Cochrane · systematic review · CD012927
Mobile technologies to support healthcare provider to healthcare provider communication and management of care
Gonçalves-Bradley, DC, J Maria, AR, Ricci-Cabello, I, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
22
current version
GRADE rated
8
No studies
11
Included studies
NR
No studies 11 · 50%Ungraded 3 · 13.6%Very low 0 · 0%Low 1 · 4.5%Moderate 7 · 31.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Mobile technologies used by primary care providers to consult with a hospital‐based specialist compared with usual care
Population: Primary care providers consulting with dermatologists (6 studies), ophthalmologists (2 studies), radiologists (1 study), nephrologists (1 study), or different specialists (1 study)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Providers' adherence to recommended practice, guidelines or protocols: Adherence to the advised monitoring criteria Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 3004 participants | Moderate Downgraded: risk of bias |
Time between presentation and management of the health condition Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 656 participants | Moderate Downgraded: risk of bias |
Healthcare use Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 4810 participants | Moderate Downgraded: risk of bias |
Participants' health status and well‐being Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 9 participants | Ungraded |
Acceptability and satisfaction Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | NR | No studies |
Costs Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 5423 participants | Low Downgraded: risk of bias |
Technical problems Mobile technologies used by primary care providers to consult with a hospital‐based specialist vs usual care | no estimate extracted | 698 participants | Moderate Downgraded: risk of bias |
Mobile technologies for use in the emergency department compared with usual care
Population: Emergency physicians consulting with hospital specialists about adults attending the emergency department
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Providers' adherence to recommended practice, guidelines or protocols Mobile technologies for use in the emergency department vs usual care | no estimate extracted | NR | No studies |
Time between presentation and management of the health condition Mobile technologies for use in the emergency department vs usual care | no estimate extracted | 345 participants | Moderate Downgraded: risk of bias |
Healthcare use: length of stay in the emergency department Mobile technologies for use in the emergency department vs usual care | no estimate extracted | 345 participants | Moderate Downgraded: risk of bias |
Participants' health status and well‐being Mobile technologies for use in the emergency department vs usual care | no estimate extracted | NR | No studies |
Participant and provider acceptability or satisfaction Mobile technologies for use in the emergency department vs usual care | no estimate extracted | NR | No studies |
Costs Mobile technologies for use in the emergency department vs usual care | no estimate extracted | NR | No studies |
Technical problems Mobile technologies for use in the emergency department vs usual care | no estimate extracted | 345 participants | Moderate Downgraded: risk of bias |
CI: Confidence interval Mobile technologies for use in the emergency department vs usual care | no estimate extracted | NR | No studies |
Mobile technologies used by community health or home‐care workers compared with usual care
Population: Community‐based peer health workers consulting with clinic staff about receiving antiretroviral therapy, community nurses consulting with diabetes specialist nurses or podiatrists about adults with Type 2 diabetes, home‐care nurses consulting with hospital specialists about home enteral nutrition, rural‐based physical therapists consulting with urban‐based rheumatologists
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Providers' adherence to recommended practice, guidelines or protocols Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | NR | No studies |
Time between presentation and management of the health condition Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | NR | No studies |
Healthcare use Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | 12 participants | Ungraded |
Participants' health status and well‐being Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | 11 participants | Ungraded |
Participant and provider acceptability or satisfaction Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | NR | No studies |
Costs Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | NR | No studies |
Technical difficulties Mobile technologies used by community health or home‐care workers vs usual care | no estimate extracted | NR | No studies |