Rapid review: Identification of digital health interventions in atherosclerotic-related cardiovascular disease populations to address racial, ethnic, and socioeconomic health disparities
| Autor: | Yull E. Arriaga, Jane L. Snowdon, Kristina Lindsley, Kelly J. Thomas Craig, Irene Dankwa-Mullan, Van C. Willis, Nicole Fusco |
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| Rok vydání: | 2022 |
| Předmět: |
EHR
Health information technology Population Biomedical Engineering Psychological intervention Critical Care and Intensive Care Medicine Clinical decision support system Environmental health Medical technology Diseases of the circulatory (Cardiovascular) system Medicine R855-855.5 education Socioeconomic status mHealth education.field_of_study business.industry Clinical decision support Cardiovascular disease Digital health Health equity RC666-701 Patient portals Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiovascular Digital Health Journal, Vol 1, Iss 3, Pp 139-148 (2020) |
| ISSN: | 2666-6936 |
| Popis: | Disparities in cardiovascular disease (CVD) and associated health and healthcare delivery outcomes have been partially attributed to differential risk factors, and to prevention and treatment inequities within racial and ethnic (including language) minority groups and low socioeconomic status (SES) populations in urban and rural settings. Digital health interventions (DHIs) show promise in promoting equitable access to high-quality care, optimal utilization, and improved outcomes; however, their potential role and impact has not been fully explored. The role of DHIs to mitigate drivers of the health disparities listed above in populations disproportionately affected by atherosclerotic-related CVD was systematically reviewed using published literature (January 2008–July 2020) from multiple databases. Study design, type and description of the technology, health disparities information, type of CVD, outcomes, and notable barriers and innovations associated with the technology utilized were abstracted. Study quality was assessed using the Oxford Levels of Evidence. Included studies described digital health technologies in a disparity population with CVD and reported outcomes. DHIs significantly improved health (eg, clinical, intermediate, and patient-reported) and healthcare delivery (eg, access, quality, and utilization of care) outcomes in populations disproportionately affected by CVD in 24 of 38 included studies identified from 2104 citations. Hypertension control was the most frequently improved clinical outcome. Telemedicine, mobile health, and clinical decision support systems were the most common types of DHIs identified. DHIs improved CVD-related health and healthcare delivery outcomes in racial/ethnic groups and low SES populations in both rural and urban geographies globally. |
| Databáze: | OpenAIRE |
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