consumer

消费者
  • 文章类型: Journal Article
    以套件形式向消费者销售产品使制造商和消费者都受益-前提是说明使客户能够正确安全地组装组件。某些自组装说明的可用性差是消费者抱怨的持续原因-但这只是偶尔的人体工程学研究兴趣的主题。相关研究广泛分散在文献中——几十年来——但他们的发现普遍同意是什么使一些自组装插图比其他插图更有效。这只是没有在任何正式认可的指南中得到巩固。这项研究对已发表的有关自组装说明(需要以图形方式传达大多数信息)的可用性的工作进行了全面审查,并为其演示文稿中的最佳实践提出了详细的建议。本文件中讨论的建议最佳做法的证据将反映在目前处于最后起草阶段的国际标准的出版中。
    这篇发表的关于自组装说明的有效演示技术的研究综述是为了支持一项国际标准的提议。目前正在开发中,其中包括基于广泛研究类型的高度共识的审查要求,地点和年份。
    Selling products in kit form to consumers benefits both manufacturers and consumers - provided the instructions enable the customer to assemble the components correctly and safely. Poor usability of some self-assembly instructions is a continuing cause of consumer complaints- but the subject of only occasional ergonomics research interest. Relevant studies are widely dispersed across the literature - and across decades - but their findings generally agree on what makes some self-assembly illustrations more effective than others. This has just not been consolidated in any formally recognised guidance. This study has produced a comprehensive review of published work on the usability of self-assembly instructions (which need to convey most information pictorially) and makes detailed recommendations for best practice in their presentation. The evidence for the recommended best practices discussed in this paper will be reflected in the publication of an international standard that which is currently in the final drafting stages.
    This review of published research into effective presentational techniques for self-assembly instructions was instigated to support a proposal for an international standard. That is now under development incorporating requirements based on the high degree of consensus the review found across a wide spread of types of study, locations and years.
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  • 文章类型: Journal Article
    背景:澳大利亚教育计划要求消费者对职业治疗学生学习的贡献。然而,关于消费者在实习期间如何为学生学习做出贡献的研究有限。完成了范围审查,以探索现有反馈系统的概念,让消费者在实习期间为学生的学习做出真正的贡献。
    方法:搜索了5个数据库,查找截至2023年7月的所有文章。如果所有出版物描述并调查了在实习实习期间对学生学习的真实贡献,则将其包括在内。来自论文结果和讨论部分的数据被转换为定性数据,并进行了主题分析,以发展对消费者反馈系统的概念理解。
    结果:46篇论文符合资格标准。大多数文章来自医学(30%)和护理(45%)教育。反馈系统主要用于使用各种标准化和非标准化方法来批评学生的交流和职业行为。创建了五个相互关联的主题,以解决消费者反馈系统的概念。主题是(1)为每个利益相关者创造特定的价值是至关重要的,(2)需要准备和细致入微;(3)当系统支持所有利益相关者时,消费者确实参与并提供关键反馈;(4)收集方法需要响应实践和学习的多样性;(5)与值得信赖的导师一起处理反馈对学习至关重要。
    结论:消费者,学者,实践教育工作者,学生们认识到,消费者在实习实习期间对学生的学习有重要的贡献。未来的消费者反馈系统需要共同制作,为消费者创造一种最佳模式,以建设性和安全的方式为学生学习做出真正的贡献。
    一位消费者顾问是大型研究项目的顾问小组成员,本次审查是该项目的一部分,并在项目的所有阶段向研究团队提供建议。
    结论:在澳大利亚,职业治疗培训计划需要消费者的投入来帮助学生学习。然而,关于消费者如何在职业治疗学生的实践培训中帮助他们的研究并不多。我们做了一个审查,看看现有的反馈系统如何让消费者在培训期间真正帮助学生。截至2023年7月,我们搜索了五个数据库进行研究。我们包括有关消费者如何帮助所有健康学生在实践培训中学习的研究。我们找到了46篇文章,主要来自医学和护理教育。我们对它们进行了分析,以了解消费者反馈系统的工作原理,并发现了五个主要主题:(1)确保每个参与其中的人都从中获得价值,(2)做好准备很重要,(3)当系统支持每个参与者时,消费者给出有用的反馈,(4)需要不同的方法,因为实践和学习各不相同,(5)与其他人讨论反馈有助于学生学习。当前的反馈系统主要集中在学生如何沟通和专业行为。消费者,教育工作者,学生都同意消费者在帮助学生在实践培训中学习方面起着至关重要的作用。在未来,我们需要共同努力,建立反馈系统,让消费者以最好的方式帮助学生,确保它对每个人都是建设性和安全的。
    BACKGROUND: Consumer contribution to occupational therapy student learning is mandated for Australian educational programs. However, there is limited research about how consumers contribute to student learning during practice placements. A scoping review was completed to explore the concepts of existing feedback systems for consumers to authentically contribute to student learning during practice placements.
