Erhahiemen Paul, O'Donnell Catherine A, Gallacher Katie, Nicholl Barbara I
General Practice & Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, Scotland, G12 8TB, UK.
Health Open Res. 2024 Mar 8;6:9. doi: 10.12688/healthopenres.13599.1. eCollection 2024.
Digital Health (DH) integrates digital technologies into healthcare to increase efficiency and improve patient experiences, benefiting both primary care and military healthcare systems. However, it raises concerns about the potential shift of healthcare responsibilities onto patients, creating workloads or treatment burdens that affect care, adherence, equity, and resource allocation. It is critical to assess this in the military context to enhance patient-centred care and outcomes.
To understand military personnel's experience of treatment burden of DH in primary care, to understand the barriers and facilitators of the use of DH, and to map barriers identified to the Burden of Treatment Theory (BOTT).
A systematic literature review. MEDLINE, Psych INFO, EMBASE, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Google Scholar will be searched. Two independent reviewers will screen papers using inclusion and exclusion criteria, with conflicts decided by a third reviewer. Any retrieved study that meets the inclusion and exclusion criteria will be quality appraised using the appropriate Critical Appraisal Skills Programme (CASP) checklist. The findings will be analysed using thematic synthesis and evaluated in the context of the Burden of Treatment Theory. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA) guidelines have been adhered to in the production of this protocol.
Understanding the experience of treatment burden whilst using DH in the military has the potential to influence health policy, the commissioning of services and interventions, and most importantly, improve patient experience and health outcomes. PROSPERO registration number: CRD42023494297.
数字健康（DH）将数字技术融入医疗保健，以提高效率并改善患者体验，这对初级保健和军事医疗系统都有益处。然而，它引发了人们对医疗保健责任可能向患者转移的担忧，从而产生影响医疗、依从性、公平性和资源分配的工作量或治疗负担。在军事背景下评估这一点对于加强以患者为中心的护理和改善治疗结果至关重要。
了解军事人员在初级保健中对数字健康治疗负担的体验，了解数字健康使用的障碍和促进因素，并将识别出的障碍映射到治疗负担理论（BOTT）。
系统文献综述。将检索MEDLINE、心理信息数据库、EMBASE、护理及相关健康文献累积索引（CINAHL）和谷歌学术。两名独立评审员将使用纳入和排除标准筛选论文，如有冲突由第三名评审员决定。任何符合纳入和排除标准的检索到的研究将使用适当的批判性评估技能计划（CASP）清单进行质量评估。研究结果将采用主题综合法进行分析，并在治疗负担理论的背景下进行评估。本方案的制定遵循了系统评价和Meta分析方案的首选报告项目（PRISMA）指南。
了解在军事环境中使用数字健康时的治疗负担体验有可能影响卫生政策、服务和干预措施的委托，最重要的是，改善患者体验和健康结果。PROSPERO注册号：CRD42023494297。
