Gorini Alessandra, Mazzocco Ketti, Triberti Stefano, Sebri Valeria, Savioni Lucrezia, Pravettoni Gabriella
Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, Istituto Europeo di Oncologia, Milan, Italy.
Front Psychol. 2018 Oct 31;9:2066. doi: 10.3389/fpsyg.2018.02066. eCollection 2018.
In recent years, technology has been developed as an important resource for health care management, especially in regard to chronic conditions. In the broad field of eHealth, mobile technology (mHealth) is increasingly used to empower patients not only in disease management but also in the achievement of positive experiences and experiential growth. mHealth tools are considered powerful because, unlike more traditional Internet-based tools, they allow patients to be continuously monitored and followed by their own mobile devices and to have continual access to resources (e.g., mobile apps or functions) supporting health care management activities. However, the literature has shown that, in many cases, such technology not accepted and/or adopted in the long term by its users. To address this issue, this article reviews the main factors influencing mHealth technology acceptance/adoption in health care. Finally, based on the main aspects emerging from the review, we propose an innovative approach to mHealth design and implementation, namely P5 mHealth. Relying on the P5 approach to medicine and health care, this approach provides design suggestions to address mHealth adoption issues already at the initial stages of development of the technologies.
近年来，技术已发展成为医疗保健管理的一项重要资源，尤其是在慢性病管理方面。在电子健康这一广泛领域，移动技术（mHealth）越来越多地被用于增强患者的能力，不仅体现在疾病管理方面，还体现在实现积极体验和体验式成长方面。移动健康工具被认为功能强大，因为与更传统的基于互联网的工具不同，它们允许患者通过自己的移动设备接受持续监测和跟踪，并能持续获取支持医疗保健管理活动的资源（如移动应用程序或功能）。然而，文献表明，在许多情况下，此类技术并未被用户长期接受和/或采用。为解决这一问题，本文回顾了影响移动健康技术在医疗保健领域被接受/采用的主要因素。最后，基于综述中出现的主要方面，我们提出了一种创新的移动健康设计与实施方法，即P5移动健康。该方法依托于P5医学与医疗保健方法，在技术开发的初始阶段就提供设计建议，以解决移动健康采用问题。
