儿童喘使用远程医疗的管理:综合性审查
Katherine E Chike-Harris1, Sarah Miller1, Michelle Nichols1
1College of Nursing, University of South Carolina, Charleston, South Carolina, USA.
概括
远程医疗在儿童喘管理方面表现有前途,但利益相关者的接受程度各不相同. 需要对同步远程医疗感知进行更多的研究,以确保公平获取并改善儿童健康结果.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 儿童喘是美国普遍存在的慢性疾病,影响12名儿童中有1名.
- 远程医疗干预已经显示出改善儿科喘管理结果的潜力.
- 了解利益相关者的观点对于在儿科喘护理中成功采用远程医疗至关重要.
研究的目的:
- 通过远程医疗识别儿童喘管理的促进因素和障碍.
- 综合利益相关者对儿童喘远程医疗使用的看法.
- 探索远程医疗对儿童喘健康平等的影响.
主要方法:
- 使用PubMed,Scopus和CINAHL进行了综合性文献审查.
- 文章重点关注利益相关者对远程医疗用于儿科喘管理的看法.
- 社会生态模型指导了五个层面的数据提取.
主要成果:
- 包括25篇文章,主要关注移动健康 (m-Health) 应用程序.
- 有限的研究捕获了护理人员,儿童或提供者对同步远程医疗的看法.
- 在儿科喘管理中存在远程医疗的识别促进者和障碍.
结论:
- 进一步的定性研究对于了解护理人员,患者和提供者对同步远程医疗的看法至关重要.
- 远程医疗的实施可能会无意中加剧现有的医疗保健差异.
- 解决已识别的障碍是优化远程医疗对儿科喘护理的关键.
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