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面向家长的发热应用程序:德国儿科发热管理的多语言且具有社会责任感的方法。

FeverApp for Parents: A Multilingual and Socially Accountable Approach to Paediatric Fever Management in Germany.

作者信息

Beerenbrock Yvonne, Jenetzky Ekkehart, Martin David D

机构信息

Chair of Medical Theory, University of Witten/Herdecke, Germany.

Institute for Medical Biometry, Epidemiology and Informatics (IMBEI), Johannes Gutenberg University Mainz, Mainz, Germany.

出版信息

J CME. 2024 May 15;13(1):2352940. doi: 10.1080/28338073.2024.2352940. eCollection 2024.

Abstract

Policymakers and practitioners are increasingly focused on achieving health equity and meeting the specific health needs of diverse populations, including vulnerable groups such as children. To address these challenges, the Fever App for Parents has emerged as a solution to guide parents through the complexities of managing fever in their children by improving fever management in children through real-time data collection and comprehensive educational support. This systematic approach aims to reduce unnecessary medical interventions and overuse of antibiotics, thereby improving the overall quality of pediatric care and reducing parental anxiety. In Germany, almost every second child aged 0-10 is a child with migration status and/or migration experience. This means that the parents of these children also need to be targeted in fever management and informed about the correct behavior in case of fever. This information will also be monitored anonymously to provide a feedback loop on the parent's experience with the menu navigation and information design. The FeverApp provides parents with a structured, step-by-step guide to accurately track their child's temperature and medication intake to encourage adherence to established fever management protocols. This study examines how the FeverApp embodies the principles of social responsibility through its multilingualism and digital development stages that incorporate user feedback. It shows why this app can be a resource to promote health equity through social responsibility in medical education and practice for parents, but also what barriers need to be considered at different stages of app development for parents from different cultural backgrounds to enable informal medical learning through apps.

摘要

政策制定者和从业者越来越关注实现健康公平以及满足包括儿童等弱势群体在内的不同人群的特定健康需求。为应对这些挑战,“家长发烧应用程序”应运而生,通过实时数据收集和全面的教育支持来改善儿童发烧管理,从而指导家长应对管理孩子发烧的复杂情况。这种系统方法旨在减少不必要的医疗干预和抗生素的过度使用,进而提高儿科护理的整体质量并减轻家长的焦虑。在德国,几乎每两个0至10岁的儿童中就有一个具有移民身份和/或移民经历。这意味着这些孩子的父母在发烧管理方面也需要成为目标群体,并了解发烧时的正确应对方法。这些信息也将被匿名监测,以提供关于家长使用菜单导航和信息设计体验的反馈循环。“发烧应用程序”为家长提供了一个结构化的、循序渐进的指南,以准确跟踪孩子的体温和药物摄入量,鼓励家长遵守既定的发烧管理方案。本研究探讨了“发烧应用程序”如何通过其多语言特性以及纳入用户反馈的数字开发阶段体现社会责任原则。它展示了为什么这个应用程序可以成为一种资源,通过在医学教育和实践中对家长履行社会责任来促进健康公平,同时也展示了在应用程序开发的不同阶段,对于来自不同文化背景的家长而言,为了通过应用程序实现非正式医学学习需要考虑哪些障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3935/11097699/e0935425c1cc/ZJEC_A_2352940_F0001_OC.jpg

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