解决初级和中级医疗服务中客户缺勤问题的医疗技术。

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Liandra Brasil Pires, Igor Lucas Pinheiro Lima, Thais Oliveira Santos Alves, Danillo de Menezes Araújo, Jeffersson Santos, Flávia Janólio Costacurta Pinto da Silva
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引用次数: 0

摘要

背景:解决初级和二级医疗机构中的客户缺勤问题对于确保个人、家庭和社区医疗服务的连续性以及防止医疗系统中的资源浪费至关重要:本文是一篇综合综述,旨在确定解决初级和二级医疗机构客户缺勤问题的医疗技术进展。本文参考了医学文献和检索系统在线(MEDLINE/PubMed®)、科学电子图书馆在线和虚拟健康图书馆等数据库。纳入标准如下:2013 年至 2023 年间发表的英文、葡萄牙文或西班牙文论文全文。使用的描述符如下:患者、移动应用、医疗服务管理、缺勤和初级医疗以及二级医疗。共纳入2014年至2021年发表的11篇文章:大多数文章在 MEDLINE/PUBMED 数据库中找到,采用了随机对照试验方法(36.36%),发表于 2019 年至 2021 年(90.0%),使用英语(63.7%)。这些应用具有管理、辅助和/或教育目的。除缺勤控制外,这些应用程序还努力促进客户参与医疗服务,提高健康素养,解决医疗服务的结构性障碍,如语言障碍:结论:需要努力确保医疗服务提供者接受培训,以教育客户使用这些应用程序。此外,还需要开展基于社区的参与式研究,以确保应用程序的可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health technologies for tackling client absenteeism in primary and secondary care services.

Background: Tackling client absenteeism in primary and secondary care settings is crucial to ensure the continuity of care for individuals, families and communities, as well as preventing waste of resources within healthcare systems.

Methodology: This article is an integrative review to identify advancements in health technologies that address client absenteeism in primary and secondary care. The databases Medical Literature and Retrieval System Online (MEDLINE/PubMed®), Scientific Electronic Library Online and Virtual Health Library were consulted. The inclusion criteria were as follows: full papers, published between 2013 and 2023, in English, Portuguese or Spanish. The descriptors used were the following: patients, mobile applications, health services management, absenteeism and primary care, and secondary care. Eleven articles published from 2014 to 2021 were included.

Results: Most articles were identified in the MEDLINE/PUBMED database, employed a randomized controlled trial methodology (36.36%), and were published between 2019 and 2021 (90.0%) in English (63.7%). The applications had managerial, assistive and/or educational purposes. In addition to absenteeism control, these applications strived to promote client engagement with health services, increase health literacy and tackle structural barriers to care, such as language barriers.

Conclusion: Efforts are needed to ensure that providers receive training to educate clients on the applications. Moreover, community-based participatory studies to ensure the feasibility of applications are warranted.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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