TY -的AU -史蒂文斯,威廉敏娜J·玛丽亚AU - van der Sande Rob盟时,莉莲J盟——Gerritsen Maarten通用非盟- Assendelft威廉JJ PY - 2019 DA - 2019/03/01 TI -电子健康应用取代或补充医疗保险联系人:范围审查互联网上地中海副作用乔- J Res SP - e10736六世- 21 - 3 KW -电子健康KW -副作用KW范围审查AB -背景:电子健康的使用近年来出现了惊人的增长。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。所有的健康状况，除了精神健康状况，所有年龄和所有样本量都包括在内。我们检查了2012年12月至2017年8月期间在以下数据库中发表的文献:PubMed、护理和联合健康文献累积索引(CINAHL)、Web of Science和Cochrane图书馆。 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. SN - 1438-8871 UR - //www.mybigtv.com/2019/3/e10736/ UR - https://doi.org/10.2196/10736 UR - http://www.ncbi.nlm.nih.gov/pubmed/30821690 DO - 10.2196/10736 ID - info:doi/10.2196/10736 ER -