为设计,实施,监测和评估远程医疗干预措施的远程医疗框架选择标准:使用修改后的Delphi流程进行验证
Che Katz1, Noemí Robles2, David Novillo-Ortiz3
1Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), Barcelona, Spain.
Digital health
|May 10, 2024
概括
全球远程医疗专家就扩展数字医疗服务的关键实施结构达成共识. 然而,在补偿,变革管理和领导方面仍然存在重大分歧,突出了远程医疗采用的障碍.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 远程医疗的实施科学 远程医疗的实施科学
背景情况:
- 在全球范围内扩展远程医疗需要标准化实施指导.
- 目前缺乏共识,阻碍了远程医疗的发展,可持续性和优化.
- 需要基于证据的工具来支持远程医疗的实施.
研究的目的:
- 在远程医疗实施结构上达成专家共识.
- 为远程医疗扩展开发一个基于证据的支持工具.
- 确定改善远程医疗服务实施的关键领域.
主要方法:
- 一个经过修改的Delphi研究,涉及247名全球远程医疗专家.
- 在五个核心和七个领域评估基于证据的构造.
- 共识定义为在58个调查问题上达成≥70%的共识.
主要成果:
- 在45名完成专家中,对78%的评估结构达成共识.
- 远程医疗实施的监测,评估和优化被确定为最关键的核心.
- 临床领域获得了最高的共识;经济领域的共识最低.
结论:
- 在关键远程医疗实施结构上达成专家共识.
- 关于报销,变革阻力和被认为是障碍的冠军的不同意见.
- 解决分歧领域对于克服远程医疗实施挑战至关重要.
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