The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.

<h4>Background</h4>Mobile health interventions could have beneficial effects on health care delivery processes. We aimed to conduct a systematic review of controlled trials of mobile technology interventions to improve health care delivery processes.<h4>Methods and findings</h4&...

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Autores principales:	Caroline Free, Gemma Phillips, Louise Watson, Leandro Galli, Lambert Felix, Phil Edwards, Vikram Patel, Andy Haines
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/ec8bd443e42040e79ee9b9beb32785bd
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spelling	oai:doaj.org-article:ec8bd443e42040e79ee9b9beb32785bd2021-11-18T05:42:45ZThe effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.1549-12771549-167610.1371/journal.pmed.1001363https://doaj.org/article/ec8bd443e42040e79ee9b9beb32785bd2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23458994/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Mobile health interventions could have beneficial effects on health care delivery processes. We aimed to conduct a systematic review of controlled trials of mobile technology interventions to improve health care delivery processes.<h4>Methods and findings</h4>We searched for all controlled trials of mobile technology based health interventions using MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, Cochrane Library, UK NHS HTA (Jan 1990-Sept 2010). Two authors independently extracted data on allocation concealment, allocation sequence, blinding, completeness of follow-up, and measures of effect. We calculated effect estimates and we used random effects meta-analysis to give pooled estimates. We identified 42 trials. None of the trials had low risk of bias. Seven trials of health care provider support reported 25 outcomes regarding appropriate disease management, of which 11 showed statistically significant benefits. One trial reported a statistically significant improvement in nurse/surgeon communication using mobile phones. Two trials reported statistically significant reductions in correct diagnoses using mobile technology photos compared to gold standard. The pooled effect on appointment attendance using text message (short message service or SMS) reminders versus no reminder was increased, with a relative risk (RR) of 1.06 (95% CI 1.05-1.07, I(2) = 6%). The pooled effects on the number of cancelled appointments was not significantly increased RR 1.08 (95% CI 0.89-1.30). There was no difference in attendance using SMS reminders versus other reminders (RR 0.98, 95% CI 0.94-1.02, respectively). To address the limitation of the older search, we also reviewed more recent literature.<h4>Conclusions</h4>The results for health care provider support interventions on diagnosis and management outcomes are generally consistent with modest benefits. Trials using mobile technology-based photos reported reductions in correct diagnoses when compared to the gold standard. SMS appointment reminders have modest benefits and may be appropriate for implementation. High quality trials measuring clinical outcomes are needed. Please see later in the article for the Editors' Summary.Caroline FreeGemma PhillipsLouise WatsonLeandro GalliLambert FelixPhil EdwardsVikram PatelAndy HainesPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 10, Iss 1, p e1001363 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Caroline Free Gemma Phillips Louise Watson Leandro Galli Lambert Felix Phil Edwards Vikram Patel Andy Haines The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
description	<h4>Background</h4>Mobile health interventions could have beneficial effects on health care delivery processes. We aimed to conduct a systematic review of controlled trials of mobile technology interventions to improve health care delivery processes.<h4>Methods and findings</h4>We searched for all controlled trials of mobile technology based health interventions using MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, Cochrane Library, UK NHS HTA (Jan 1990-Sept 2010). Two authors independently extracted data on allocation concealment, allocation sequence, blinding, completeness of follow-up, and measures of effect. We calculated effect estimates and we used random effects meta-analysis to give pooled estimates. We identified 42 trials. None of the trials had low risk of bias. Seven trials of health care provider support reported 25 outcomes regarding appropriate disease management, of which 11 showed statistically significant benefits. One trial reported a statistically significant improvement in nurse/surgeon communication using mobile phones. Two trials reported statistically significant reductions in correct diagnoses using mobile technology photos compared to gold standard. The pooled effect on appointment attendance using text message (short message service or SMS) reminders versus no reminder was increased, with a relative risk (RR) of 1.06 (95% CI 1.05-1.07, I(2) = 6%). The pooled effects on the number of cancelled appointments was not significantly increased RR 1.08 (95% CI 0.89-1.30). There was no difference in attendance using SMS reminders versus other reminders (RR 0.98, 95% CI 0.94-1.02, respectively). To address the limitation of the older search, we also reviewed more recent literature.<h4>Conclusions</h4>The results for health care provider support interventions on diagnosis and management outcomes are generally consistent with modest benefits. Trials using mobile technology-based photos reported reductions in correct diagnoses when compared to the gold standard. SMS appointment reminders have modest benefits and may be appropriate for implementation. High quality trials measuring clinical outcomes are needed. Please see later in the article for the Editors' Summary.
format	article
author	Caroline Free Gemma Phillips Louise Watson Leandro Galli Lambert Felix Phil Edwards Vikram Patel Andy Haines
author_facet	Caroline Free Gemma Phillips Louise Watson Leandro Galli Lambert Felix Phil Edwards Vikram Patel Andy Haines
author_sort	Caroline Free
title	The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
title_short	The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
title_full	The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
title_fullStr	The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
title_full_unstemmed	The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
title_sort	effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/ec8bd443e42040e79ee9b9beb32785bd
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The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis.

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