基于信息和通信技术的协调机制对跨层次临床协调的影响:范围审查
Daniela Campaz-Landazábal1, Ingrid Vargas1, María-Luisa Vázquez1
1Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona, Spain.
Digital health
|August 12, 2024
概括
信息和通信技术 (ICT) 显示出改善医疗保健协调的潜力. 然而,关于它们对初级和二级保健之间的临床协调的影响的证据有限,需要进一步严格的评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 临床信息学 临床信息学
背景情况:
- 信息和通信技术 (ICT) 越来越多地被认为具有提高卫生专业沟通的潜力,特别是在流行病后.
- 这些基于ICT的协调机制对跨层次的临床协调,特别是初级和中级护理之间的具体影响仍然不够理解.
- 本研究旨在综合现有关于ICT对初级保健和中级保健 (SC) 医生之间临床协调的影响的证据,并确定知识差距.
研究的目的:
- 系统地审查和综合有关基于ICT的协调机制对初级保健和二级保健之间的临床协调的影响的证据.
- 确定特定的ICT工具及其在改善跨层次医疗保健沟通方面的有效性.
- 确定当前关于ICT和临床协调的研究领域的知识差距.
主要方法:
- 进行了全面的范围审查,包括搜索六个电子数据库和手动搜索.
- 没有对出版日期,地理区域或研究方法的限制.
- 选择的文章按标题和摘要进行了选,随后对全文进行了审查和分析,并根据跨层次临床协调的概念框架进行了分析.
主要成果:
- 在6555篇识别的文章中,有30篇符合纳入标准,主要来自高收入国家.
- 通过电子健康记录 (EHR) 的异步电子咨询是最常被评估的机制 (n=26),在转诊适当性和SC可访问性方面显示出好处,但也有潜在的风险.
- 关于其他ICT机制的研究,如共享EHR和电子邮件咨询,很少,关于视频会议和移动应用程序的研究几乎不存在.
结论:
- 目前关于基于ICT的医疗协调机制在医疗保健各级之间影响的证据基础是有限的.
- 需要对各种ICT协调工具进行更严格的评估.
- 调查结果强调了基于证据的政策和战略的必要性,以加强医疗保健层次之间的协调,以提高质量和效率.
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