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The role of medical smartphone apps in clinical decision-support: A literature review

机译：医疗智能手机应用程序在临床决策支持中的作用：文献综述

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Introduction: The now ubiquitous smartphone has huge potential to assist clinical decision-making across the globe. However, the rapid pace of digitalisation contrasts starkly with the slower rate of medical research and publication. This review explores the evidence base that exists to validate and evaluate the use of medical decision-support apps. The resultant findings will inform appropriate and pragmatic evaluation strategies for future clinical app developers and provide a scientific and cultural context for research priorities in this field.Method: Medline, Embase and Cochrane databases were searched for clinical trials concerning decision support and smart phones from 2007 (introduction of first smartphone iPhone) until January 2019.Results: Following exclusions, 48 trials and one Cochrane review were included for final analysis. Whilst diagnostic accuracy studies are plentiful, clinical trials are scarce. App research methodology was further interrogated according to setting and decision-support modality: e.g. camera-based, guideline-based, predictive models. Description of app development pathways and regulation were highly varied. Global health emerged as an early adopter of decision-support apps and this field is leading implementation and evaluation.Conclusion: Clinical decision-support apps have considerable potential to enhance access to care and quality of care, but the medical community must rise to the challenge of modernising its approach if it is truly committed to capitalising on the opportunities of digitalisation.
机译：简介：现在无处不在的智能手机具有巨大的潜力，可以协助全球范围内的临床决策。但是，数字化的快速步伐与医学研究和出版速度的下降形成鲜明对比。本文将探讨现有的证据基础，以验证和评估医疗决策支持应用程序的使用。结果将为未来的临床应用程序开发人员提供适当和务实的评估策略，并为该领域的研究重点提供科学和文化背景。方法：从2007年开始搜索Medline，Embase和Cochrane数据库，以进行有关决策支持和智能手机的临床试验。 （首款智能手机iPhone推出）到2019年1月。结果：排除后，纳入48项试验和一项Cochrane评估供最终分析。尽管诊断准确性研究很多，但临床试验却很少。根据设置和决策支持方式进一步询问了应用研究方法论：基于摄像机，基于准则的预测模型。应用程序开发途径和法规的描述千差万别。全球卫生逐渐成为决策支持应用程序的较早采用者，并且该领域正在引领实施和评估。结论：临床决策支持应用程序具有极大的潜力，可以增加就医机会和护理质量，但是医学界必须应对挑战如果它真正致力于利用数字化机会，则需要对其方法进行现代化。

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