%0期刊文章%@ 1438- 8871% I JMIR出版物%V 21卡塔尔世界杯8强波胆分析% N 10% P e13263% T使用移动医疗改善发展中国家健康结果的障碍:系统回顾克鲁斯，克莱门斯，贝当古，何塞，奥尔蒂斯，斯蒂芬尼，瓦尔德斯·卢娜，苏珊娜·梅利莎，因德迪普·考尔，塞戈维亚，纳斯卫生管理学院，德州州立大学，601大学博士，恩西诺大厅250，圣马科斯，德克萨斯州，78666，美国，1 210 355 4742，scottkruse@txstate.edu %K健康结果%K远程医疗%K短信%K沟通障碍%K发展中国家%K治疗结果%D 2019 %7 9.10.2019 %9回顾%J J医疗互联网Res %G英语%X背景:过去十年，在世界各地使用移动健康(mHealth)技术改善人口水平的健康结果激增。研究支持使用移动健康应用程序来改善孕产妇和婴儿死亡率、治疗依从性、免疫接种率和传染病预防等健康结果。然而，发展中国家在成功实施、维持和扩大移动卫生倡议以改善弱势群体健康方面面临重大障碍。目的:我们旨在识别和综合使用移动健康技术的障碍，如短信(短消息服务[SMS])、电话和应用程序，以改变并在可能的情况下改善发展中国家人口的健康行为和健康结果。方法:我们遵循系统评价和元分析首选报告项目清单。从综述的主要目标获得搜索标准，我们使用详尽的术语搜索PubMed和CINAHL(例如，mHealth、短信和发展中国家，具有各自的医学主题标题)，受出版日期、英语和全文的限制。至少有两名作者彻底审阅了每篇文章的摘要，以验证文章与我们的目标密切相关。然后，我们应用筛选并进行共识会议，以确认文章符合研究标准。 Results: Review of 2224 studies resulted in a final group of 30 articles for analysis. mHealth initiatives were used extensively worldwide for applications such as maternal health, prenatal care, infant care, HIV/AIDS prevention, treatment adherence, cardiovascular disease, diabetes, and health education. Studies were conducted in several developing countries in Africa, Asia, and Latin America. From each article, we recorded the specific health outcome that was improved, mHealth technology used, and barriers to the successful implementation of the intervention in a developing country. The most prominent health outcomes improved with mHealth were infectious diseases and maternal health, accounting for a combined 20/30 (67%) of the total studies in the analysis. The most frequent mHealth technology used was SMS, accounting for 18/30 (60%) of the studies. We identified 73 individual barriers and grouped them into 14 main categories. The top 3 barrier categories were infrastructure, lack of equipment, and technology gap, which together accounted for 28 individual barriers. Conclusions: This systematic review shed light on the most prominent health outcomes that can be improved using mHealth technology interventions in developing countries. The barriers identified will provide leaders of future intervention projects a solid foundation for their design, thus increasing the chances for long-term success. We suggest that, to overcome the top three barriers, project leaders who wish to implement mHealth interventions must establish partnerships with local governments and nongovernmental organizations to secure funding, leadership, and the required infrastructure. %M 31593543 %R 10.2196/13263 %U //www.mybigtv.com/2019/10/e13263 %U https://doi.org/10.2196/13263 %U http://www.ncbi.nlm.nih.gov/pubmed/31593543