    METHODS: Five databases were searched for all articles up to and including July 2023. All publications were included if they described and investigated authentic contribution to student learning during a practice placement experience. Data from the results and discussion sections of the papers were transformed into qualitative data and thematically analysed to develop a conceptual understanding of consumer feedback systems.
    RESULTS: Forty-six papers met the eligibility criteria. Most articles originated from Medicine (30%) and Nursing (45%) education. Feedback systems were primarily designed to critique student communication and professional behaviours using a variety of standardised and non-standardised methods. Five interconnected themes were created that addressed the concepts of consumer feedback systems. The themes were (1) creating value specific for each stakeholder is essential, (2) preparation is required and nuanced; (3) consumers do engage and provide critical feedback when the system is supportive of all stakeholders; (4) gathering approaches need to be responsive to the diversity of practice and learning; (5) processing feedback with a trusted mentor is critical for learning.
    CONCLUSIONS: Consumers, academics, practice educators, and students recognised that consumers have an important role in contributing to student learning during practice placements. Future consumer feedback systems need to be co-produced to create an optimal mode for consumers to authentically contribute to student learning constructively and safely.
    UNASSIGNED: A consumer consultant was a member of the advisory panel for the larger research project that this review is part of and provided advice to the research team at all stages of the project.
    CONCLUSIONS: In Australia, occupational therapy training programs require input from consumers to help students learn. However, there is not much research on how consumers help occupational therapy students during their practical training. We did a review to see how existing feedback systems let consumers genuinely help students during their training. We searched five databases for research up to July 2023. We included research that talked about how consumers help all health students learn during practical training. We found 46 articles, mostly from Medicine and Nursing education. We analysed them to understand how consumer feedback systems work and found five main themes: (1) making sure everyone involved gets value out of it, (2) being prepared is important, (3) consumers give useful feedback when the system supports everyone involved, (4) different approaches are needed because practices and learning vary, and (5) discussing feedback with other people helps students learn. Current feedback systems mostly focused on how students communicate and behave professionally. Consumers, educators, and students all agree that consumers play a vital role in helping students learn during practical training. In the future, we need to work together to make feedback systems that let consumers help students in the best way possible, making sure it is constructive and safe for everyone.
