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医疗服务提供者对面向资源匮乏、服务对象为贫困人群的社区的移动医疗应用的认知。

Provider perceptions of mHealth engagement for low-resourced, safety-net communities.

机构信息

School of Nursing and Healthcare Leadership, University of Washington Tacoma, Tacoma, Washington, USA.

Division of Chronic Disease and Injury Prevention, Philadelphia Department of Public Health, Philadelphia, PA, USA.

出版信息

Public Health Nurs. 2021 Jan;38(1):13-21. doi: 10.1111/phn.12811. Epub 2020 Sep 20.

Abstract

OBJECTIVE

Evaluate nurses' and other health care professionals' (HCPs) perceptions about implementing mobile health technology (mHealth) in clinical practice to support health care delivery for low-resourced, safety-net communities.

DESIGN

Qualitative exploratory study using data collected from focus group sessions. Respondents addressed four topics: (1) technology's role in health care delivery; (2) barriers to incorporating mHealth data in clinical practice; (3) need for mHealth Clinical Practice Guide (CPG); and (4) mHealth's potential to improve health care access for marginalized communities.

SAMPLE

Thirty HCPs providing services to community health center patients in Washington State and Washington, DC.

MEASUREMENTS

Thematic analysis of qualitative data.

RESULTS

Themes included:(1) mHealth's ability to provide customized reminders and data accuracy; (2) patients' mistrust of technology; (3) the possibility of linking community resources to address the social determinants of health;(4) mHealth's potential to improve patient-provider communication.

CONCLUSION

Health care professionals support incorporating mHealth inpatient care but suggest that an mHealth CPG would improve its potential for facilitating health care delivery in low-resourced communities.

摘要

目的

评估护士和其他医疗保健专业人员(HCPs)对在临床实践中实施移动医疗技术(mHealth)以支持为资源匮乏的安全网社区提供医疗服务的看法。

设计

使用从焦点小组会议中收集的数据进行定性探索性研究。受访者讨论了四个主题:(1)技术在医疗保健提供中的作用;(2)将 mHealth 数据纳入临床实践的障碍;(3)对 mHealth 临床实践指南(CPG)的需求;(4)mHealth 改善边缘化社区获得医疗服务的潜力。

样本

在华盛顿州和华盛顿特区的社区卫生中心为患者提供服务的 30 名 HCPs。

测量

对定性数据的主题分析。

结果

主题包括:(1)mHealth 提供定制提醒和数据准确性的能力;(2)患者对技术的不信任;(3)将社区资源联系起来以解决健康决定因素的可能性;(4)mHealth 改善患者与提供者沟通的潜力。

结论

医疗保健专业人员支持将 mHealth 纳入住院护理,但建议 mHealth CPG 将提高其在资源匮乏社区促进医疗服务的潜力。

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