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Authors
Abstract(s)
Objectives: To systematically review studies assessing the impact of using mobile
handheld technology in health care delivery, since their use has been growing
exponentially in the last years, and it seems to have beneficial effects, not only for health
professionals, but also for patients and institutions.
Methods: This systematic review was conducted in accordance with PRISMA
guidelines. Electronic databases including MEDLINE, PubMed, ISI Web of Knowledge,
and Scopus were searched for papers published between 2000 and 2016. All study designs
were considered for inclusion. Data was extracted from each study regarding study
sample characteristics, design, and main results. Quality of included studies was
appraised using the QATSDD 16-item quality assessment tool.
Results: From 2426 abstracts, 39 were deemed eligible for inclusion, and evidence for
the effectiveness of using handheld technology in health care delivery was obtained. Ten
(26%) studies reported outcomes concerning clinical issues (medication prescription and
clinical decision support), 7 (18%) studied team management issues (communication and
time management), 7 (18%) information management issues, and 22 (56%) exposed
evidence regarding patterns of use. The majority of studies found benefits for all of these
issues. Studies, however, presented low quality scores (median=21, range=11-32).
Main conclusions: The use of handheld technology in health care delivery appeared to
be effective in promoting a wide range of clinical, team management, and information
management dimensions. However, further studies with higher levels of quality and
assessing different outcomes are needed in order to consolidate the scientific evidence
regarding its effectiveness in health care delivery.
Description
Keywords
Tablets médicos Tecnologia móvel e portátil Registo de saúde eletrónico móvel Prestação de cuidados terciários móveis M-health