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  • 文章类型: Review
    沙门氏菌是人类和动物健康的重要病原体,家禽是与全球食源性疾病相关的最常见来源之一。由于消费者需求和世界人口结构的变化,过去十年或更长时间内,禽肉和产品的全球产量显着增加。禽肉占饮食的很大一部分。此外,鸟类的相对较快的生长速度明显高于其他肉类物种,这也对家禽生产的加剧起到了作用。为了满足对禽肉和产品的更大需求,现代家禽生产和加工实践已经改变,并且已经实施了目标控制和减少食源性病原体如沙门氏菌的实践。这些策略是沿着从父母和祖父母羊群到育种者的连续体实施的,农场和成品肉鸡运输和加工,最后从零售到消费者。这篇综述侧重于常见的做法,干预措施和策略,对从农场到盘子的家禽生产连续过程中沙门氏菌的控制具有潜在影响。
    Salmonella is a significant pathogen of human and animal health and poultry are one of the most common sources linked with foodborne illness worldwide. Global production of poultry meat and products has increased significantly over the last decade or more as a result of consumer demand and the changing demographics of the world\'s population, where poultry meat forms a greater part of the diet. In addition, the relatively fast growth rate of birds which is significantly higher than other meat species also plays a role in how poultry production has intensified. In an effort to meet the greater demand for poultry meat and products, modern poultry production and processing practices have changed and practices to target control and reduction of foodborne pathogens such as Salmonella have been implemented. These strategies are implemented along the continuum from parent and grandparent flocks to breeders, the farm and finished broilers to transport and processing and finally from retail to the consumer. This review focuses on common practices, interventions and strategies that have potential impact for the control of Salmonella along the poultry production continuum from farm to plate.
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  • 文章类型: Journal Article
    历史上,消费者对牛肉的接受度取决于嫩度。在过去的几十年中,遗传学和管理的发展已经改善了嫩度,以至于它是牛肉味道中其他因素的次要因素。风味,然而,是一种非常复杂的味觉属性,依赖于口腔中的生物传感器,窦腔,和下巴。烹饪行业最近专注于创新方式,为消费者提供新产品,以满足他们对不同食物的好奇心,尤其是蛋白质。来自植物的竞争,基于细胞,甚至其他基于动物的蛋白质也提供了消费者选择蛋白质的多样性能力,以满足他们在饮食中包含独特产品的愿望。因此,在过去的10到15年里,牛肉行业一直专注于风味,以确定它是否能为未来的牛肉消费提供保障。美国牛肉行业于2012年成立了一个由此处列出的作者组成的风味工作组,以研究管理和测量牛肉风味的新方法。这个工作组的结果已经产生了几十篇论文,介绍,摘要,和座谈会。本手稿的目的是总结该工作组以及全球其他研究牛肉风味方法的研究。本文将描述牛肉风味测量研究的优势,并指出可能随着技术进步而确定的未来需求。
    Historically, consumer acceptance of beef was determined by tenderness. Developments in genetics and management over the last couple of decades have improved tenderness to the point that it is secondary to other factors in beef\'s taste. Flavor, however, is an extraordinarily complex taste attribute dependent on biological sensors in the mouth, sinus cavity, and jaws. The culinary industry has recently focused on innovative ways to give consumers new products satisfying their curiosity about different foods, especially proteins. Competition from plant-based, cell-based, and even other animal-based proteins provides diversity in consumers\' ability to select a protein that satisfies their desire to include unique products in their diet. Consequently, the beef industry has focused on flavor for the last 10 to 15 years to determine whether it can provide the guardrails for beef consumption in the future. The U.S. beef industry formed a Flavor Working Group in 2012 composed of the authors listed here to investigate new and innovative ways to manage and measure beef flavor. The results of this working group have resulted in dozens of papers, presentations, abstracts, and symposia. The objective of this manuscript is to summarize the research developed by this working group and by others worldwide that have investigated methodologies that measure beef flavor. This paper will describe the strengths of the research in beef flavor measurement and point out future needs that might be identified as technology advances.
