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27 However, this search revealed that there is no systematic review set in LMICs specifically focusing on one-way and two-way mHealth communication for monitoring of chronic disease. 28 A stronger theoretical understanding is likely to strengthen the mHealth evidence base. 28 They argue this will make it clearer how and why the intervention is intended to work and in what circumstances. 17 18 20–27 One of these reviews proposed that future studies should explicitly describe the theoretical constructs that mHealth interventions are targeting. They suggest there is a lack of understanding of why mHealth interventions for chronic disease management should work (or not) in LMICs. 19 20 Review authors described how the effectiveness of mHealth evidence is mixed. Vasudevan et al 16 suggest that strides are being made in strengthening the global mHealth evidence base along with the key ‘best practices’ in scaling mHealth for achieving universal health coverage.Ī systematic search for mHealth reviews in seven databases found several mHealth reviews that included aspects of monitoring such as adherence studies, 17 behaviour change 18 and attendance reminders. 15 mHealth can involve one-way or two-way communication between the health worker and patient, using any digital channel that allows the users to be mobile.
#Does gomez peer work 2017 portable#
mHealth technologies used in LMIC include portable wireless devices, including mobile phones and tablets. 11 In this environment, mobile health (mHealth) has been proposed as an approach to improve management of chronic diseases 12-14 including assistance with monitoring. The monitoring of chronic diseases can be challenging, particularly in low-resourced health systems limited by long distances to health facilities and low staff capacity. The purpose is to improve outcomes and quality of life 9 by reducing acute exacerbations and premature death 10 and to maximise health. 8 Long-term monitoring encompasses adhering to treatment and capturing vital signs or clinical indicators. 5 Chronic disease involves regular self-care 6 7 and routine monitoring by patients and health workers to check disease progress or regress. 4 The management of chronic diseases is a dynamic process that varies over time, depending on the disease aetiology and physiology. 2 3 Chronic diseases are long-term, disruptive and often intrusive to individuals’ everyday lives.
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1 The Sustainable Development Goals state that by 2030, improving the prevention and management of chronic communicable and non-communicable diseases is a priority for primary care in public health systems. The burden of chronic diseases is an escalating problem in low-income and middle-income countries (LMICs).