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将移动健康应用程序数据整合到电子医疗或健康记录系统及其对医疗服务提供和患者健康结局的影响:范围综述

Integrating Mobile Health App Data Into Electronic Medical or Health Record Systems and Its Impact on Health Care Delivery and Patient Health Outcomes: Scoping Review.

作者信息

Lin Jialing, Bates Shona Marie, Allen Luke N, Wright Michael, Mao Limin, Kidd Michael

机构信息

International Centre for Future Health Systems, University of New South Wales, Level 2, AGSM Building, UNSW Sydney, Kensington, 2052, Australia, 61 02 9348 1394, 61 02 9348 1394.

School of Population Health, Faculty of Medicine and Health, University of New South Wales (Sydney), Kensington, Australia.

出版信息

JMIR Mhealth Uhealth. 2025 Jun 23;13:e66650. doi: 10.2196/66650.


DOI:10.2196/66650
PMID:40549960
Abstract

BACKGROUND: Mobile health (mHealth) apps are increasingly being used to capture patient health data, provide information, and guide self-management, with reported improvements in health care service delivery and outcomes. However, the impact of integrating mHealth app data into electronic medical record or electronic health record (EMR/EHR) systems remains underexplored. OBJECTIVE: This study aims to identify what is known about the impact of integrating mHealth app data into EMR/EHR systems on health care delivery and patient outcomes. METHODS: A scoping review was conducted to identify original studies that investigated the integration of patient-facing mHealth app data into EMR/EHR systems and the impact on health care outcomes. The PubMed, Embase, Web of Science, Cochrane Library, CINAHL, ProQuest, and PsycINFO databases were searched for papers published between January 2014 and July 2024. Two authors independently screened and extracted data on study characteristics, mHealth app features, details of integration with EMR/EHR systems, and effects on health care delivery and patient outcomes. RESULTS: Nineteen studies with 113,135 participants were included. Among these, 6 were randomized clinical trial studies, 8 were conducted in the United States, 12 occurred in hospital settings, 15 involved adult participants, and 6 targeted diabetes management. Main features of the apps and EMR/EHR systems can be categorized into tracking or recording health data (n=19), app data integrated into EMR/EHR systems (n=19), app data summarized or presented on EMR/EHR interface (n=19), communication with the health care team (n=12), reminders or alerts (n=10), synchronization with other apps or devices (n=8), educational information (n=4), and using existing portal credentials to app access (n=2). Most studies reported benefits of integrating the app and EMR/EHR, such as enhanced patient education and self-management (n=5), real-time data recorded and shared with clinicians (n=4), support for clinical decision-making (n=3), improved communication between patients and clinicians (n=7), and improved patient outcomes (n=13). Challenges identified included high drop-off rates in app usage (n=3), limited accessibility due to device restrictions (n=3), incompatibility between mHealth apps and EMR/EHR systems (n=3), increased clinical workload in response to additional information (n=3), data accuracy issues due to network connectivity (n=1), and data security concerns (n=1). CONCLUSIONS: Evidence suggests that the effective integration of mHealth app data into EMR/EHR systems can enhance both clinicians' health care delivery and patients' health outcomes. However, current literature is limited, and future opportunities remain to examine the impact on long-term outcomes, such as mortality, readmissions, and costs, and assess the scalability and sustainability of integration among more broader health conditions and disabilities across diverse health care settings.

摘要

背景:移动健康(mHealth)应用程序越来越多地用于收集患者健康数据、提供信息和指导自我管理,据报道,这改善了医疗服务的提供和结果。然而,将mHealth应用程序数据集成到电子病历或电子健康记录(EMR/EHR)系统中的影响仍未得到充分探索。 目的:本研究旨在确定将mHealth应用程序数据集成到EMR/EHR系统中对医疗服务提供和患者结果的影响的已知情况。 方法:进行了一项范围综述,以确定调查面向患者的mHealth应用程序数据集成到EMR/EHR系统中及其对医疗结果影响的原始研究。搜索了PubMed、Embase、科学网、考科蓝图书馆、CINAHL、ProQuest和PsycINFO数据库,查找2014年1月至2024年7月期间发表的论文。两位作者独立筛选并提取了关于研究特征、mHealth应用程序功能、与EMR/EHR系统集成的细节以及对医疗服务提供和患者结果影响的数据。 结果:纳入了19项研究,共113135名参与者。其中,6项为随机临床试验研究,8项在美国进行,12项在医院环境中进行,15项涉及成年参与者,6项针对糖尿病管理。应用程序和EMR/EHR系统的主要功能可分为跟踪或记录健康数据(n = 19)、应用程序数据集成到EMR/EHR系统中(n = 19)、应用程序数据在EMR/EHR界面上汇总或呈现(n = 19)、与医疗团队沟通(n = 12)、提醒或警报(n = 10)、与其他应用程序或设备同步(n = 8)、教育信息(n = 4)以及使用现有门户凭证访问应用程序(n = 2)。大多数研究报告了集成应用程序和EMR/EHR的好处,如加强患者教育和自我管理(n = 5)、实时记录数据并与临床医生共享(n = 4)、支持临床决策(n = 3)、改善患者与临床医生之间的沟通(n = 7)以及改善患者结果(n = 13)。确定的挑战包括应用程序使用中的高退出率(n = 3)、由于设备限制导致的可及性有限(n = 3)、mHealth应用程序与EMR/EHR系统不兼容(n = 3)、因额外信息导致的临床工作量增加(n = 3)、由于网络连接导致的数据准确性问题(n = 1)以及数据安全问题(n = 1)。 结论:证据表明,将mHealth应用程序数据有效集成到EMR/EHR系统中可以增强临床医生的医疗服务提供和患者的健康结果。然而,目前的文献有限,未来仍有机会研究对长期结果的影响,如死亡率、再入院率和成本,并评估在更广泛的健康状况和残疾范围内,跨不同医疗环境的集成的可扩展性和可持续性。

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[3]
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[4]
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NPJ Digit Med. 2023-4-13

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Use of mobile app to monitoring growth outcome of children: A systematic literature review.

Digit Health. 2022-11-13

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The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature.

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[7]
Online Mindfulness-Based Logotherapy Program: A Pilot Study Targeting Depressive Symptoms of Cyberbullied Adolescents During the Covid-19 Pandemic.

J Technol Behav Sci. 2023

[8]
Development and acceptability of a mobile health application integrated with the electronic heath record for treatment of chronic insomnia disorder.

J Clin Sleep Med. 2022-12-1

[9]
Efficacy of Personalized Diabetes Self-care Using an Electronic Medical Record-Integrated Mobile App in Patients With Type 2 Diabetes: 6-Month Randomized Controlled Trial.

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[10]
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