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  • 文章类型: Systematic Review
    了解消费者的认知和情感需求对于消费者研究来说是一个复杂而棘手的挑战。创造和定义产品属性,满足消费者的个人愿望和需求,在不同的背景下是一个挑战,需要新的观点,因为有公司的目标和消费者的目标之间的不匹配,这表明产品需要变得越来越以消费者为导向。产品设计方法旨在使产品和消费者更加紧密地联系在一起。这项研究的目的是通过对过去20年中出版物文献的系统回顾,调查消费者的认知和情感需求在产品设计中的应用。本文选择了在认知和情感产品设计的特定领域进行的研究,并定义了主要领域的技术水平,挑战,和趋势。得出的结论是,认知方法已经更新,与技术更相关,因此,我们专注于产品的易用性和友好性。相比之下,情感方法年龄较大,关注生活质量,满意,快乐,和友好的产品。这篇评论指出,认知复杂性变化的情感焦点是由于对消费者的情感和情感主观性的理解,以及他们如何将这些要求转化为产品属性。这些方法似乎在设计和工程领域失去了优势或偏好,以寻求更理性和逻辑的认知应用,因此更具统计可验证性。神经科学的进展集中在营销和消费者心理学以及一些认知和情感产品设计中的应用。
    Understanding consumer cognitive and affective needs is a complex and tricky challenge for consumer studies. Creating and defining product attributes that meet the consumers\' personal wishes and needs in different contexts is a challenge that demands new perspectives because there are mismatches between the objective of companies and the consumer\'s objective, which indicates the need for products to become increasingly consumer-oriented. Product design approaches aim to bring the product and consumer closer together. The objective of this study is to investigate the application of the cognitive and affective needs of the consumer in product design through a systematic review of the literature of publications carried out in the last 20 years. This article selects research carried out in the specific area of cognitive and affective product design and defines the state of the art of the main areas, challenges, and trends. The conclusion that was reached is that cognitive approaches have been updated, are more associated with technology, and so are focused and oriented toward the ease and friendliness of the product. In contrast, affective approaches are older and focus on the quality of life, satisfaction, pleasure, and friendliness of the product. This review indicates that the emotional focus of change for cognitive complexity is due to an understanding of the affective and emotional subjectivity of the consumers and how they can translate these requirements into product attributes. These approaches seem to lose their strength or preference in the areas of design and engineering for more rational and logical cognitive applications, and therefore are more statistically verifiable. Advances in neuroscience are focused on applications in marketing and consumer psychology and some cognitive and affective product designs.
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  • 文章类型: Journal Article
    背景:在现有的数百万移动应用程序中,数千人属于移动健康(mHealth)类别。尽管mHealth应用程序的实用性已被证明可用于疾病诊断,治疗数据管理,和健康促进战略,为了有效,他们必须接触并被目标受众使用。适当的营销策略可以确保应用程序接触到潜在用户,并有可能将其转换为实际用户。这种策略需要定义目标最终用户,沟通渠道,和广告内容,以及有效接触和激励最终用户采用和保持与mHealth应用程序的参与的时间表。
    目的:本研究的目的是确定策略和要素,以确保最终用户采用并继续参与mHealth应用程序。
    方法:对PubMed的系统搜索,PsycINFO,Scopus,对2018年1月1日至2022年9月30日发表的合适研究进行了和CINAHL数据库.两名研究人员独立筛选纳入研究,提取的数据,并评估了偏差的风险。主要结果是mHealth应用程序的传播策略。
    结果:在从选定数据库中检索到的648篇论文中,只有10人(1.5%)符合纳入标准。这些研究中用于告知潜在用户mHealth应用程序的存在和激励下载的营销策略包括付费和未付费策略,并使用了各种渠道,包括社交媒体,电子邮件,印刷海报,和面对面的交流。大多数研究报告了用于宣传其mHealth应用程序的营销概念的组合。广告消息包括有关在何处以及如何下载和安装应用程序的说明。在大多数研究中(6/10,60%),说明是针对如何使用应用程序和保持参与健康干预。最常用的付费营销平台是FacebookAdsManager(2/10,20%)。广告效果受多种因素影响,包括但不限于广告内容。在10项研究中的1项(10%)中,与其他图像类型相比,动画图形产生的点击次数最大。用于评估营销策略有效性的指标是下载次数;未使用率;辍学率;依从率;应用程序使用持续时间;以及应用程序在几天内的可用性,周,或者几个月。额外的指标,如每次点击成本,每次安装的成本,点击率主要用于评估付费营销活动的成本效益。
    结论:mHealth应用程序可以通过使用各种沟通渠道的付费和无偿营销策略进行传播。这些策略的效果反映在下载数量和用户对mHealth应用程序的参与中。进一步的研究可以为传播mHealth应用程序和鼓励其常规使用的框架提供指导。
    BACKGROUND: Among the millions of mobile apps in existence, thousands fall under the category of mobile health (mHealth). Although the utility of mHealth apps has been demonstrated for disease diagnosis, treatment data management, and health promotion strategies, to be effective they must reach and be used by their target audience. An appropriate marketing strategy can ensure that apps reach potential users and potentially convert them to actual users. Such a strategy requires definitions of target end users, communication channels, and advertising content, as well as a timeline for effectively reaching and motivating end users to adopt and maintain engagement with the mHealth app.
