通过远程医疗减少门诊等待时间:系统审查和定量分析
Angelo Capodici1,2, Francesca Noci2, Sabina Nuti2
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
BMJ open
|January 30, 2025
概括
远程医疗显著减少了医疗等待时间,平均节省了25.4天. 这项技术为改善获得护理和提高卫生系统效率提供了一个有希望的解决方案.
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
- 医疗保健管理的管理
背景情况:
- 人口老龄化和慢性疾病给医疗保健系统带来了压力.
- 资源稀缺导致不公平的获取和长时间的等待,特别是在农村地区.
- 远程医疗为远程和公平的医疗保健提供提供了一个潜在的解决方案.
研究的目的:
- 量化评估远程医疗对患者等待时间的影响.
- 将等待时间定义为从门诊预约到服务管理的时间.
- 系统地审查现有的关于远程医疗干预和它们对等待时间的影响的文献.
主要方法:
- 对解决等待时间的远程医疗干预研究进行系统审查.
- 包括来自PubMed和Scopus数据库的文章.
- 使用ROBINS-I,AXIS和ROB-2工具进行偏差评估;通过加权平均值和中位数方法进行合成.
主要成果:
- 观察到整体等待时间的加权平均减少25.4天.
- 临床专科的加权平均减少了34.7天.
- 手术患者在等待时间中经历了加权平均减少17.3天.
结论:
- 远程医疗的实施可以大幅减少医疗等待时间.
- 这种改进有助于更高效和公平的医疗保健系统.
- 远程医疗有可能弥合医疗保健接入差距并改善患者的治疗结果.
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