Digital Health Interventions to Enhance Preclusion in
Primary Care: Scoping Review
Affiliations
Digital Health Interventions to Increase Prevention in
Primary Care: Scoping Review
Authors
Affiliations
Abstract
Background: Disease prevention is a significant issue of
primary care exercise and is made from primary (eg, vaccinations), secondary
(eg, screenings), tertiary (eg, chronic circumstance tracking), and quaternary
(eg, prevention of overmedicalization) degrees. Despite speedy digital
transformation of primary care practices, virtual health interventions (DHIs)
in preventive care have yet to be systematically evaluated. @ Read More healthloses thetechnerve
Objective: This assessment aimed to pick out and describe
the scope and use of modern-day DHIs for preventive care in number one care
settings.
Methods: A scoping evaluate to discover literature posted
from 2014 to 2020 become performed throughout more than one databases the usage
of keywords and Medical Subject Headings phrases protecting number one care
specialists, prevention and care management, and virtual health. A subgroup
evaluation identified relevant studies performed in US number one care
settings, except for DHIs that use the electronic health record (EHR) as a
retrospective records capture tool. Technology descriptions, consequences (eg,
health care performance and implementation technological know-how), and look at
satisfactory as in step with Oxford stages of evidence had been abstracted.
Results: The seek yielded 5274 citations, of which 1060
full-text articles have been diagnosed. Following a subgroup analysis, 241
articles met the inclusion standards. Studies in most cases examined DHIs
amongst fitness records technology, consisting of EHRs (166/241, 68.Nine%),
medical selection guide (88/241, 36.Five%), telehealth (88/241, 36.Five%), and
more than one technologies (154/241, 63.Nine%). DHIs were predominantly used
for tertiary prevention (131/241, fifty four.Four%). Of the core primary care
functions, comprehensiveness was addressed maximum frequently (213/241,
88.Four%). DHI customers had been companies (205/241, eighty five.1%), patients
(111/241, 46.1%), or multiple types (89/241, 36.Nine%). Reported effects were
basically medical (179/241, 70.1%), and statistically vast improvements were
commonplace (192/241, seventy nine.7%). Results have been summarized throughout
the following five topics for the maximum novel/awesome DHIs:
population-centered, patient-centered, care access expansion, panel-centered
(dashboarding), and alertness-driven DHIs. The satisfactory of the protected
studies become mild to low.
Conclusions: Preventive DHIs in primary care settings
verified meaningful upgrades in both scientific and nonclinical consequences,
and throughout consumer kinds; but, adoption and implementation inside the US
had been constrained mostly to EHR systems, and users were especially
clinicians receiving indicators regarding care control for their patients.
Evaluations of bad consequences, results on fitness disparities, and many
different gaps remain to be explored.
Keywords: medical selection support structures; digital
technology; preventive medication; primary health care; telemedicine.
©Van C Willis, Kelly Jean Thomas Craig, Yalda Jabbarpour,
Elisabeth L Scheufele, Yull E Arriaga, Monica Ajinkya, Kyu B Rhee, Andrew
Bazemore. Originally published in JMIR Medical Informatics
(https://medinform.Jmir.Org), 21.01.2022.
Conflict of interest statement
Conflicts of Interest: VCW became employed by means of IBM
Corporation. KJTC is employed by way of IBM Corporation. YJ has no conflicts.
ELS became employed by using IBM Corporation. YEA was employed through IBM
Corporation. MA has no conflicts. KBR become hired with the aid of IBM
Corporation. AB has no conflicts.
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