摘要
目的系统评价全科医生对社区应用移动健康服务的观点。方法于2016年3月,计算机系统检索Pub Med(1978—2016年)、EMbase(Ovid)(1980—2016年)、Medline(Ovid)(1996—2016年)、Psycl NFO(Ovid)(1980—2016年)、Cochrane Library、中国知网(CNKI,1980—2016年)、万方数据知识服务平台(1980—2016年)、中国生物医学文献数据库(CBM,1980—2016年)中与全科医生对社区应用移动健康服务观点有关的文献。采用关键词组合查询的方式进行检索,同时手工检索纳入文献的参考文献。采用EPPI-Reviewer 3.0软件,通过主题合成(thematic synthesis)的方法进行定性资料的统计分析。结果最终纳入合格文献7篇,均为定性研究,受访的社区全科医生共计335例。生成分析性主题3项,均包含机会和挑战两方面:(1)社区移动健康服务技术,机会包括易复制、易应用于更广泛的医学领域、可实现部分远程医疗,挑战包括系统登录费时、涵盖项目不全面、安全性不足;(2)专业医疗供应,机会包括可促进医患及医务人员之间的沟通、改善病历质量,挑战包括对患者治疗依从性的监测不足、患者隐私保护不足等;(3)管理政策,机会包括可提高工作效率、降低成本,挑战包括医疗负担加重、培训不到位、医护人员失业等。结论全科医生认为社区应用移动健康服务可促进医患和医护人员间的有效沟通、提供工作效率、节约成本,但随之带来的隐私保护不足、人员失业等工作安全性问题有待进一步解决。
Objective To systematically review qualitative studies of general practitioners' attitudes towards mobile health( m-Health) in primary health care.Methods Using EPPI-Reviewer 3.0 software,the statistical analysis of qualitative data was carried out by thematic synthesis.We systematically conducted electronic search from Pub Med( 1978—2016),EMbase( Ovid)( 1980—2016),Medline( Ovid)( 1996—2016),Psycl NFO( Ovid)( 1980—2016),Cochrane Library,CNKI( 1980—2016),Wan Fang Data( 1980—2016) and CBM( 1980—2016) with the search method of keywords combination.We also manually searched articles included in the references of relevant data.Results Seven studies involving 335 general practitioners were finally identified and all of them are qualitative studies.Three analytical themes were generated with opportunities and challenges,including community mobile health service,professional medical supplies and management policies.Community mobile health service was easy to copy and apply to a wider range of medical fields achieving the telemedicine to some extent,but it took a long time to login the system that contains part of medical field without security.Professional medical supplies improved the quality of medical records and the relationship between patients and the medical team,but it was hard to monitor treatment compliance of patients and protect their privacy.Management policies improved work efficiency and reduced costs but it also increased medical burden with the lack of medical training for medical staff and the unemployment.Conclusion For the part of general practitioners,using m-health can save costs and improve efficiency with problems like privacy protection and unemployment.
出处
《中国全科医学》
CAS
北大核心
2017年第22期2710-2714,共5页
Chinese General Practice
基金
北京市社会科学基金项目(16GLC072)
首都医科大学科研基金(社科类)(2016SK06)
关键词
移动健康
社区卫生服务
全科医生
态度
系统评价
Mobile health
Community health services
General practitioners
Attitude
Systematic review