@文章{info:doi/10.2196/35929,作者=“Singh, Hardeep和Tang, Terence和Steele Gray, Carolyn和Kokorelias, Kristina和Thombs, Rachel和Plett, Donna和Heffernan, Matthew和Jarach, Carlotta M和Armas, Alana和Law, Susan和Cunningham, Heather V和Nie, Jason Xin和Ellen, Moriah E和Thavorn, Kednapa和Nelson, Michelle LA”,标题=“以过渡为重点的数字健康干预的设计和交付建议:快速回顾”,期刊=“JMIR老化”,年=“2022”,月=“五月”,日=“19”,卷=“5”,数=“2”,页=“e35929”,关键词=“过渡”;健康;医学信息学;岁的;背景:老年人在从医院到家庭的过渡过程中经历了不良事件的高风险。实施障碍阻碍了旨在支持从医院到家庭过渡的各种数字卫生技术在临床的广泛应用。目的:为指导制定数字卫生干预措施,以支持从医院到家庭的过渡(数字桥梁干预措施),本次审查的具体目标是描述支持老年人从医院到家庭过渡的卫生保健提供者的各种作用和职能,使未来的技术更有针对性地支持他们的工作;描述用于促进老年人从医院到家庭过渡的数字卫生干预措施的类型,并阐明这些干预措施如何支持提供者的作用和职能;描述从这些干预措施的设计和实施中获得的教训; and identify opportunities to improve the fit between technology and provider functions within the Digital Bridge intervention and other transition-focused digital health interventions. Methods: This 2-phase rapid review involved a selective review of providers' roles and their functions during hospital-to-home transitions (phase 1) and a structured literature review on digital health interventions used to support older adults' hospital-to-home transitions (phase 2). During the analysis, the technology functions identified in phase 2 were linked to the provider roles and functions identified in phase 1. Results: In phase 1, various provider roles were identified that facilitated hospital-to-home transitions, including navigation-specific roles and the roles of nurses and physicians. The key transition functions performed by providers were related to the 3 categories of continuity of care (ie, informational, management, and relational continuity). Phase 2, included articles (n=142) that reported digital health interventions targeting various medical conditions or groups. Most digital health interventions supported management continuity (eg, follow-up, assessment, and monitoring of patients' status after hospital discharge), whereas informational and relational continuity were the least supported. The lessons learned from the interventions were categorized into technology- and research-related challenges and opportunities and informed several recommendations to guide the design of transition-focused digital health interventions. Conclusions: This review highlights the need for Digital Bridge and other digital health interventions to align the design and delivery of digital health interventions with provider functions, design and test interventions with older adults, and examine multilevel outcomes. International Registered Report Identifier (IRRID): RR2-10.1136/bmjopen-2020-045596 ", issn="2561-7605", doi="10.2196/35929", url="https://aging.www.mybigtv.com/2022/2/e35929", url="https://doi.org/10.2196/35929", url="http://www.ncbi.nlm.nih.gov/pubmed/35587874" }
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