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儿科医疗保健信息与通信技术的最新趋势:一项系统综述。

Recent trends of healthcare information and communication technologies in pediatrics: a systematic review.

作者信息

Jung Se Young, Lee Keehyuck, Hwang Hee

机构信息

Office of eHealth Research and Business, Seoul National University Bundang Hospital, Seongnam, Korea.

Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

Clin Exp Pediatr. 2022 Jun;65(6):291-299. doi: 10.3345/cep.2020.01333. Epub 2021 Dec 15.

Abstract

As information communication technology (ICT) has advanced, the healthcare industry has embraced it to reduce medical costs, improve health outcomes, and increase patient satisfaction. Healthcare ICT revolutionizes pediatric healthcare. This study aimed to categorize and synthesize findings from the literature regarding the application of ICT in pediatric patients. This systematic review is based on a comprehensive search of Embase, MEDLINE, and Google Scholar. Study selection and coding were performed independently by 2 researchers, followed by narrative categorization. To reflect current trends in ICT for pediatrics, we adopted the Hype cycle technology classification developed by the advisory and information technology firm, Gartner, and the classification of digital health interventions by the World Health Organization. This study included a total of 135 studies. The analysis revealed 7 main types of ICT for pediatrics: (1) telehealth (39 papers), (2) precision medicine (2 papers), (3) automated decision support systems (17 papers), (4) electronic health records (7 papers), (5) patient portals (7 papers), (6) artificial intelligence (AI) (39 papers), and (7) mobile and wearable technologies (20 papers). In particular, we consistently found references to ICT for pediatrics as well as changing and improving healthcare for children. Further studies are required to determine how we can improve ICT productivity for pediatrics, particularly through AI. This study's results will help healthcare delivery organizations and technology companies consider the future direction of pediatric healthcare.

摘要

随着信息通信技术(ICT)的发展,医疗行业已采用该技术来降低医疗成本、改善健康状况并提高患者满意度。医疗ICT彻底改变了儿科医疗。本研究旨在对有关ICT在儿科患者中的应用的文献研究结果进行分类和综合。这项系统评价基于对Embase、MEDLINE和谷歌学术的全面检索。研究选择和编码由两名研究人员独立进行,随后进行叙述性分类。为了反映儿科ICT的当前趋势,我们采用了咨询和信息技术公司高德纳开发的技术成熟度曲线技术分类以及世界卫生组织的数字健康干预分类。本研究共纳入135项研究。分析揭示了儿科ICT的7种主要类型:(1)远程医疗(39篇论文),(2)精准医学(2篇论文),(3)自动化决策支持系统(17篇论文),(4)电子健康记录(7篇论文),(5)患者门户(7篇论文),(6)人工智能(AI)(39篇论文),以及(7)移动和可穿戴技术(20篇论文)。特别是,我们一直发现有关儿科ICT以及改变和改善儿童医疗保健的参考文献。需要进一步研究以确定如何提高儿科ICT的生产力,特别是通过人工智能。本研究的结果将有助于医疗服务机构和科技公司考虑儿科医疗保健的未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc2/9171461/ea0d8f879019/cep-2020-01333f1.jpg

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