文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

亚太地区中低收入国家利用数字技术支持以患者为中心的护理:范围综述 对越南的启示。

Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review.

机构信息

Social Gerontology Division, National Ageing Research Institute, Parkville, Australia.

Department of Family Medicine, Hanoi Medical University, Hanoi, Vietnam.

出版信息

J Med Internet Res. 2023 Apr 5;25:e43224. doi: 10.2196/43224.


DOI:10.2196/43224
PMID:37018013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10132046/
Abstract

BACKGROUND: A rapidly aging population, a shifting disease burden and the ongoing threat of infectious disease outbreaks pose major concerns for Vietnam's health care system. Health disparities are evident in many parts of the country, especially in rural areas, and the population faces inequitable access to patient-centered health care. Vietnam must therefore explore and implement advanced solutions to the provision of patient-centered care, with a view to reducing pressures on the health care system simultaneously. The use of digital health technologies (DHTs) may be one of these solutions. OBJECTIVE: This study aimed to identify the application of DHTs to support the provision of patient-centered care in low- and middle-income countries in the Asia-Pacific region (APR) and to draw lessons for Vietnam. METHODS: A scoping review was undertaken. Systematic searches of 7 databases were conducted in January 2022 to identify publications on DHTs and patient-centered care in the APR. Thematic analysis was conducted, and DHTs were classified using the National Institute for Health and Care Excellence evidence standards framework for DHTs (tiers A, B, and C). Reporting was in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. RESULTS: Of the 264 publications identified, 45 (17%) met the inclusion criteria. The majority of the DHTs were classified as tier C (15/33, 45%), followed by tier B (14/33, 42%) and tier A (4/33, 12%). At an individual level, DHTs increased accessibility of health care and health-related information, supported individuals in self-management, and led to improvements in clinical and quality-of-life outcomes. At a systems level, DHTs supported patient-centered outcomes by increasing efficiency, reducing strain on health care resources, and supporting patient-centered clinical practice. The most frequently reported enablers for the use of DHTs for patient-centered care included alignment of DHTs with users' individual needs, ease of use, availability of direct support from health care professionals, provision of technical support as well as user education and training, appropriate governance of privacy and security, and cross-sectorial collaboration. Common barriers included low user literacy and digital literacy, limited user access to DHT infrastructure, and a lack of policies and protocols to guide the implementation and use of DHTs. CONCLUSIONS: The use of DHTs is a viable option to increase equitable access to quality, patient-centered care across Vietnam and simultaneously reduce pressures on the health care system. Vietnam can take advantage of the lessons learned by other low- and middle-income countries in the APR when developing a national road map to digital health transformation. Recommendations that Vietnamese policy makers may consider include emphasizing stakeholder engagement, strengthening digital literacy, supporting the improvement of DHT infrastructure, increasing cross-sectorial collaboration, strengthening governance of cybersecurity, and leading the way in DHT uptake.

摘要

背景:人口老龄化迅速、疾病负担转移以及传染病爆发的持续威胁,对越南的医疗体系构成了重大挑战。在该国许多地区,特别是在农村地区,健康差距明显存在,而且民众获得以患者为中心的医疗服务存在不平等。因此,越南必须探索并实施以患者为中心的医疗服务的先进解决方案,同时减轻医疗系统的压力。使用数字健康技术(DHTs)可能是这些解决方案之一。

目的:本研究旨在确定亚太地区(APR)中低收入国家应用 DHTs 以支持以患者为中心的医疗服务的情况,并为越南提供经验教训。

方法:进行了范围综述。2022 年 1 月,系统地在 7 个数据库中进行了搜索,以确定 APR 中关于 DHTs 和以患者为中心的医疗服务的出版物。进行了主题分析,并使用国家卫生与保健卓越研究所(NICE)的 DHTs 证据标准框架(A、B 和 C 级)对 DHTs 进行了分类。报告符合系统评价和荟萃分析扩展的 PRISMA-ScR(首选报告项目)指南。

结果:在确定的 264 篇出版物中,有 45 篇(17%)符合纳入标准。大多数 DHTs 被归类为 C 级(15/33,45%),其次是 B 级(14/33,42%)和 A 级(4/33,12%)。在个体层面上,DHTs 增加了医疗保健和健康相关信息的可及性,支持个人自我管理,并改善了临床和生活质量结果。在系统层面上,DHTs 通过提高效率、减轻医疗资源压力以及支持以患者为中心的临床实践,支持以患者为中心的结果。使用 DHTs 进行以患者为中心的护理的最常报告的促成因素包括:DHTs 与用户个体需求的一致性、易用性、获得医疗保健专业人员的直接支持、提供技术支持以及用户教育和培训、隐私和安全的适当治理以及跨部门合作。常见的障碍包括用户读写能力和数字素养低、用户对 DHT 基础设施的访问有限,以及缺乏指导 DHTs 的实施和使用的政策和协议。

