The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis

BACKGROUND: In resource-constrained settings, mobile health (mHealth) has varied applications. While there is strong evidence for its use in chronic disease management, the applications of mHealth for management of acute illness in low- and middle-income countries (LMICs) are not as well described....

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Autores principales: Winders, W Tyler, Garbern, Stephanie C, Bills, Corey B, Relan, Pryanka, Schultz, Megan L, Trehan, Indi, Kivlehan, Sean M, Becker, Torben K, McQuillan, Ruth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society of Global Health 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021077/
https://www.ncbi.nlm.nih.gov/pubmed/33828846
http://dx.doi.org/10.7189/jogh.11.04023
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author Winders, W Tyler
Garbern, Stephanie C
Bills, Corey B
Relan, Pryanka
Schultz, Megan L
Trehan, Indi
Kivlehan, Sean M
Becker, Torben K
McQuillan, Ruth
author_facet Winders, W Tyler
Garbern, Stephanie C
Bills, Corey B
Relan, Pryanka
Schultz, Megan L
Trehan, Indi
Kivlehan, Sean M
Becker, Torben K
McQuillan, Ruth
author_sort Winders, W Tyler
collection PubMed
description BACKGROUND: In resource-constrained settings, mobile health (mHealth) has varied applications. While there is strong evidence for its use in chronic disease management, the applications of mHealth for management of acute illness in low- and middle-income countries (LMICs) are not as well described. This review systematically explores current available evidence on the effectiveness of mHealth interventions at improving health outcomes in emergency care settings in LMICs. METHODS: A systematic search of the literature was performed in accordance with PRISMA guidelines, utilizing seven electronic databases and manual searches to identify peer-reviewed literature containing each of three search elements: mHealth, emergency care (EC), and LMICs. Articles quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. RESULTS: After removing duplicates, 6498 studies met initial search criteria; 108 were eligible for full text review and 46 met criteria for inclusion. Thirty-six pertained to routine emergency care, and 10 involved complex humanitarian emergencies. Based on the GRADE criteria, 15 studies were rated as “Very Low” quality, 24 as “Low” quality, 6 as “Moderate” quality, and 1 as “High” quality. Eight studied data collection, 9 studied decision support, 15 studied direct patient care, and 14 studied health training. All 46 studies reported positive impacts of mHealth on EC in LMICs. CONCLUSIONS: Mobile health interventions can be effective in improving provider-focused and patient-centered outcomes in both routine and complex EC settings. Future investigations focusing on patient-centered outcomes are needed to further validate these findings.
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spelling pubmed-80210772021-04-06 The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis Winders, W Tyler Garbern, Stephanie C Bills, Corey B Relan, Pryanka Schultz, Megan L Trehan, Indi Kivlehan, Sean M Becker, Torben K McQuillan, Ruth J Glob Health Articles BACKGROUND: In resource-constrained settings, mobile health (mHealth) has varied applications. While there is strong evidence for its use in chronic disease management, the applications of mHealth for management of acute illness in low- and middle-income countries (LMICs) are not as well described. This review systematically explores current available evidence on the effectiveness of mHealth interventions at improving health outcomes in emergency care settings in LMICs. METHODS: A systematic search of the literature was performed in accordance with PRISMA guidelines, utilizing seven electronic databases and manual searches to identify peer-reviewed literature containing each of three search elements: mHealth, emergency care (EC), and LMICs. Articles quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. RESULTS: After removing duplicates, 6498 studies met initial search criteria; 108 were eligible for full text review and 46 met criteria for inclusion. Thirty-six pertained to routine emergency care, and 10 involved complex humanitarian emergencies. Based on the GRADE criteria, 15 studies were rated as “Very Low” quality, 24 as “Low” quality, 6 as “Moderate” quality, and 1 as “High” quality. Eight studied data collection, 9 studied decision support, 15 studied direct patient care, and 14 studied health training. All 46 studies reported positive impacts of mHealth on EC in LMICs. CONCLUSIONS: Mobile health interventions can be effective in improving provider-focused and patient-centered outcomes in both routine and complex EC settings. Future investigations focusing on patient-centered outcomes are needed to further validate these findings. International Society of Global Health 2021-04-03 /pmc/articles/PMC8021077/ /pubmed/33828846 http://dx.doi.org/10.7189/jogh.11.04023 Text en Copyright © 2021 by the Journal of Global Health. All rights reserved. http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Articles
Winders, W Tyler
Garbern, Stephanie C
Bills, Corey B
Relan, Pryanka
Schultz, Megan L
Trehan, Indi
Kivlehan, Sean M
Becker, Torben K
McQuillan, Ruth
The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title_full The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title_fullStr The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title_full_unstemmed The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title_short The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
title_sort effects of mobile health on emergency care in low- and middle-income countries: a systematic review and narrative synthesis
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021077/
https://www.ncbi.nlm.nih.gov/pubmed/33828846
http://dx.doi.org/10.7189/jogh.11.04023
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