@Article{info:doi/10.2196/11613，作者=“Arsenijevic, Jelena and Tummers, Lars and Bosma, Niels”，标题=“弱势群体对电子健康工具的坚持:系统文献综述和meta分析”，期刊=“J Med Internet Res”，年=“2020”，月=“Feb”，日=“6”，卷=“22”，号=“2”，页=“e11613”，关键词=“eHealth”;数字健康;保健方面的差距;背景:电子健康(eHealth)工具越来越多地应用于卫生保健。预期它们将改善获得卫生保健的机会、卫生保健的质量和健康结果。虽然在卫生保健中使用这些工具的优势已得到很好的描述，但尚不清楚电子卫生工具在老年人、社会经济地位低的人、单亲父母、少数民族或移民等弱势群体使用时的有效程度。目的:本研究旨在研究电子健康工具的设计和实施特征是否有助于弱势群体更好地使用这些工具。方法:在本系统综述中，我们评估了弱势群体使用的电子健康工具的设计和实施特征。在荟萃分析中，我们使用依从率作为效应大小测量。坚持率被定义为重复用户(即多次使用电子健康工具)的人数。 We also performed a meta-regression analysis to examine how different design and implementation characteristics influenced the adherence rate. Results: Currently, eHealth tools are continuously used by vulnerable groups but to a small extent. eHealth tools that use multimodal content (such as videos) and have the possibility for direct communication with providers show improved adherence among vulnerable groups. Conclusions: eHealth tools that use multimodal content and provide the possibility for direct communication with providers have a higher adherence among vulnerable groups. However, most of the eHealth tools are not embedded within the health care system. They are usually focused on specific problems, such as diabetes or obesity. Hence, they do not provide comprehensive services for patients. This limits the use of eHealth tools as a replacement for existing health care services. ", issn="1438-8871", doi="10.2196/11613", url="//www.mybigtv.com/2020/2/e11613", url="https://doi.org/10.2196/11613", url="http://www.ncbi.nlm.nih.gov/pubmed/32027311" }