Mastronardo C, Muddle L S, Grace S, Engel R M, Fazalbhoy A
School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, 3000, Australia.
School of Health and Human Sciences, Southern Cross University, Lismore, NSW, 2480, Australia.
Int J Osteopath Med. 2021 Sep;41:37-44. doi: 10.1016/j.ijosm.2021.05.002. Epub 2021 May 17.
Digital health technologies are poised to revolutionise the healthcare industry by improving accessibility to services and patient outcomes. The novel coronavirus disease-19 (COVID-19) pandemic has presented unprecedented challenges for the delivery of allied healthcare and has catalysed rapid adoption of telehealth. As such, allied healthcare consumers and providers stand to benefit from the capabilities of the digital health movement, ultimately justifying a scoping review of current and emerging technologies.
To provide decision makers with up-to-date information on the allied health applications of new and emerging digital health technologies; their evidence of efficacy, scope of use, and limitations.
A scoping review of the literature was conducted, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. To synthesise original research, MEDLINE, CINAHL, and EMBASE databases were searched from 2010 to June 2020 and reference lists were examined for randomised control trials analysing the efficacy of these technologies in allied health applications.
A total of 14 articles were included with a focus on common musculoskeletal conditions managed by allied health service providers. Studies were selected for data extraction after abstract and full-text screening by three independent reviewers. The results of this review indicate that telehealth technology effectively monitors and progresses patient care, while mobile health applications provide remote support and enable data collection.
Emerging trends suggest that digital technologies serve as promising adjuncts to allied healthcare. Further research is warranted regarding the safety and efficacy of digital health technologies in this context.
数字健康技术有望通过改善服务可及性和患者治疗效果，给医疗行业带来变革。新型冠状病毒病（COVID-19）大流行给联合医疗服务的提供带来了前所未有的挑战，并促使远程医疗迅速得到采用。因此，联合医疗的消费者和提供者有望从数字健康运动的能力中受益，最终证明对当前和新兴技术进行范围综述是合理的。
为决策者提供有关新兴数字健康技术在联合医疗中的应用、其疗效证据、使用范围和局限性的最新信息。
在系统评价与Meta分析扩展版的首选报告项目的指导下，对文献进行范围综述。为了综合原始研究，检索了2010年至2020年6月的MEDLINE、CINAHL和EMBASE数据库，并查阅了参考文献列表，以寻找分析这些技术在联合医疗应用中疗效的随机对照试验。
共纳入14篇文章，重点关注联合医疗服务提供者管理的常见肌肉骨骼疾病。在由三名独立评审员进行摘要和全文筛选后，选择研究进行数据提取。本综述结果表明，远程医疗技术有效地监测并推进患者护理，而移动健康应用程序提供远程支持并实现数据收集。
新出现的趋势表明，数字技术有望成为联合医疗的辅助手段。在这种情况下，关于数字健康技术的安全性和有效性，有必要开展进一步研究。