    OBJECTIVE: The aim of this study was to identify strategies and elements that ensure that end users adopt and remain engaged with mHealth apps.
    METHODS: A systematic search of the PubMed, PsycINFO, Scopus, and CINAHL databases was conducted for suitable studies published between January 1, 2018, and September 30, 2022. Two researchers independently screened studies for inclusion, extracted data, and assessed the risk of bias. The main outcome was dissemination strategies for mHealth apps.
    RESULTS: Of the 648 papers retrieved from the selected databases, only 10 (1.5%) met the inclusion criteria. The marketing strategies used in these studies to inform potential users of the existence of mHealth apps and motivate download included both paid and unpaid strategies and used various channels, including social media, emails, printed posters, and face-to-face communication. Most of the studies reported a combination of marketing concepts used to advertise their mHealth apps. Advertising messages included instructions on where and how to download and install the apps. In most of the studies (6/10, 60%), instructions were oriented toward how to use the apps and maintain engagement with a health intervention. The most frequently used paid marketing platform was Facebook Ads Manager (2/10, 20%). Advertising performance was influenced by many factors, including but not limited to advertising content. In 1 (10%) of the 10 studies, animated graphics generated the greatest number of clicks compared with other image types. The metrics used to assess marketing strategy effectiveness were number of downloads; nonuse rate; dropout rate; adherence rate; duration of app use; and app usability over days, weeks, or months. Additional indicators such as cost per click, cost per install, and clickthrough rate were mainly used to assess the cost-effectiveness of paid marketing campaigns.
    CONCLUSIONS: mHealth apps can be disseminated via paid and unpaid marketing strategies using various communication channels. The effects of these strategies are reflected in download numbers and user engagement with mHealth apps. Further research could provide guidance on a framework for disseminating mHealth apps and encouraging their routine use.
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  • 文章类型: Journal Article
    金融科技的发展放大了网络犯罪,引发了银行业对信任和安全的担忧。虽然早期的研究主要通过以技术为中心的视角来看待金融科技的采用,强调它的好处,关于金融科技争议引起的认知抵抗的研究很少。这篇评论综合了以前关于银行业行为意图的金融科技文献,强调信任的作用,安全,和其他因素,并强调了现有的研究差距。利用ROSES(系统证据综合的修复标准)框架,进行了系统的文献综述,分析了来自Scopus和WebofScience(WoS)数据库(2009-2022)的26篇文章。主题分析产生五个主要主题(UTAUT2变量;风险;信任;质量;和其他),分为24个子主题。权重分析强调了最佳的充分利用预测因子,如性能预期,信任,安全,感知有用性,和态度。此外,这篇综述确定了研究差距,并为使用TCCM的未来研究提供了建议(理论,上下文,Constructs,和方法)框架。这项研究为Fintech公司和监管机构提供了有关Fintech服务的首选属性的见解,这些属性可以增强其在银行业中的采用。
    Fintech\'s development has amplified cybercrime, prompting trust and security concerns in banking. While earlier research predominantly viewed Fintech adoption through a tech-centric lens, emphasising its benefits, there is a paucity of studies on cognitive resistance arising from Fintech controversies. This review synthesises previous Fintech literature on behavioural intentions in banking, emphasising the role of trust, security, and other factors, and highlights existing research gaps. Utilising the ROSES (RepOrting standards for Systematic Evidence Syntheses) framework, a Systematic Literature Review was conducted, analysing 26 articles from Scopus and Web of Science (WoS) databases (2009-2022). Thematic analysis produces five primary themes (UTAUT2 variables; risk; trust; quality; and other), branching into 24 sub-themes. The weight analysis emphasises the best well-utilised predictors like performance expectancy, trust, security, perceived usefulness, and attitude. In addition, the review identifies research gaps and offers recommendations for future studies using the TCCM (Theory, Context, Constructs, and Method) framework. This research provides insights to Fintech companies and regulatory authorities on the preferred attributes of Fintech services that can enhance their adoption within the banking sector.
