异步远程医疗咨询在一般实践中的有效性和安全性:系统性审查
Cara Leighton1, Alison Cooper2, Annavittoria Porter3
1Cardiff University School of Medicine, Cardiff, UK leightonch@cardiff.ac.uk.
BJGP open
|October 2, 2023
概括
异步远程医疗在一般实践中提供优质的患者护理,但注意到工作流程的低效和工作量增加. 在COVID-19大流行期间,它的使用激增,需要进一步研究以实现最佳实施.
科学领域:
- 一般的做法一般的做法
- 远程医疗远程医疗
- 医疗保健的质量 医疗保健的质量
背景情况:
- 在一般实践中,关于异步远程医疗质量的证据有限,这阻碍了其采用.
- 异步远程医疗允许延迟医疗数据的传输,存储和解释.
研究的目的:
- 研究异步远程医疗在一般实践中的用途和有效性.
- 在医疗保健质量的六个领域内分析异步远程医疗.
- 描述COVID-19大流行对异步远程医疗使用的影响.
主要方法:
- 在一般实践环境中进行的系统审查.
- 在四个数据库中进行全面的搜索和引用搜索.
- 以医疗保健质量领域为指导的数据提取,批判性评估和叙事合成.
主要成果:
- 包括来自23项研究的27份报告,显示不同国家使用的差异.
- 在诊断,处方,咨询替代,及时护理和患者方便方面有效.
- 由于工作流程,实施和患者的坚持,注意到了效率方面的挑战;在COVID-19后,使用量显著增加.
结论:
- 异步远程医疗提供了优质的护理,但在工作负载和工作流效率方面面临挑战.
- 证据限制包括研究异质性和小样本大小.
- 对成本效益,公平,安全和实施的进一步研究对政策和实践至关重要.
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