电子健康档案联合新媒介载体对社区居民健康促进效果的范围综述  

Actual effect of electronic health records combined with new media carriers on health promotion of community residents:a scoping review

作　　者：郑映微 黄斌 范冠华[1] ZHENG Yingwei;HUANG Bin;FAN Guanhua(Shantou University Medical College,Shantou,Guangdong 515041,China)

机构地区：[1]汕头大学医学院,广东汕头515041

出　　处：《中华全科医学》2023年第6期1048-1052,共5页Chinese Journal of General Practice

基　　金：广东省自然科学基金面上项目(2017A030313434,2022A1515012192);广东省医学科研基金项目(A2021500,A2022535);广东省哲学社会科学“十四五”规划2022年度学科共建项目(GD22XXW10);汕头大学医学院PSBH课题(2019汕大医PSBH07);汕头市科技计划医疗卫生类别项目(190716185262435)。

摘　　要：目的立足于应用电子健康档案干预改善社区居民健康素养的相关文献调研现状,系统分析电子健康档案联合新媒介载体对社区居民的健康促进效果,以及电子健康档案的信息利用现状,明确电子健康档案在临床活动中的应用进展。方法基于Arksey和O’Mallry概况性评价框架方法,检索PubMed、中国知网(CNKI)数据库中有关电子健康档案的应用途径与其效果的国内外文献。用描述性分析、数据汇总展示所纳入研究的分布情况,并依据与研究问题和目标相关的研究及主要发现撰写范围综述(scoping review),并提出建议。结果共检索到1167篇相关文献,通过排序筛选、浏览标题、阅读摘要、全文分析后,最终有9篇核心文献纳入概况性评价,根据研究途径进行分类,可分为APP和(或)可穿戴设备、微信、疾病健康相关网站(或系统)三大类,这些新媒介载体联合电子健康档案的模式能促进慢性病患者的自我健康管理。结论电子健康档案可提高患者健康素养,但其推广与应用受获取途径、信息安全、用户年龄等影响,在国内仍有诸多待改进之处。积极鼓励和引导居民了解并主动应用电子健康档案,完善相关法律体系是当前阶段推广电子健康档案的必然要求。Objective Based on the present situation of literature research on the application of electronic health records to improve community residents'health literacy,this paper systematically analyses the effects of electronic health records combined with new media carriers on the health promotion of community residents,as well as the information utilization situation of electronic health records,and clarifies the progress of the application of electronic health records in clinical activities.Methods Based on the general evaluation framework method of Arksey and O'Mallry,the domestic and foreign literature about the application ways and effects of electronic health records in PubMed and China National Knowledge Infrastructure(CNKI)database were searched.Descriptive analysis and data collection were used to show the distribution of the included studies,and suggestions were put forward based on the scoping review.Results A total of 1167 literature related to the research topic were retrieved,and 9 core literature were finally included in the overview evaluation after the selection of titles,abstracts,and full text reading.According to the research methods,it could be divided into three categories:APP and(or)wearable devices,Wechat,and disease and health related websites(or systems).The mode of these new media carriers and electronic health records could promote the self-health management of patients with chronic diseases.Conclusions Electronic health records can improve patients'health literacy,but its promotion and application are affected by accesses,information security,user ages.It still has a lot to be improved in China.At the current stage,the inevitable requirements of promoting electronic health records are actively encouraging and guiding residents to understand and actively apply electronic health records,improving the relevant legal system.

关 键 词：电子健康档案 健康风险行为 范围综述 

分 类 号：R197.323.1[医药卫生—卫生事业管理] R197.61[医药卫生—公共卫生与预防医学]