ii) virtual multidisciplinary teams; (iii) communication between individuals involved in the delivery of health services; (iv) communication pathways between patients and cancer care teams; and (v) health professional-led change. Use of eHealth interventions in cancer care was widespread, particularly to support interdisciplinary care. However, research has focused on development and implementation of interventions, rather than on long-term impact. Further research is warranted to explore design, evaluation, and long-term sustainability of eHealth systems and interventions in interdisciplinary cancer care. Technology evolves quickly and researchers need to provide health professionals with timely guidance on how best to respond to new technologies in the health sector.
本综述旨在确定描述电子健康如何促进跨学科癌症护理的研究,并了解在这种环境下电子健康创新的应用方式。通过系统地搜索 2015 年 3 月和 2016 年 9 月的研究数据库,对用于癌症患者跨学科护理的电子健康干预措施进行了综合综述。搜索结果产生了 8531 条引文,其中有 140 条被检索并全文扫描,有 26 项研究被纳入综述。对从纳入文章中提取的数据进行分析,揭示了五个广泛的主题:(i)数据收集和可及性;(ii)虚拟多学科团队;(iii)参与提供卫生服务的个人之间的沟通;(iv)患者和癌症护理团队之间的沟通途径;以及(v)卫生专业人员主导的变革。电子健康干预措施在癌症护理中的应用非常广泛,特别是用于支持跨学科护理。然而,研究主要集中在干预措施的开发和实施上,而不是长期影响。有必要进行进一步的研究,以探讨电子健康系统和干预措施在跨学科癌症护理中的设计、评估和长期可持续性。技术发展迅速,研究人员需要为卫生专业人员提供有关如何最好地应对卫生部门新技术的及时指导。