通过数字健康在美国的药物堕胎:一个系统的范围审查审查
Fekede Asefa Kumsa1, Rameshwari Prasad2, Arash Shaban-Nejad3
1The University of Tennessee Health Science Center (UTHSC) - Oak Ridge National Laboratory (ORNL) Center for Biomedical Informatics, Department of Pediatrics, College of Medicine, Memphis, TN, 38103, USA. fkumsa@uthsc.edu.
远程医疗在美国显著改善了堕胎护理的准入,提供了方便和隐私. 研究表明,它与临床内诊一样有效,用户和提供者的满意度很高.
科学领域:
- 生殖健康 生殖健康
- 数字健康数字健康
- 远程医疗远程医疗
背景情况:
- 数字健康和远程医疗已经扩大了获得基本医疗保健服务的机会.
- 远程医疗为寻求堕胎护理的患者提供了方便,灵活性和隐私等潜在的好处.
研究的目的:
- 系统地绘制和审查关于美国远程医疗堕胎服务的研究.
- 评估远程医疗在用户和提供者之间对堕胎护理的有效性和可接受性.
主要方法:
- 关于美国远程医疗堕胎服务的发表论文的范围审查.
- 2022年9月在PubMed,CINAHL和谷歌学者中进行的搜索.
- 根据PRISMA-ScR指南对发现的叙述综合.
主要成果:
- 包括在2011-2022年间发表的33项研究,近年来研究激增.
- 远程医疗增加了堕胎的机会,特别是在农村人口和那些担心耻辱的人群中.
- 疗效与临床护理相比 (≤6%需要手术干预),提供者和用户的看法是积极的,尽管一些用户更喜欢亲自访问.
结论:
- 远程医疗是堕胎护理的可行和通常首选选择,提高了可访问性和便利性.
- 距离,隐私,成本和限制性政策等因素推动了远程医疗的采用.
- 需要进一步研究远程医疗堕胎在低资源环境中的可行性.
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