在线异步远程医疗平台在初级保健实践中使用规范化过程理论实施的基于理论的分析
Cara Leighton1, Natalie Joseph-Williams2, Annavittoria Porter3
1Cardiff University School of Medicine, Cardiff, UK. leightonch@cardiff.ac.uk.
在初级保健中实施在线异步远程医疗平台是具有挑战性的,原因是工作量增加和整合不良. 解决可用性和系统兼容性是成功广泛采用这些数字健康工具的关键.
科学领域:
- 数字健康数字健康
- 主要护理医学 医疗保健
- 卫生社会学 卫生社会学
背景情况:
- 在线异步远程医疗平台在初级保健中越来越多地使用.
- 然而,缺乏关于它们成功实施的大规模研究.
- 规范化过程理论为理解实践嵌入提供了一个框架.
研究的目的:
- 确定和评估影响在线异步远程医疗在初级保健中的实施因素.
- 为成功嵌入这些平台提供建议.
主要方法:
- 在四个数据库中进行系统的文献搜索 (2015年1月 - 2022年11月).
- 包括初级保健中异步远程医疗的经验研究 (定性,定量,混合方法).
- 以规范化过程为指导的数据提取理论领域:背景,机制,结果.
主要成果:
- 分析了21项研究的25份报告;COVID-19影响实施背景.
- 平台的好处支持了连贯性,但患者的滥用阻碍了参与.
- 糟糕的可用性和系统集成对集体行动产生了负面影响;员工/患者角色演变.
- 报告指出,患者满意度很高,同时也对保密性和健康公平性表示担忧.
结论:
- 由于工作量增加,集成不良以及可用性问题,实施受到阻碍.
- 政策制定者应该为平台内容,功能和临床系统兼容性提供指导方针.
- 需要对特定患者群体的适用性和优化对不同用户的支持进行进一步的研究.
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