对于COVID-19患者的远程患者监测:比较和报告框架
David Joyce1, Aoife De Brún1, Sophie Mulcahy Symmons1
1Interdisciplinary Research Education and Innovation in Health Systems (IRIS) Centre, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, D04 V1W8, Ireland.
BMC health services research
|August 3, 2023
概括
对于COVID-19患者的远程患者监测 (RPM) 在实施和报告中显示出广泛的差异. 本次审查提出了一个框架,以提高RPM报告的一致性,以便更好地进行比较和评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 传染病管理 传染病管理
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了压力,需要创新的患者管理策略.
- 远程患者监测 (RPM) 成为在家中管理COVID-19患者的关键工具,减少医院负担和感染风险.
- 现有的系统审查强调了RPM实施和报告的显著异质性,阻碍了比较分析和评估.
研究的目的:
- 在 COVID-19 患者的远程患者监测 (RPM) 中系统地审查和分表报告的项目.
- 在各种研究中识别RPM实施和报告的变化.
- 开发一个标准化的报告框架,以提高一致性,并促进RPM策略的比较.
主要方法:
- 根据PRISMA指南进行文献审查,搜索Medline数据库从2020年到2023年2月.
- 包括报告有足够细节的研究,用于对COVID-19患者远程监测进行比较分析.
- 提取和综合相关数据,专注于没有正式质量评估的报告项目.
主要成果:
- 包括来自不同国际地点的23项研究,最初检索了305项.
- 确定了16个普遍报告的项目,其中理由 (100%),患者 (100%) 和通信平台 (100%) 的报告比例很高.
- 报告中观察到显著的差异,特别是在人员培训和接受方面,数据有限.
结论:
- 证实了COVID-19患者的远程患者监测 (RPM) 报告项目的广泛差异.
- 提出了一个报告框架,涵盖四个领域 (上下文,技术,流程,指标) 的18个项目.
- 该框架旨在提高报告的一致性,并促进对RPM实施的可靠比较.
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