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全球紧急情况的远程医疗服务:对COVID-19的影响:基于当前证据的范围审查
Jonathan Kissi1, Caleb Annobil2, Nathan Kumasenu Mensah2
1School of Allied Health Sciences, Department of Health Information Management. University Post Office, University of Cape Coast, Cape Coast, Ghana. jonathan.kissi@ucc.edu.gh.
BMC health services research
|June 1, 2023
概括
在COVID-19之前,远程医疗的采用率很低,在大流行期间,在设施层面加速. 高收入国家 (HIC) 和低收入和中等收入国家 (LMIC) 面临的独特挑战需要国家政策来广泛实施远程医疗.
科学领域:
- 数字健康数字健康
- 全球卫生政策 全球卫生政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 通过数字电信实现的远程医疗提供了更好的医疗保健接入和结果.
- 它有可能在各种条件和情况中降低医疗保健成本.
研究的目的:
- 为了比较远程医疗采用,优势和挑战.
- 专注于高收入国家 (HIC) 和低收入和中等收入国家 (LMIC).
- 分析涵盖了COVID-19大流行前和期间的时间.
主要方法:
- 按照PRISMA指南进行系统审查.
- 进行全面的数据库搜索 (ProQuest,Scopus,科学网等) 从2012年开始,从2012年开始.
- 在SPIDER框架的指导下进行文献选择.
主要成果:
- 在大流行前,HIC和LMIC的远程医疗采用率都很低.
- COVID-19加速了设施级远程医疗的采用,但不是全国范围.
- 快速采用在HIC和LMIC中提出了独特的挑战.
结论:
- 缺乏国家政策阻碍了全国范围的远程医疗采用.
- 政府和利益相关者必须将远程医疗纳入临床实践.
- 需要进一步研究试点远程医疗实施期间的挑战.
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