卫生保健提供者使用移动医疗应用程序干预慢性病的认知和体验：定性系统评价和荟萃综合。

Health Providers' Perceptions and Experiences of Using mHealth for Chronic Noncommunicable Diseases: Qualitative Systematic Review and Meta-Synthesis.

机构信息

Yanjing Medical College, Capital Medical University, Beijing, China.

School of Nursing, Capital Medical University, Beijing, China.

出版信息

J Med Internet Res. 2023 Sep 12;25:e45437. doi: 10.2196/45437.

DOI:10.2196/45437

PMID:37698902

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10523226/

Abstract

BACKGROUND

Mobile health (mHealth) technology has great potential for addressing the epidemic of chronic noncommunicable diseases (CNCDs) by assisting health providers (HPs) with managing these diseases. However, there is currently limited evidence regarding the acceptance of mHealth among HPs, which is a key prerequisite for harnessing this potential.

OBJECTIVE

This review aimed to investigate the perceptions and experiences of HPs regarding the barriers to and facilitators of mHealth use for CNCDs.

METHODS

A systematic search was conducted in MEDLINE (via Ovid), Embase, Web of Science, Google Scholar, and Cochrane Library (via Ovid) for studies that assessed the perceptions and experiences of HPs regarding the barriers to and facilitators of mHealth use for CNCDs. Qualitative studies and mixed methods studies involving qualitative methods published in English were included. Data synthesis and interpretation were performed using a thematic synthesis approach.

RESULTS

A total of 18,242 studies were identified, of which 24 (0.13%) met the inclusion criteria. Overall, 6 themes related to facilitators were identified, namely empowering patient self-management, increasing efficiency, improving access to care, increasing the quality of care, improving satisfaction, and improving the usability of the internet and mobile software. Furthermore, 8 themes related to barriers were identified, namely limitation due to digital literacy, personal habits, or health problems; concern about additional burden; uncertainty around the value of mHealth technology; fear of medicolegal risks; lack of comfortable design and experience; lack of resources and incentives; lack of policy guidance and regulation; and worrisome side effects resulting from the use of mHealth.

CONCLUSIONS

This study contributes to the understanding of the beneficial factors of and obstacles to mHealth adoption by HPs for CNCDs. The findings of this study may provide significant insights for health care workers and policy makers who seek ways to improve the adoption of mHealth by HPs for CNCDs.

摘要

背景

移动医疗（mHealth）技术在协助医疗保健提供者（HPs）管理这些疾病方面具有巨大潜力，可用于应对慢性非传染性疾病（CNCDs）的流行。然而，目前关于 HPs 对 mHealth 的接受程度的证据有限，这是利用这一潜力的关键前提。

目的

本综述旨在调查 HPs 对 mHealth 在 CNCDs 中的使用障碍和促进因素的看法和经验。

方法

通过 Ovid 中的 MEDLINE、Embase、Web of Science、Google Scholar 和 Cochrane Library 进行系统搜索，以确定评估 HPs 对 mHealth 在 CNCDs 中使用的障碍和促进因素的看法和经验的研究。纳入了以英文发表的定性研究和混合方法研究，其中包含定性方法。使用主题合成方法进行数据综合和解释。

结果

共确定了 18242 项研究，其中 24 项（0.13%）符合纳入标准。总体而言，确定了 6 个与促进因素相关的主题，即增强患者自我管理能力、提高效率、改善医疗保健获取、提高医疗保健质量、提高满意度和提高互联网和移动软件的可用性。此外，还确定了 8 个与障碍相关的主题，即数字素养、个人习惯或健康问题的限制、对额外负担的担忧、对 mHealth 技术价值的不确定性、对医疗法律风险的恐惧、缺乏舒适的设计和体验、缺乏资源和激励措施、缺乏政策指导和监管以及使用 mHealth 产生的令人担忧的副作用。