临床护理中的电子同意:国际范围审查
Susan Chimonas1, Allison Lipitz-Snyderman2, Konstantina Matsoukas3
1Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA chimonas@mskcc.org.
BMJ health & care informatics
|July 9, 2023
概括
电子同意 (e-consent) 提高了临床环境中的效率和数据完整性. 随着虚拟护理的扩大,需要更多的研究来了解它对护理获取和质量的影响.
科学领域:
- 医疗信息学 医疗信息学
- 临床过程改进 临床过程改进
- 数字健康数字健康
背景情况:
- 数字技术有可能提高临床同意过程.
- 对于临床实践中向电子同意 (e-consent) 过渡的流行,特征和结果的了解有限.
- 关于电子同意对效率,数据完整性,用户体验,护理准入,公平性和质量的影响仍然存在关键问题.
研究的目的:
- 对所有关于临床电子同意的可用发现进行系统的范围审查.
- 确定和评估已发表的关于电子同意在不同临床环境中的实施和影响的研究.
主要方法:
- 对学术和灰色文献进行了国际,系统的范围审查.
- 从25个相关出版物 (2005年至今) 中抽取了数据,重点是临床电子同意程序,远程医疗和健康信息交换.
- 关键指标包括用户偏好,效率 (时间,工作量),有效性 (数据完整性,护理质量) 和用户特征.
主要成果:
- 调查结果表明,通过电子同意,效率和数据完整性得到了持续改善,用户偏好也是积极的.
- 大多数研究 (n=25) 来自北美或欧洲,重点研究程序性电子同意.
- 对护理获取和质量的影响的研究较少,结果不尽相同.
结论:
- 目前关于临床电子同意的研究是有限的,主要是针对易于测量和立即关注的问题.
- 进一步的研究至关重要,以确保通过电子同意支持扩大虚拟护理途径,真正推进而不是损害护理质量和获取.
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