关于内分泌疾病的电子咨询:一个范围审查
Bahaa Abdellatif1,2, Varun Natarajan1, Alison J Leibowitz1
1Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA 01730, USA.
Journal of the Endocrine Society
|October 15, 2024
概括
电子咨询 (e-consults) 改善了内分泌保健的获取和质量. 虽然数据有限,但电子咨询显示出希望,特别是当初级保健提供者实施建议时,建议与传统推相比,可比或更好的结果.
科学领域:
- 内分泌学 在内分泌学.
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子咨询 (e-consults) 正在扩大获得专门的内分泌护理的机会.
- 这种方法旨在减少对患者亲临诊所的需求.
研究的目的:
- 审查内分泌电子咨询提供模式.
- 评估内分泌电子咨询的已知结果.
- 在内分泌电子咨询文献中发现研究缺口.
主要方法:
- 使用了一个范围审查方法.
- 在PubMed,Embase,CINAHL和Cochrane数据库 (2000-2024) 中进行了搜索.
- 在选了2522个初始记录后,包括了19篇文章.
主要成果:
- 内分泌电子咨询文献很少,主要是观察性的.
- 可行性,可接受性和及时性发现是积极的.
- 电子咨询结果似乎与其他用于降低A1C的推结果不逊色,在执行建议时获得的收益更大.
结论:
- 现有的研究支持电子咨询对内分泌护理质量的好处,但文献是新生的.
- 仍然存在重大研究缺口,特别是在具体条件和综合结果方面.
- 未来的研究应该利用先进的设计来探索护理协调,成本和最佳实践.
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