PDF(Pubmed)
Abstract：
BACKGROUND: Population aging is forcing the transformation of health care. Long-term care in the home is complex and involves complex communication with primary care services. In this scenario, the expansion of digital health has the potential to improve access to home-based primary care; however, the use of technologies can increase inequalities in access to health for an important part of the population. The aim of this study was to identify and map the uses and types of digital health interventions and their impacts on the quality of home-based primary care for older adults.
METHODS: This is a broad and systematized scoping review with rigorous synthesis of knowledge directed by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The quantitative data were analyzed through descriptive statistics, and the qualitative data were analyzed through basic qualitative content analysis, considering the organizational, relational, interpersonal and technical dimensions of care. The preliminary results were subjected to consultation with stakeholders to identify strengths and limitations, as well as potential forms of socialization.
RESULTS: The mapping showed the distribution of publications in 18 countries and in the Sub-Saharan Africa region. Older adults have benefited from the use of different digital health strategies; however, this review also addresses limitations and challenges, such as the need for digital literacy and technological infrastructure. In addition to the impacts of technologies on the quality of health care.
CONCLUSIONS: The review gathered priority themes for the equitable implementation of digital health, such as access to home caregivers and digital tools, importance of digital literacy and involvement of patients and their caregivers in health decisions and design of technologies, which must be prioritized to overcome limitations and challenges, focusing on improving quality of life, shorter hospitalization time and autonomy of older adults.
METHODS: This is a broad and systematized scoping review with rigorous synthesis of knowledge directed by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The quantitative data were analyzed through descriptive statistics, and the qualitative data were analyzed through basic qualitative content analysis, considering the organizational, relational, interpersonal and technical dimensions of care. The preliminary results were subjected to consultation with stakeholders to identify strengths and limitations, as well as potential forms of socialization.
RESULTS: The mapping showed the distribution of publications in 18 countries and in the Sub-Saharan Africa region. Older adults have benefited from the use of different digital health strategies; however, this review also addresses limitations and challenges, such as the need for digital literacy and technological infrastructure. In addition to the impacts of technologies on the quality of health care.
CONCLUSIONS: The review gathered priority themes for the equitable implementation of digital health, such as access to home caregivers and digital tools, importance of digital literacy and involvement of patients and their caregivers in health decisions and design of technologies, which must be prioritized to overcome limitations and challenges, focusing on improving quality of life, shorter hospitalization time and autonomy of older adults.
摘要：
背景：人口老龄化正在迫使医疗保健转型。家庭长期护理是复杂的，涉及与初级保健服务的复杂沟通。在这种情况下，数字医疗的扩展有可能改善家庭初级保健的机会；然而，技术的使用会增加人口中重要部分在获得健康方面的不平等。这项研究的目的是确定和绘制数字健康干预措施的用途和类型及其对老年人家庭初级保健质量的影响。
方法：这是一个广泛而系统化的范围审查，根据系统审查的首选报告项目和范围审查的荟萃分析扩展指南（PRISMA-ScR）指导的知识进行了严格的综合。通过描述性统计分析定量数据，并通过基本定性内容分析对定性数据进行分析，考虑到组织，关系,护理的人际和技术层面。初步结果经与利益相关者协商，以确定优势和局限性，以及潜在的社会化形式。
结果：绘图显示了18个国家和撒哈拉以南非洲地区的出版物分布情况。老年人受益于使用不同的数字健康策略；然而，这次审查还讨论了局限性和挑战，例如对数字素养和技术基础设施的需求。除了技术对医疗保健质量的影响。
结论：审查收集了公平实施数字卫生的优先主题，例如家庭护理人员和数字工具的访问，数字素养以及患者及其护理人员参与健康决策和技术设计的重要性，必须优先考虑克服限制和挑战，专注于提高生活质量，更短的住院时间和老年人的自主权。
方法：这是一个广泛而系统化的范围审查，根据系统审查的首选报告项目和范围审查的荟萃分析扩展指南（PRISMA-ScR）指导的知识进行了严格的综合。通过描述性统计分析定量数据，并通过基本定性内容分析对定性数据进行分析，考虑到组织，关系,护理的人际和技术层面。初步结果经与利益相关者协商，以确定优势和局限性，以及潜在的社会化形式。
结果：绘图显示了18个国家和撒哈拉以南非洲地区的出版物分布情况。老年人受益于使用不同的数字健康策略；然而，这次审查还讨论了局限性和挑战，例如对数字素养和技术基础设施的需求。除了技术对医疗保健质量的影响。
结论：审查收集了公平实施数字卫生的优先主题，例如家庭护理人员和数字工具的访问，数字素养以及患者及其护理人员参与健康决策和技术设计的重要性，必须优先考虑克服限制和挑战，专注于提高生活质量，更短的住院时间和老年人的自主权。
