电话和视频远程医疗咨询的比较:系统审查
Oyungerel Byambasuren1, Hannah Greenwood1, Mina Bakhit1
1Institute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Journal of medical Internet research
|November 17, 2023
概括
这项研究发现,用于管理既定诊断的电话和视频远程医疗咨询在临床有效性,患者满意度或成本效益方面没有显著差异. 在初级保健机构需要更多的研究.
科学领域:
- 医疗保健提供 医疗保健提供
- 远程医学研究 远程医学研究
背景情况:
- 在全球范围内,COVID-19大流行加速了远程医疗的采用.
- 直接比较不同的远程医疗模式,特别是电话与视频的直接比较很少.
- 很少有研究评估了电话和视频远程医疗的比较有效性.
研究的目的:
- 综合随机对照试验 (RCT),比较同步的电话和视频远程医疗咨询.
- 评估结果,包括临床有效性,患者安全,成本效益和满意度.
- 确定远程医疗模式和环境中的研究缺口.
主要方法:
- 在PubMed,Embase和CENTRAL搜索了与电话和视频远程医疗相比较的RCT.
- 包括对门诊队列和医疗保健提供者的研究,不包括临床医生对临床医生,住院和异步咨询.
- 使用柯克兰偏差风险2工具评估研究质量.
主要成果:
- 包括16个涉及1719名参与者的RCT.
- 在临床有效性,患者满意度或成本效益方面,电话和视频远程医疗之间没有发现实质性的差异.
- 大多数研究都有高或不清楚的偏差风险;没有报告患者安全数据.
结论:
- 电话和视频远程医疗咨询显示,在治疗已确诊患者方面没有显著差异.
- 在初级保健机构中,远程医疗研究显著缺乏.
- 需要进一步的研究来解决质量和特定的护理环境.
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