澳大利亚远程医疗的意想不到的后果:批判性解释综合
Sagda Osman1, Kate Churruca1, Louise A Ellis1
1Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, North Ryde, Australia.
Journal of medical Internet research
|August 27, 2024
概括
这次审查考察了澳大利亚远程医疗的意外后果. 虽然发现了许多好处,但在各种领域和维度的护理提供中也发现了挑战,影响了实践和政策.
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
- 卫生政策 卫生政策
背景情况:
- 远程医疗在澳大利亚已经使用了20多年,在COVID-19大流行期间采用率增加.
- 关于远程医疗超出其计划结果的意外后果,人们对远程医疗的理解有限.
研究的目的:
- 综合澳大利亚远程医疗使用的意外后果的证据.
- 澄清远程医疗超出其预期结果的影响.
主要方法:
- 采用了批判性解释合成方法.
- 在四个主要的电子数据库 (MEDLINE,Embase,CINAHL,Scopus) 进行了搜索.
- 提取了意想不到的后果并将其映射到澳大利亚健康绩效框架中.
主要成果:
- 在4241个记录中,包括了94个研究.
- 23%的人报告了与健康状况有关的积极的意外后果.
- 6%的人指出潜在的负面社会经济影响,4%的人强调除了医疗保健之外的社会/财务后果.
结论:
- 为了解澳大利亚远程医疗的意想不到的后果,制定了一个框架.
- 确定了远程医疗服务的众多意想不到的好处和挑战.
- 这些发现对安全和高质量的远程医疗实践和政策制定有重大影响.
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