Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries

被引：28

作者：

Xiong, Shangzhi ^{[1
,2
]}

Lu, Hongsheng ^{[3
]}

Peoples, Nicholas ^{[4
]}

Duman, Ege K. ^{[2
,5
]}

Najarro, Alberto ^{[2
,6
]}

Ni, Zhao ^{[7
]}

Gong, Enying ^{[8
]}

Yin, Ruoyu ^{[9
]}

Ostbye, Truls ^{[2
]}

Palileo-Villanueva, Lia M. ^{[10
]}

Doma, Rinchen ^{[11
]}

Kafle, Sweta ^{[11
]}

Tian, Maoyi ^{[1
,12
]}

Yan, Lijing L. ^{[2
,11
,13
,14
,15
]}

机构：

[1] Univ New South Wales, George Inst Global Hlth, Faulty Med & Hlth, Sydney, NSW, Australia

[2] Duke Kunshan Univ, Global Hlth Res Ctr, Kunshan, Peoples R China

[3] Wake Forest Sch Med, Winston Salem, NC USA

[4] Baylor Coll Med, Houston, TX USA

[5] Univ Oxford, Sch Anthropol, Museum Ethnog, Oxford, England

[6] Peking Univ, Yenching Acad, Beijing, Peoples R China

[7] Yale Univ, Sch Nursing, New Haven, CT USA

[8] China Acad Med Sci & Peking Union Med Coll, Sch Populat Med & Publ Hlth, Beijing, Peoples R China

[9] Nanyang Technol Univ, Lee Kong Chian Sch Med, Dept Family Med & Primary Care, Singapore, Singapore

[10] Univ Philippines Manila, Coll Med, Manila, Philippines

[11] Duke Univ, Duke Global Hlth Inst, Durham, NC 27708 USA

[12] Harbin Med Univ, Sch Publ Hlth, Harbin, Peoples R China

[13] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60208 USA

[14] George Inst Global Hlth, Beijing, Peoples R China

[15] Wuhan Univ, Sch Hlth Sci, Wuhan, Peoples R China

来源：

NPJ DIGITAL MEDICINE | 2023年 / 6卷 / 01期

关键词：

SELF-MANAGEMENT; HYPERTENSION; INNOVATIONS; ADHERENCE; BARRIERS; PROMOTE; PROGRAM; SYSTEMS; ADULTS; TOOLS;

D O I：

10.1038/s41746-023-00764-4

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Current evidence on digital health interventions is disproportionately concerned with high-income countries and hospital settings. This scoping review evaluates the extent of use and effectiveness of digital health interventions for non-communicable disease (NCD) management in primary healthcare settings of low- and middle-income countries (LMICs) and identifies factors influencing digital health interventions' uptake. We use PubMed, Embase, and Web of Science search results from January 2010 to 2021. Of 8866 results, 52 met eligibility criteria (31 reviews, 21 trials). Benchmarked against World Health Organization's digital health classifications, only 14 out of 28 digital health intervention categories are found, suggesting critical under-use and lagging innovation. Digital health interventions' effectiveness vary across outcomes: clinical (mixed), behavioral (positively inclined), and service implementation outcomes (clear effectiveness). We further identify multiple factors influencing digital health intervention uptake, including political commitment, interactivity, user-centered design, and integration with existing systems, which points to future research and practices to invigorate digital health interventions for NCD management in primary health care of LMICs.

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