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  • 文章类型: Journal Article
    背景:由于身体和认知限制,老年人在自我管理药物治疗方面经常面临挑战,复杂的药物治疗方案,和药物的包装。新兴的智能配药和依从性产品(SMAP)提供了自动配药的选择,实时跟踪药物摄入量,和提醒和通知。由于数字技术的迅速涌入,2021年的审查确定了51个SMAP;需要对此审查进行更新。
    目的:这篇综述旨在识别新产品,并总结和比较SMAP的关键特征。
    方法:使用Google搜索Gray和已发表的文献和视频,YouTube,PubMed,Embase,还有Scopus.Google的前10页和YouTube的前100个结果使用4和5个关键字搜索进行了筛选,分别。如果能够存储并允许分配药物,则包括SMAP,跟踪实时药物摄入量数据,可以自动分析数据。如果产品是独立的软件应用程序,则将其排除在外,不是用英语销售的,不能在家里使用,或仅用于临床试验。总的来说,5名研究者独立筛选并提取数据。
    结果:本次审查确定了114个SMAP,包括80个(70.2%)上市和34个(29.8%)原型,分为15种类型。在销售的产品中,68%(54/80)可供消费者购买。在这些产品中,26%(14/54)在全球范围内可用,78%(42/54)在北美可用。硬件有可变性,软件,数据收集和管理功能,以及产品的成本。硬件功能的示例包括电池寿命、药物储存能力,警报类型和数量的可用性,锁定功能,以及使用该产品所需的额外技术,而软件功能包括提醒和通知功能以及制造商支持的可用性。数据捕获方法包括传感器的可用性,以记录产品的使用情况,以及通过短距离通信与云存储进行数据同步的能力。用户可以通过移动应用程序或基于Web的门户访问数据。一些SMAP通过安全登录(使用个人识别号码或面部识别)提供数据安全保障,而其他SMAP通过注册的电子邮件地址提供数据。尽管某些SMAP以固定价格或免费提供给最终用户,其他产品的成本根据可用性而有所不同,运费,和订阅费。
    结论:具有家庭患者使用特有功能的SMAP市场正在不断扩大。医疗保健专业人员可以使用这些功能来选择和推荐符合患者独特要求的产品。
    BACKGROUND: Older adults often face challenges in self-managing their medication owing to physical and cognitive limitations, complex medication regimens, and packaging of medications. Emerging smart medication dispensing and adherence products (SMAPs) offer the options of automated dispensing, tracking medication intake in real time, and reminders and notifications. A 2021 review identified 51 SMAPs owing to the rapid influx of digital technology; an update to this review is required.
    OBJECTIVE: This review aims to identify new products and summarize and compare the key features of SMAPs.
