患者途径中的电话康复解决方案:系统审查的概述
Benoit Nicolas1, Emilie Leblong1, Bastien Fraudet1
1Pôle Saint Helier, Rehabilitation Center, Rennes, France.
Digital health
|November 6, 2024
概括
远程康复 (TR) 提供了与面对面治疗相当的结果,证明有效,可访问和具有成本效益. 这种远程方法提高了患者的护理,克服了传统障碍.
科学领域:
- 医疗信息学 医疗信息学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电话康复 (TR) 使用电信进行远程治疗康复,自1998年以来大幅扩展.
- 技术进步,远程监测和患者教育推动了TR的增长.
- COVID-19大流行强调了TR在维持医疗保健准入方面的关键作用.
研究的目的:
- 为了比较远程康复 (TR) 与传统面对面康复的疗效.
- 评估TR评估工具的有效性.
- 评估TR的接受度和成本效益.
主要方法:
- 在Medline,Cochrane和Google Scholar上对2014年至2024年5月期间发表的系统评论 (SR) 进行了全面的文献搜索.
- 包括SRs在内的TR或家庭康复与各种疾病的个人治疗进行了比较.
- 质量评估使用了乔安娜·布里格斯研究所的批判性评估清单,并对数据进行了叙事综合.
主要成果:
- 在665个已识别的SR中,包括228个在分析中,涵盖同步,异步和混合TR模型.
- 在不同医疗领域,TR证明了与人体康复相等.
- 发现远程数字评估是可靠和有效的;TR被证实是具有成本效益和受欢迎的.
结论:
- 电话康复是传统康复的一种已被证明的替代方案或补充,提高了可访问性和降低了成本.
- 关键障碍包括技术挑战,培训需求和对缺乏身体接触的担忧.
- 混合方法TR方法在缓解这些已识别的挑战方面表现有前途.
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