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社会、组织和技术因素对临床医生采用移动医疗工具的影响:系统文献回顾。

Social, Organizational, and Technological Factors Impacting Clinicians' Adoption of Mobile Health Tools: Systematic Literature Review.

机构信息

Anglia Ruskin University, Cambridge, United Kingdom.

University of Applied Sciences Northwestern Switzerland, Brugg, Switzerland.

出版信息

JMIR Mhealth Uhealth. 2020 Feb 20;8(2):e15935. doi: 10.2196/15935.


DOI:10.2196/15935
PMID:32130167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7059085/
Abstract

BACKGROUND: There is a growing body of evidence highlighting the potential of mobile health (mHealth) in reducing health care costs, enhancing access, and improving the quality of patient care. However, user acceptance and adoption are key prerequisites to harness this potential; hence, a deeper understanding of the factors impacting this adoption is crucial for its success. OBJECTIVE: The aim of this review was to systematically explore relevant published literature to synthesize the current understanding of the factors impacting clinicians' adoption of mHealth tools, not only from a technological perspective but also from social and organizational perspectives. METHODS: A structured search was carried out of MEDLINE, PubMed, the Cochrane Library, and the SAGE database for studies published between January 2008 and July 2018 in the English language, yielding 4993 results, of which 171 met the inclusion criteria. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines and the Cochrane handbook were followed to ensure a systematic process. RESULTS: The technological factors impacting clinicians' adoption of mHealth tools were categorized into eight key themes: usefulness, ease of use, design, compatibility, technical issues, content, personalization, and convenience, which were in turn divided into 14 subthemes altogether. Social and organizational factors were much more prevalent and were categorized into eight key themes: workflow related, patient related, policy and regulations, culture or attitude or social influence, monetary factors, evidence base, awareness, and user engagement. These were divided into 41 subthemes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them. CONCLUSIONS: The study results can help inform mHealth providers and policymakers regarding the key factors impacting mHealth adoption, guiding them into making educated decisions to foster this adoption and harness the potential benefits.

摘要

背景:越来越多的证据表明,移动医疗(mHealth)在降低医疗成本、增强可及性和提高患者护理质量方面具有潜力。然而,用户接受度和采用度是发挥这种潜力的关键前提条件;因此,深入了解影响这种采用度的因素对于其成功至关重要。

目的:本综述的目的是系统地探讨相关的已发表文献,综合目前对影响临床医生采用 mHealth 工具的因素的理解,不仅从技术角度,而且从社会和组织角度进行综合。

方法:对 MEDLINE、PubMed、Cochrane 图书馆和 SAGE 数据库进行了结构化检索,检索时间为 2008 年 1 月至 2018 年 7 月期间发表的英文文献,共得到 4993 个结果,其中 171 个符合纳入标准。遵循系统评价和荟萃分析报告的首选项目和 Cochrane 手册,以确保系统的过程。

结果:影响临床医生采用 mHealth 工具的技术因素分为 8 个关键主题:有用性、易用性、设计、兼容性、技术问题、内容、个性化和便利性,这些主题又进一步分为 14 个子主题。社会和组织因素更为普遍,分为 8 个关键主题:与工作流程相关、与患者相关、政策和法规、文化或态度或社会影响、货币因素、证据基础、意识和用户参与度。这些主题又进一步分为 41 个子主题,突出了在解决 mHealth 采用的潜在障碍以及如何克服这些障碍时考虑这些因素的重要性。

结论:研究结果可以帮助 mHealth 提供者和政策制定者了解影响 mHealth 采用的关键因素,引导他们做出明智的决策,促进这种采用并发挥其潜在的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/94a0cafc311c/mhealth_v8i2e15935_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/bc1ad6c4908e/mhealth_v8i2e15935_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/1be1c8de77d0/mhealth_v8i2e15935_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/6d30bdd142ec/mhealth_v8i2e15935_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/1e2c3fe569ec/mhealth_v8i2e15935_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/94a0cafc311c/mhealth_v8i2e15935_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/bc1ad6c4908e/mhealth_v8i2e15935_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/1be1c8de77d0/mhealth_v8i2e15935_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/6d30bdd142ec/mhealth_v8i2e15935_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/1e2c3fe569ec/mhealth_v8i2e15935_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c63b/7059085/94a0cafc311c/mhealth_v8i2e15935_fig5.jpg

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本文引用的文献

[1]
Clinicians' Role in the Adoption of an Oncology Decision Support App in Europe and Its Implications for Organizational Practices: Qualitative Case Study.

JMIR Mhealth Uhealth. 2019-5-3

[2]
Pharmacist Perception of a Mobile Application Audience Response System for Remote Pharmacy Continuing Education Participants.

J Pharm Pract. 2020-4

[3]
Smartphones and mobile applications (apps) in clinical nursing education: A student perspective.

Nurse Educ Today. 2018-8-1

[4]
An empirical study of opinion leader effects on mobile technology implementation by physicians in an American community health system.

Health Informatics J. 2016-12-21

[5]
A Systematic Review of Nurses' Perspectives Toward the Telemedicine Intensive Care Unit: A Basis for Supporting Its Future Implementation in China?

Telemed J E Health. 2019-5

[6]
Using telemonitoring to support personal care planning for adults with learning disabilities.

J Telemed Telecare. 2018-7-17

[7]
Iranian healthcare professionals' perspectives about factors influencing the use of telemedicine in diabetes management.

World J Diabetes. 2018-6-15

[8]
Effects of the Digital Transformation: Qualitative Study on the Disturbances and Limitations of Using Video Visits in Outpatient Care.

J Med Internet Res. 2018-6-27

[9]
Challenges and opportunities in evaluating a digital sexual health intervention in a clinic setting: Staff and patient views.

Digit Health. 2017-4-11

[10]
Expectancy, usage and acceptance by general practitioners and patients: exploratory results from a study in the German outpatient sector.

Digit Health. 2017-2-1

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