人工智能和数字健康在改善LMIC初级卫生保健服务提供中的作用:系统综述。

IF 3.6 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
KM Saif-Ur-Rahman, Md Shariful Islam, Joan Alaboson, Oluwadara Ola, Imran Hasan, Nazmul Islam, Shristi Mainali, Tina Martina, Eva Silenga, Mubita Muyangana, Taufique Joarder
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引用次数: 0

摘要

目的:在资源匮乏的环境中,包括人工智能在内的技术可能在加强初级卫生保健服务方面发挥关键作用。这项系统综述旨在探索人工智能和数字健康在改善初级卫生保健服务提供方面的证据。方法:2023年6月,在不提供任何限制的情况下,使用综合搜索策略搜索三个电子数据库。检索到的文章使用“Rayyan”软件进行独立筛选。数据提取和质量评估由两位综述作者独立进行。对纳入的干预措施进行了叙述性综合。结果:共筛选了4596篇文章,最终收录了2013年至2021年间发表的来自21个不同国家的48篇文章。纳入研究的主要重点是非传染性疾病(n=15)、妇幼保健(n=11)、初级保健(n=8)、包括结核病、麻风病和艾滋病毒在内的传染病(n=7)以及心理健康(n=6)。纳入的研究考虑了使用人工智能的干预措施,以及数字健康,其中基于手机的干预措施尤为突出。移动健康干预措施被很好地采用和易于使用,并提高了记录保存、服务提供和患者满意度。结论:人工智能和数字技术的应用以各种方式改善了资源匮乏环境中的初级卫生保健服务提供。然而,在大多数情况下,人工智能和数字健康的应用是通过移动健康来实现的。有很大的空间进行进一步的研究,探索大规模的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Artificial intelligence and digital health in improving primary health care service delivery in LMICs: A systematic review

Artificial intelligence and digital health in improving primary health care service delivery in LMICs: A systematic review

Aim

Technology including artificial intelligence (AI) may play a key role to strengthen primary health care services in resource-poor settings. This systematic review aims to explore the evidence on the use of AI and digital health in improving primary health care service delivery.

Methods

Three electronic databases were searched using a comprehensive search strategy without providing any restriction in June 2023. Retrieved articles were screened independently using the “Rayyan” software. Data extraction and quality assessment were conducted independently by two review authors. A narrative synthesis of the included interventions was conducted.

Results

A total of 4596 articles were screened, and finally, 48 articles were included from 21 different countries published between 2013 and 2021. The main focus of the included studies was noncommunicable diseases (n = 15), maternal and child health care (n = 11), primary care (n = 8), infectious diseases including tuberculosis, leprosy, and HIV (n = 7), and mental health (n = 6). Included studies considered interventions using AI, and digital health of which mobile-phone-based interventions were prominent. m-health interventions were well adopted and easy to use and improved the record-keeping, service deliver, and patient satisfaction.

Conclusion

AI and the application of digital technologies improve primary health care service delivery in resource-poor settings in various ways. However, in most of the cases, the application of AI and digital health is implemented through m-health. There is a great scope to conduct further research exploring the interventions on a large scale.

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来源期刊
Journal of Evidence‐Based Medicine
Journal of Evidence‐Based Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
11.20
自引率
1.40%
发文量
42
期刊介绍: The Journal of Evidence-Based Medicine (EMB) is an esteemed international healthcare and medical decision-making journal, dedicated to publishing groundbreaking research outcomes in evidence-based decision-making, research, practice, and education. Serving as the official English-language journal of the Cochrane China Centre and West China Hospital of Sichuan University, we eagerly welcome editorials, commentaries, and systematic reviews encompassing various topics such as clinical trials, policy, drug and patient safety, education, and knowledge translation.
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