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用于精神健康问题患者护理协调计划的技术应用:一项系统文献综述

Use of technology for care coordination initiatives for patients with mental health issues: a systematic literature review.

作者信息

Falconer Erin, Kho David, Docherty John P

机构信息

ODH, Inc., Princeton, NJ, USA,

Otsuka America Pharmaceutical, Inc., Princeton, NJ, USA.

出版信息

Neuropsychiatr Dis Treat. 2018 Sep 13;14:2337-2349. doi: 10.2147/NDT.S172810. eCollection 2018.

Abstract

This systematic literature review investigates the use of technology for the coordination and management of mental health care with an emphasis on outcomes. Searches of MEDLINE/PubMed, Scopus, and EMBASE were conducted between January 1, 2003, and January 4, 2018, to identify articles that assessed patient outcomes associated with care coordination, evaluated technology to improve care, or discussed management of mental health care using technology. A total of 21 articles were included in a qualitative review based on the recommendations set forth by the PRISMA statement. Among the various health technologies, electronic health records were most commonly used for care coordination, with primary care being the most frequent setting. Care coordination was shown to provide easier patient access to health care providers and to improve communication between caregiver and patient, especially in cases where geographic location or distance is a challenge. Barriers to coordinated care included, but were not limited to, insufficient funding for health information technology, deficient reimbursement plans, limited access to technologies, cultural barriers, and underperforming electronic health record templates. In conclusion, many studies showed the benefit of coordinated and collaborative care through the use of technology; however, further research and development efforts are needed to continue technological innovation for advanced patient care.

摘要

本系统文献综述调查了技术在精神卫生保健协调与管理中的应用,重点关注其效果。于2003年1月1日至2018年1月4日期间检索了MEDLINE/PubMed、Scopus和EMBASE,以识别评估与护理协调相关的患者结局、评估改善护理的技术或讨论使用技术进行精神卫生保健管理的文章。根据PRISMA声明提出的建议,共21篇文章被纳入定性综述。在各种卫生技术中,电子健康记录最常用于护理协调,初级保健是最常见的场景。护理协调显示能使患者更方便地接触医疗服务提供者,并改善护理人员与患者之间的沟通,尤其是在地理位置或距离构成挑战的情况下。协调护理的障碍包括但不限于卫生信息技术资金不足、报销计划不完善、技术获取受限、文化障碍以及电子健康记录模板表现不佳。总之,许多研究表明通过使用技术进行协调和协作护理有好处;然而,需要进一步的研发努力来持续进行技术创新以实现先进的患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c86/6143125/0b56c7b6c6a8/ndt-14-2337Fig1.jpg

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