    METHODS: Gray and published literature and videos were searched using Google, YouTube, PubMed, Embase, and Scopus. The first 10 pages of Google and the first 100 results of YouTube were screened using 4 and 5 keyword searches, respectively. SMAPs were included if they were able to store and allowed for the dispensation of medications, tracked real-time medication intake data, and could automatically analyze data. Products were excluded if they were stand-alone software applications, not marketed in English, not for in-home use, or only used in clinical trials. In total, 5 researchers independently screened and extracted the data.
    RESULTS: This review identified 114 SMAPs, including 80 (70.2%) marketed and 34 (29.8%) prototypes, grouped into 15 types. Among the marketed products, 68% (54/80) were available for consumer purchase. Of these products, 26% (14/54) were available worldwide and 78% (42/54) were available in North America. There was variability in the hardware, software, data collection and management features, and cost of the products. Examples of hardware features include battery life, medication storage capacity, availability of types and number of alarms, locking features, and additional technology required for use of the product, whereas software features included reminder and notification capabilities and availability of manufacturer support. Data capture methods included the availability of sensors to record the use of the product and data-syncing capabilities with cloud storage with short-range communications. Data were accessible to users via mobile apps or web-based portals. Some SMAPs provided data security assurance with secure log-ins (use of personal identification numbers or facial recognition), whereas other SMAPs provided data through registered email addresses. Although some SMAPs were available at set prices or free of cost to end users, the cost of other products varied based on availability, shipping fees, and subscription fees.
    CONCLUSIONS: An expanding market for SMAPs with features specific to at-home patient use is emerging. Health care professionals can use these features to select and suggest products that meet their patients\' unique requirements.
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  • 文章类型: Systematic Review
    背景:直接面向消费者(DTC)的医疗保健人工智能(AI)应用程序具有弥合医疗保健资源的时空差异的潜力,但由于人工智能错误,它们也伴随着个人和社会风险。此外,消费者直接与医疗保健AI互动的方式正在重塑传统的医患关系。然而,学术界对此类应用程序的研究概述缺乏系统的理解。
    目的:本文系统地描述和分析了纳入研究的特点,确定了文献中提到的DTC医疗保健AI应用程序的现有障碍和设计建议,并为未来的设计和开发提供了参考。
    方法:本范围审查遵循系统审查的首选报告项目和范围审查的Meta分析扩展指南,并根据Arksey和O\'Malley的5阶段框架进行。关于DTC医疗保健AI应用程序的同行评审论文发表于2023年3月27日,在WebofScience上,Scopus,ACM数字图书馆,IEEEXplore,PubMed,谷歌学者也包括在内。论文采用布劳恩和克拉克的反思性主题分析方法进行了分析。
    结果:在检索到的2898篇论文中,包括涵盖这一新兴领域的32个(1.1%)。收录的论文最近发表(2018-2023年),大多数(23/32,72%)来自发达国家。医学领域主要是普通实践(8/32,25%)。在用户和功能方面,一些应用程序是专为单一消费者群体设计的(24/32,75%),提供疾病诊断(14/32,44%),健康自我管理(8/32,25%),和医疗信息查询(4/32,13%)。其他与医生相关的应用程序(5/32,16%),家庭成员(1/32,3%),护理人员(1/32,3%),和医疗保健部门(2/32,6%),通常提醒这些群体注意消费者用户的异常情况。此外,确定了与DTC医疗保健AI应用程序相关的8个障碍和6个设计建议。在面向消费者的医疗保健AI系统中,一些特别值得注意的更微妙的障碍以及相应的设计建议,包括增强以人为本的可解释性,建立校准的信任和解决过度信任,在人工智能中表现出同理心,提高消费级产品的专业化水平,扩大测试人群的多样性,进一步讨论。
    结论:蓬勃发展的DTC医疗保健AI应用程序既存在风险,也存在机遇,这凸显了探索其现状的必要性。本文对纳入研究的特点进行了系统的归纳和整理,确定了面临的现有障碍,并为此类应用程序提出了未来的设计建议。据我们所知,这是第一个对这些应用程序的学术研究进行系统总结和分类的研究。进行此类系统设计和开发的未来研究可以参考这项研究的结果,这对于改善DTC医疗保健AI应用程序提供的医疗保健服务至关重要。
    Direct-to-consumer (DTC) health care artificial intelligence (AI) apps hold the potential to bridge the spatial and temporal disparities in health care resources, but they also come with individual and societal risks due to AI errors. Furthermore, the manner in which consumers interact directly with health care AI is reshaping traditional physician-patient relationships. However, the academic community lacks a systematic comprehension of the research overview for such apps.
