全球土著儿童的远程医疗:一个全面的审查
Nour Kabbes1, Adalet Bugra1, Hussein Wissanji2
1McGill Faculty of Medicine, Montreal, QC, Canada.
Journal of pediatric surgery
|February 27, 2024
概括
远程医疗可以改善面临差距的土著儿童获得医疗保健的机会. 这次审查发现远程医疗是可行的和可以接受的,尽管患者参与往往是有限的,这突显了社区参与外科手术期间护理发展的必要性.
科学领域:
- 数字健康数字健康
- 土著健康土著健康
- 儿科医疗保健 儿科医疗保健
背景情况:
- 在全球范围内,土著儿童经历了显著的医疗保健差异.
- 偏远地区的资源短缺加剧了这些挑战.
- 远程医疗等技术解决方案有可能缓解这些差异.
研究的目的:
- 评估远程医疗干预对土著儿童的可行性和可接受性.
- 评估患者和家庭参与报告的远程医疗研究的程度.
- 探索远程医疗的应用,以支持这一群体的术后护理.
主要方法:
- 在五个数据库中进行了系统的文献搜索.
- 包括专注于土著人口,特别是儿童远程医疗的研究.
- 分析使用了NASSS框架,蒙特利尔模型和可接受性的理论框架 (TFA).
主要成果:
- 在1690篇选文章中,有34项研究符合资格标准.
- 远程医疗的使用在耳鼻喉和精神病学中最常见,这表明其可行性很高.
- 患者参与往往是最小的 (仅为信息),只有少数研究评估了可接受性.
- 只有两项研究专门讨论了手术背景下的远程医疗.
结论:
- 目前远程医疗应用的可行性表明,有可能扩展到外科手术期间的护理.
- 持续的影响需要社区早期和持续参与远程医疗发展.
- 通过协作设计解决当地需求对于负责任的实施至关重要.
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