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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The effects of mobile health on emergency care in low- and middle-income countries: A systematic review and narrative synthesis
Journal of Global Health, Volume 11, Article 04023, Year 2021
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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. © 2021. The Author(s). All rights reserved.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8021077/bin/jogh-11-04023-s001.pdf
Authors & Co-Authors
Winders, Walter Tyler
United Kingdom, Edinburgh
The University of Edinburgh
Garbern, Stephanie Chow
United States, Providence
The Warren Alpert Medical School
Bills, Corey B.
United States, Aurora
University of Colorado School of Medicine
Relan, Pryanka
United States, Atlanta
Emory Healthcare
Schultz, Megan L.
United States, Milwaukee
Medical College of Wisconsin
Trehan, Indi
United States, Seattle
University of Washington
Kivlehan, Sean M.
United States, Cambridge
Harvard University
Becker, Torben K.
United States, Gainesville
University of Florida
McQuillan, Ruth
United Kingdom, Edinburgh
The University of Edinburgh
Statistics
Citations: 6
Authors: 9
Affiliations: 8
Identifiers
Doi:
10.7189/jogh.11.04023
ISSN:
20472978
Research Areas
Health System And Policy
Study Design
Grounded Theory
Narrative Study
Study Approach
Qualitative
Systematic review