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多发性硬化症中的电子健康干预:从理论到实践

Electronic Health Interventions in the Case of Multiple Sclerosis: From Theory to Practice.

作者信息

Scholz Maria, Haase Rocco, Schriefer Dirk, Voigt Isabel, Ziemssen Tjalf

机构信息

Center of Clinical Neuroscience, Department of Neurology, University Hospital Carl-Gustav Carus, Dresden University of Technology, 01307 Dresden, Germany.

出版信息

Brain Sci. 2021 Feb 2;11(2):180. doi: 10.3390/brainsci11020180.

Abstract

(1) Background: eHealth interventions play a growing role in shaping the future healthcare system. The integration of eHealth interventions can enhance the efficiency and quality of patient management and optimize the course of treatment for chronically ill patients. In this integrative review, we discuss different types of interventions, standards and advantages of quality eHealth approaches especially for people with multiple sclerosis (pwMS). (2) Methods: The electronic databases PubMed, Cochrane and Web of Science were searched to identify potential articles for eHealth interventions in pwMS; based on 62 articles, we consider different ways of implementing health information technology with various designs. (3) Results: There already exist some eHealth interventions for single users with a single-use case, interventions with a social setting, as well as eHealth interventions that integrate various single and social interventions and even those that may be used additionally for complex use cases. A key determinant of consumer acceptance is a high-quality user-centric design for healthcare practitioners and pwMS. In pwMS, the different neurological disabilities should be considered, and particular attention must be paid to the course of the treatment and the safety processes of each treatment option. (4) Conclusion: Depending on the field of application and the respective users, interventions are designed for single, social, integrated or complex use. In order to be accepted by their target group, interventions must be beneficial and easy to use.

摘要

(1) 背景:电子健康干预在塑造未来医疗保健系统中发挥着越来越重要的作用。电子健康干预的整合可以提高患者管理的效率和质量,并优化慢性病患者的治疗过程。在这篇综合综述中,我们讨论了不同类型的干预措施、优质电子健康方法的标准和优势,特别是针对多发性硬化症患者(pwMS)的情况。(2) 方法:检索电子数据库PubMed、Cochrane和Web of Science,以确定有关pwMS电子健康干预的潜在文章;基于62篇文章,我们考虑了采用各种设计实施健康信息技术的不同方式。(3) 结果:已经存在一些针对单一用户单一用例的电子健康干预措施、具有社交环境的干预措施,以及整合了各种单一和社交干预措施的电子健康干预措施,甚至还有可额外用于复杂用例的干预措施。消费者接受度的一个关键决定因素是以医疗从业者和pwMS为中心的高质量用户设计。对于pwMS患者,应考虑不同的神经功能障碍,并且必须特别关注每种治疗方案的治疗过程和安全流程。(4) 结论:根据应用领域和各自的用户,干预措施设计用于单一、社交、综合或复杂用途。为了被目标群体接受,干预措施必须有益且易于使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baf2/7913051/a2b2c56aef69/brainsci-11-00180-g001.jpg

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