异步远程医疗:一个系统的文献综述
Nathan Culmer1, Todd Brenton Smith2, Catanya Stager1
1College of Community Health Sciences, The University of Alabama, Tuscaloosa, Alabama, USA.
Telemedicine reports
|December 25, 2023
概括
异步远程医疗 (ATM) 研究主要侧重于护理质量和患者满意度. 未来的研究应该涉及提供者的成本和福祉,改善这种不断增长的远程医疗模式的方法严格性.
科学领域:
- 远程医疗和数字健康
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 异步远程医疗 (ATM) 涉及非同时的患者与医疗服务提供者的互动.
- 远程医疗 (ATM) 是远程医疗中越来越多地使用的模式.
- 本综述审查了ATM文献,以确定术语,评估四重目标对齐,并评估研究严谨性.
研究的目的:
- 确定用于描述异步远程医疗 (ATM) 的术语.
- 评估ATM研究如何解决医学四重目标.
- 评估现有的ATM研究的方法严谨性.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 广泛的数据库搜索产生了2624个摘要,精细化为104篇文章用于数据提取.
- 文献分为COVID-19前期和后期,以确定时间变化.
主要成果:
- "存货转发"和"电子访问"是ATM的常用术语.
- 护理质量和患者满意度是四重目标中最受研究的方面.
- 方法论严谨性主要较弱,只有2项"强有力的"定量研究;定性研究显示了方法论上的局限性.
结论:
- "电子访问"术语在ATM研究中越来越多.
- 未来的ATM研究应该优先考虑提供者的成本和福利.
- 提高定量和定性研究的方法严谨性对于ATM研究的进步至关重要.
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