@文章{信息:doi/10.2196/10736，作者=“Stevens, Wilhelmina Josepha Maria和van der Sande, Rob和Beijer, Lilian J和Gerritsen, Maarten GM和Assendelft, Willem JJ”，标题=“eHealth应用程序替代或补充医疗保健联系人:对不良影响的范围审查”，期刊=“J Med Internet Res”，年=“2019”，月=“Mar”，日=“01”，卷=“21”，数字=“3”，页=“e10736”，关键词=“eHealth;不利影响;背景:近年来，eHealth的使用有了极大的增长。电子保健通常被认为对医疗保健质量有积极影响，是面对面医疗保健接触的一种有前途的替代品。令人惊讶的是，人们对电子健康应用程序可能产生的不利影响知之甚少。目的:我们对旨在远程提供医疗保健的电子健康应用程序的不利影响的实证研究进行了范围审查。我们调查了是否报告了不良反应，以及这些可能的不良反应的研究性质和质量。方法:对于这次范围审查，我们遵循Arksey和O'Malley的范围审查方法的五个步骤。我们专门搜索了关于电子健康应用程序的研究，这些应用程序在治疗、健康监测或支持自我管理的情况下，取代或补充了卫生专业人员与患者之间的面对面接触。当标题或摘要中提到电子保健和不良反应时，以及当提供了关于不良反应的经验数据时，研究被纳入。 All health conditions, with the exception of mental health conditions, all ages, and all sample sizes were included. We examined the literature published between December 2012 and August 2017 in the following databases: PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, and the Cochrane Library. The methodological quality of the studies was assessed using the Critical Appraisal Skills Programme (CASP) checklists. Results: Our search identified 79 papers that were potentially relevant; 11 studies met our inclusion criteria after screening. These studies differed in many ways and the majority were characterized by small research populations and low study quality. Adverse effects are rarely subject to systematic scientific research. So far, information on real adverse effects is mainly limited to incidental reporting or as a bycatch from qualitative pilot studies. Despite the shortage of solid research, we found some indications of possible negative impact on patient-centeredness and efficiency, such as less transparency in the relationship between health professionals and patients and time-consuming work routines. Conclusions: There is a lack of high-quality empirical research on adverse effects of eHealth apps that replace or complement face-to-face care. While the development of eHealth apps is ongoing, the knowledge with regard to possible adverse effects is limited. The available research often focuses on efficacy, added value, implementation issues, use, and satisfaction, whereas adverse effects are underexplored. A better understanding of possible adverse effects could be a starting point in improving the positive impact of eHealth-based health care delivery. ", issn="1438-8871", doi="10.2196/10736", url="//www.mybigtv.com/2019/3/e10736/", url="https://doi.org/10.2196/10736", url="http://www.ncbi.nlm.nih.gov/pubmed/30821690" }