Abstract：
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.
METHODS: 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.
CONCLUSIONS: 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.
METHODS: 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.
CONCLUSIONS: 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.
摘要：
背景：解决初级和二级保健机构中的客户缺勤问题对于确保个人护理的连续性至关重要，家庭和社区,以及防止医疗保健系统内的资源浪费。
方法：本文是一项综合性综述，旨在确定解决初级和二级保健中客户缺勤问题的卫生技术方面的进展。在线医学文献和检索系统数据库（MEDLINE/PubMed®），咨询了在线科学电子图书馆和虚拟健康图书馆。纳入标准如下：全文，2013年至2023年出版，英文版，葡萄牙语或西班牙语。使用的描述符如下：患者，移动应用程序，卫生服务管理，缺勤和初级保健，和二级保健。包括2014年至2021年发表的11篇文章。
结果：大多数文章都是在MEDLINE/PUBMED数据库中确定的，采用随机对照试验方法(36.36%)，2019年至2021年（90.0%）以英文（63.7%）发布。应用程序有管理，辅助和/或教育目的。除了旷工控制，这些应用程序努力促进客户对卫生服务的参与，提高健康素养，解决护理的结构性障碍，比如语言障碍。
结论：需要努力确保提供者接受培训，对客户进行有关申请的教育。此外，以社区为基础的参与性研究，以确保申请的可行性。
方法：本文是一项综合性综述，旨在确定解决初级和二级保健中客户缺勤问题的卫生技术方面的进展。在线医学文献和检索系统数据库（MEDLINE/PubMed®），咨询了在线科学电子图书馆和虚拟健康图书馆。纳入标准如下：全文，2013年至2023年出版，英文版，葡萄牙语或西班牙语。使用的描述符如下：患者，移动应用程序，卫生服务管理，缺勤和初级保健，和二级保健。包括2014年至2021年发表的11篇文章。
结果：大多数文章都是在MEDLINE/PUBMED数据库中确定的，采用随机对照试验方法(36.36%)，2019年至2021年（90.0%）以英文（63.7%）发布。应用程序有管理，辅助和/或教育目的。除了旷工控制，这些应用程序努力促进客户对卫生服务的参与，提高健康素养，解决护理的结构性障碍，比如语言障碍。
结论：需要努力确保提供者接受培训，对客户进行有关申请的教育。此外，以社区为基础的参与性研究，以确保申请的可行性。