    This paper systematically delineated and analyzed the characteristics of included studies, identified existing barriers and design recommendations for DTC health care AI apps mentioned in the literature and also provided a reference for future design and development.
    This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines and was conducted according to Arksey and O\'Malley\'s 5-stage framework. Peer-reviewed papers on DTC health care AI apps published until March 27, 2023, in Web of Science, Scopus, the ACM Digital Library, IEEE Xplore, PubMed, and Google Scholar were included. The papers were analyzed using Braun and Clarke\'s reflective thematic analysis approach.
    Of the 2898 papers retrieved, 32 (1.1%) covering this emerging field were included. The included papers were recently published (2018-2023), and most (23/32, 72%) were from developed countries. The medical field was mostly general practice (8/32, 25%). In terms of users and functionalities, some apps were designed solely for single-consumer groups (24/32, 75%), offering disease diagnosis (14/32, 44%), health self-management (8/32, 25%), and health care information inquiry (4/32, 13%). Other apps connected to physicians (5/32, 16%), family members (1/32, 3%), nursing staff (1/32, 3%), and health care departments (2/32, 6%), generally to alert these groups to abnormal conditions of consumer users. In addition, 8 barriers and 6 design recommendations related to DTC health care AI apps were identified. Some more subtle obstacles that are particularly worth noting and corresponding design recommendations in consumer-facing health care AI systems, including enhancing human-centered explainability, establishing calibrated trust and addressing overtrust, demonstrating empathy in AI, improving the specialization of consumer-grade products, and expanding the diversity of the test population, were further discussed.
    The booming DTC health care AI apps present both risks and opportunities, which highlights the need to explore their current status. This paper systematically summarized and sorted the characteristics of the included studies, identified existing barriers faced by, and made future design recommendations for such apps. To the best of our knowledge, this is the first study to systematically summarize and categorize academic research on these apps. Future studies conducting the design and development of such systems could refer to the results of this study, which is crucial to improve the health care services provided by DTC health care AI apps.
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  • 文章类型: Systematic Review
    药物基因组学在临床实践中仍未得到充分利用,尽管存在国际公认的,循证指南。本系统综述旨在通过评估知识来了解儿科肿瘤学药物基因组学实施的推动者和障碍。态度,以及医疗保健专业人员和消费者的实践。Medline,Embase,Emcare,和PsycINFO数据库搜索确定了146项相关研究,其中只有3项符合纳入标准.这些研究表明,消费者担心药物基因组学测试成本,保险歧视,数据共享,和隐私。医疗保健专业人员对药物基因组学测试持积极态度,但认为缺乏经验和培训是实施的障碍。教育成为关键推动者,在所有三项研究以及医疗保健专业人员和消费者团体中都有报道。然而,尽管需要教育,没有利用儿科肿瘤学消费者或医疗保健专业小组的研究报告在儿科肿瘤学中实施或分析药物基因组学教育计划.增加对准则的访问,专家合作和额外的指导解释结果是医疗保健专业人员建立的进一步推动因素.确定的主题反映了更广泛的儿科基因检测文献中报道的主题。由于只有少数研究符合本综述的纳入标准,需要进一步的研究来引出实施决定因素和推进儿科药物基因组学.
    Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence-based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.
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