对安全网人口的远程医疗实施:系统审查
Aaron A Tierney1, Mariana Mosqueda1, Gabriel Cesena1
1Department of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, California, USA.
概括
远程医疗为安全网人口提供可访问和负担得起的初级保健服务. 实施面临诸如计费和宽带等挑战,但患者接受和效率增长是关键促进因素.
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
- 主要护理是指初级护理.
背景情况:
- 在COVID-19期间快速实施远程医疗.
- 对远程医疗在安全网设置中的有效性,可接受性和可持续性的理解有限.
- 系统性审查侧重于初级保健远程医疗在安全网环境中.
研究的目的:
- 系统地审查初级保健远程医疗在安全网设置中的实施和有效性.
- 确定这些人群中远程医疗采用的障碍和促进者.
- 评估远程医疗对服务不足的社区的可接受性.
主要方法:
- 在PubMed的系统文献搜索中寻找同行评审的文章 (2013-2021).
- 纳入标准:远程医疗在美国医疗保健机构的实施,为低收入/农村人口提供服务.
- 从45篇精选文章中提取和分析数据.
主要成果:
- 远程医疗可以提供高质量,可访问和负担得起的初级保健.
- 常见的障碍包括计费问题,宽带接入和患者偏好亲自护理.
- 促进者包括效率,患者接受和增强访问.
结论:
- 远程医疗是安全网设置中初级保健的一种可接受的模式.
- 需要对比较质量和实施策略进行进一步的研究.
- 专注于改善边缘化群体的远程医疗的可访问性和有效性.
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