BackgroundTackling client absenteeism in primary and secondary care settings is crucial to ensure the continuity of care for individuals, families and communities, as well as preventing waste of resources within healthcare systems.MethodologyThis article is an integrative review to identify advancements in health technologies that address client absenteeism in primary and secondary care. The databases Medical Literature and Retrieval System Online (MEDLINE/PubMed®), Scientific Electronic Library Online and Virtual Health Library were consulted. The inclusion criteria were as follows: full papers, published between 2013 and 2023, in English, Portuguese or Spanish. The descriptors used were the following: patients, mobile applications, health services management, absenteeism and primary care, and secondary care. Eleven articles published from 2014 to 2021 were included.ResultsMost articles were identified in the MEDLINE/PUBMED database, employed a randomized controlled trial methodology (36.36%), and were published between 2019 and 2021 (90.0%) in English (63.7%). The applications had managerial, assistive and/or educational purposes. In addition to absenteeism control, these applications strived to promote client engagement with health services, increase health literacy and tackle structural barriers to care, such as language barriers.ConclusionEfforts are needed to ensure that providers receive training to educate clients on the applications. Moreover, community‐based participatory studies to ensure the feasibility of applications are warranted.

中文翻译：

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用于解决初级和二级护理服务中客户缺勤问题的卫生技术


背景解决初级和二级护理机构中客户缺勤问题对于确保个人、家庭和社区护理的连续性以及防止医疗保健系统内的资源浪费至关重要。方法本文是一项综合综述，旨在确定解决客户问题的卫生技术的进步初级和二级护理中的缺勤情况。查阅了在线医学文献和检索系统 (MEDLINE/PubMed®)、在线科学电子图书馆和虚拟健康图书馆数据库。纳入标准如下：2013 年至 2023 年间发表的英文、葡萄牙语或西班牙语全文。使用的描述符如下：患者、移动应用程序、卫生服务管理、缺勤和初级保健以及二级保健。纳入 2014 年至 2021 年发表的 11 篇文章。 结果大多数文章在 MEDLINE/PUBMED 数据库中被识别，采用随机对照试验方法（36.36%），并在 2019 年至 2021 年（90.0%）期间以英文（63.7%）发表。这些应用程序具有管理、辅助和/或教育目的。除了缺勤控制之外，这些应用程序还努力促进客户对医疗服务的参与，提高健康素养并解决护理的结构性障碍，例如语言障碍。结论需要努力确保提供者接受培训，以对客户进行应用程序方面的教育。此外，有必要进行基于社区的参与性研究，以确保应用的可行性。