从综合护理角度实施远程患者监测的框架:一个范围审查
Rafael Miranda1,2, Mónica Duarte Oliveira1,3, Paulo Nicola4
1Centro de Estudos de Gestão do Instituto Superior Técnico (CEG-IST), Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.
International journal of health policy and management
|August 14, 2023
概括
远程患者监控 (RPM) 的实施需要不仅仅是技术. 关键的结构要素,如患者教育,多学科团队和强大的健康指标测量,对于成功的综合护理提供至关重要.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于COVID-19大流行,远程患者监测 (RPM) 的采用加速.
- RPM的实施对综合护理具有重大复杂性,资源需求和过程挑战.
- 现有的框架往往缺乏综合RPM交付的全面指导.
研究的目的:
- 确定和检查实施综合远程患者监测护理所必需的结构要素.
- 开发一个框架来评估现实生活RPM举措的成熟度.
主要方法:
- 在PubMed,Scopus和Web of Science进行了范围审查.
- 搜索策略结合了概念模型,现实生活倡议,RPM和护理整合的术语.
- 从概念模型中确定结构元素,以评估现实生活中的RPM计划.
主要成果:
- 审查了28篇文章,包括9个概念模型和19个现实生活举措.
- 确定了RPM综合护理实施的18个结构元素.
- 患者教育,多学科劳动力,ICT,远程监控设备和健康指标测量是所有倡议中存在的核心元素.
结论:
- 成功的RPM综合护理依赖于技术,流程和人为因素的结合.
- 已识别的结构元素为提高RPM实施和成熟度提供了指南.
- 未来的研究应该针对RPM的设计完整性,影响评估和财务模型.
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