结论:在越南,使用 DHTs 是增加公平获得优质、以患者为中心的医疗服务的可行选择,同时减轻医疗系统的压力。越南可以借鉴 APR 中其他中低收入国家的经验教训,制定国家数字健康转型路线图。越南政策制定者可以考虑的建议包括:强调利益相关者的参与、加强数字素养、支持 DHT 基础设施的改善、增加跨部门合作、加强网络安全治理以及引领 DHT 的采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f0/10132046/a05013e7dfa4/jmir_v25i1e43224_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f0/10132046/a05013e7dfa4/jmir_v25i1e43224_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7f0/10132046/a05013e7dfa4/jmir_v25i1e43224_fig1.jpg

相似文献

[1]
Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping Review.

J Med Internet Res. 2023-4-5

[2]
Facilitators and Barriers to the Implementation of Digital Health Technologies in Hospital Settings in Lower- and Middle-Income Countries Since the Onset of the COVID-19 Pandemic: Scoping Review.

J Med Internet Res. 2025-3-6

[3]
Digital Health Policy and Programs for Hospital Care in Vietnam: Scoping Review.

J Med Internet Res. 2022-2-9

[4]
Status of Digital Health Technology Adoption in 5 Vietnamese Hospitals: Cross-Sectional Assessment.

JMIR Form Res. 2025-2-3

[5]
Strengths, Weaknesses, Opportunities, and Threats Analysis of the Use of Digital Health Technologies in Primary Health Care in the Sub-Saharan African Region: Qualitative Study.

J Med Internet Res. 2023-9-7

[6]
Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia.

Med J Aust. 2020-12

[7]
Digital Health Technology for Real-World Clinical Outcome Measurement Using Patient-Generated Data: Systematic Scoping Review.

J Med Internet Res. 2023-10-11

[8]
Application of the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies in Assessing Mobile-Delivered Technologies for the Self-Management of Type 2 Diabetes Mellitus: Scoping Review.

JMIR Diabetes. 2021-2-16

[9]
The future of Cochrane Neonatal.

Early Hum Dev. 2020-11

[10]
Exploring Older Adult Cancer Survivors' Digital Information Needs: Qualitative Pilot Study.

JMIR Cancer. 2025-2-27

引用本文的文献

[1]
Professionals' perspectives on the challenges of implementing digital solutions in rehabilitation settings in Rwanda.

Front Digit Health. 2025-8-14

[2]
Facilitators and barriers to online medical consultation in Iran: a qualitative study exploring the perspectives of healthcare policymakers and administrators using the CFIR framework.

BMC Health Serv Res. 2025-8-13

[3]
Digital Health and Primary Health Care Quality: A Survey Case Study.

Int J Environ Res Public Health. 2025-6-27

[4]
Patient-centered evaluation of integrated care and health equity: evidence from county medical alliances in Henan province.

Int J Equity Health. 2025-4-12

[5]
Addressing health service equity through telehealth: A systematic review of reviews.

Digit Health. 2025-4-1

[6]
The impact of electronic versus paper-based data capture on data collection logistics and on missing scores in thyroid cancer patients.

Endocrine. 2024-5

[7]
More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients.

Front Public Health. 2023

本文引用的文献

[1]
Patient-Centered Digital Health Records and Their Effects on Health Outcomes: Systematic Review.

J Med Internet Res. 2022-12-22

[2]
A systematic review of impact of person-centred interventions for serious physical illness in terms of outcomes and costs.

BMJ Open. 2022-7-13

[3]
Digital health RCT interventions for cardiovascular disease risk reduction: a systematic review and meta-analysis.

Health Technol (Berl). 2022

[4]
Study of the impact of a telemedicine service in improving pre-hospital care and referrals to a tertiary care university hospital in Nepal.

J Family Med Prim Care. 2021-12

[5]
Validation of two simple patient-centered outcome measures for virtual monitoring of patients with idiopathic inflammatory myositis.

Clin Rheumatol. 2022-3

[6]
Stakeholders' Perceptions of the Implementation of a Patient-Centric Digital Health Application for Primary Healthcare in India.

Healthc Inform Res. 2021-10

[7]
Utility and usability of an automated COVID-19 symptom monitoring system (CoSMoS) in primary care during COVID-19 pandemic: A qualitative feasibility study.

Int J Med Inform. 2021-11

[8]
Asthma self-management app for Indonesian asthmatics: A patient-centered design.

Comput Methods Programs Biomed. 2021-11

[9]
Implementation of patient-centred care: which system-level determinants matter from a decision maker's perspective? Results from a qualitative interview study across various health and social care organisations.

BMJ Open. 2021-9-6

[10]
Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review.

J Med Internet Res. 2021-8-26

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索