老年康复中的电子健康：一项国际共识研究。

eHealth in geriatric rehabilitation: an international consensus study.

作者信息

Kraaijkamp Jules J M, Persoon Anke, Chavannes Niels H, Achterberg Wilco P, Choukou Mohamed-Amine, Dockery Frances, Kim Hyub, Pérez Laura M, Pompeu José E, Topinkova Eva, Vassallo Mark A, Maier Andrea B, Becker Clemens, Amagasa Yoshiaki, Holstege Marije S, van Haastregt Jolanda, van Dam van Isselt Eléonore F

机构信息

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

University Network for the Care Sector Zuid-Holland, Leiden University Medical Center, Leiden, The Netherlands.

出版信息

Eur Geriatr Med. 2025 Mar 21. doi: 10.1007/s41999-025-01170-7.

DOI:10.1007/s41999-025-01170-7

PMID:40113729

Abstract

PURPOSE

Current evidence on the use of eHealth in geriatric rehabilitation is limited. This aim of this study was to achieve international consensus on three key eHealth-related topics in geriatric rehabilitation: the use, domains, and scientific evaluation of eHealth. Additionally, we developed a model that provides insight into the use of eHealth in geriatric rehabilitation.

METHODS

An international, two-round Delphi study was conducted. Two models served as a framework for the initial statement draft, with a total of 28 statements based on our systematic review results, an international survey, and expert opinion. Eligible healthcare professionals working in geriatric rehabilitation facilities were recruited across 10 countries.

RESULTS

Eighty healthcare professionals participated in round one and 47 in round two. In the first round, consensus was obtained for 20 of the 28 statements (71%). Prior to round two, four statements were revised, two statements were combined, and one statement was removed. In round two, consensus was obtained on six statements, bringing the total to 26: three related to the use of eHealth, five to the domains of eHealth, and 18 related to the scientific evaluation of eHealth.

CONCLUSION

International consensus has been reached on the use, domains, and scientific evaluation of eHealth in geriatric rehabilitation. This first step in generating reliable knowledge and understandable information will help promote a consistent approach to the development, implementation, and scientific evaluation of eHealth in geriatric rehabilitation.

摘要

目的

目前关于电子健康技术在老年康复中应用的证据有限。本研究旨在就老年康复中与电子健康技术相关的三个关键主题达成国际共识：电子健康技术的应用、领域及科学评估。此外，我们还开发了一个模型，以深入了解电子健康技术在老年康复中的应用情况。

方法

开展了一项两轮的国际德尔菲研究。两个模型作为初始声明草案的框架，基于我们的系统评价结果、一项国际调查及专家意见共形成了28条声明。在10个国家招募了在老年康复机构工作的符合条件的医疗保健专业人员。

结果

第一轮有80名医疗保健专业人员参与，第二轮有47名参与。在第一轮中，28条声明中有20条（71%）达成了共识。在第二轮之前，对4条声明进行了修订，合并了2条声明，并删除了1条声明。在第二轮中，又有6条声明达成了共识，总数达到26条：3条与电子健康技术的应用有关，5条与电子健康技术的领域有关，18条与电子健康技术的科学评估有关。