数字健康解决方案如何与支持老年人从医院过渡到家庭的角色和功能相契合：一项快速综述研究方案
How digital health solutions align with the roles and functions that support hospital to home transitions for older adults: a rapid review study protocol.
作者信息
Singh Hardeep, Armas Alana, Law Susan, Tang Terence, Steele Gray Carolyn, Cunningham Heather V, Thombs Rachel, Ellen Moriah, Sritharan Jasvinei, Nie Jason X, Plett Donna, Jarach Carlotta Micaela, Thavorn Kednapa, Nelson Michelle L A
机构信息
Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada.
Institute of Health Policy, Management & Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
出版信息
BMJ Open. 2021 Feb 25;11(2):e045596. doi: 10.1136/bmjopen-2020-045596.
INTRODUCTION
Older adults may experience challenges during the hospital to home transitions that could be mitigated by digital health solutions. However, to promote adoption in practice and realise benefits, there is a need to specify how digital health solutions contribute to hospital to home transitions, particularly pertinent in this era of social distancing. This rapid review will: (1) elucidate the various roles and functions that have been developed to support hospital to home transitions of care, (2) identify existing digital health solutions that support hospital to home transitions of care, (3) identify gaps and new opportunities where digital health solutions can support these roles and functions and (4) create recommendations that will inform the design and structure of future digital health interventions that support hospital to home transitions for older adults (eg, the pre-trial results of the Digital Bridge intervention; ClinicalTrials.gov Identifier: NCT04287192).
METHODS AND ANALYSIS
A two-phase rapid review will be conducted to meet identified aims. In phase 1, a selective literature review will be used to generate a conceptual map of the roles and functions of individuals that support hospital to home transitions for older adults. In phase 2, a search on MEDLINE, EMBASE and CINAHL will identify literature on digital health solutions that support hospital to home transitions. The ways in which digital health solutions can support the roles and functions that facilitate these transitions will then be mapped in the analysis and generation of findings.
ETHICS AND DISSEMINATION
This protocol is a review of the literature and does not involve human subjects, and therefore, does not require ethics approval. This review will permit the identification of gaps and new opportunities for digital processes and platforms that enable care transitions and can help inform the design and implementation of future digital health interventions. Review findings will be disseminated through publications and presentations to key stakeholders.
引言
老年人在从医院过渡到家庭的过程中可能会遇到挑战，数字健康解决方案或许可以缓解这些挑战。然而，为了在实践中促进其应用并实现效益，有必要明确数字健康解决方案如何助力从医院到家庭的过渡，这在社交距离时代尤为重要。本快速综述将：（1）阐明为支持从医院到家庭的护理过渡而开发的各种角色和功能；（2）识别支持从医院到家庭的护理过渡的现有数字健康解决方案；（3）识别数字健康解决方案可支持这些角色和功能的差距与新机遇；（4）提出建议，为未来支持老年人从医院到家庭过渡的数字健康干预措施的设计和架构提供参考（例如，数字桥梁干预的预试验结果；ClinicalTrials.gov标识符：NCT04287192）。
方法与分析
将进行两阶段的快速综述以实现既定目标。在第一阶段，将采用选择性文献综述来生成支持老年人从医院到家庭过渡的个人角色和功能的概念图。在第二阶段，对MEDLINE、EMBASE和CINAHL进行检索，以识别支持从医院到家庭过渡的数字健康解决方案的文献。然后，在分析和生成研究结果时，将梳理数字健康解决方案支持这些过渡的方式。
伦理与传播
本方案是一项文献综述，不涉及人类受试者，因此无需伦理批准。本综述将识别数字流程和平台在护理过渡方面的差距和新机遇，并有助于为未来数字健康干预措施的设计和实施提供参考。综述结果将通过出版物和向关键利益相关者的汇报进行传播。
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