虚拟护理在初级保健中的应用:范围审查
Payal Agarwal1,2, Glenn George Fletcher3, Karishini Ramamoorthi1
1Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
Journal of medical Internet research
|February 14, 2025
概括
虚拟护理是安全的,适用于初级保健分拣,咨询和一些康复. 需要更多的研究来证实它在诊断和治疗各种疾病方面的有效性.
科学领域:
- 主要护理是指初级护理.
- 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:
- COVID-19大流行加速了虚拟护理的采用,引发了对其对初级保健质量,适当性和有效性的影响的问题.
- 医疗保健提供者需要基于证据的指导来将虚拟护理整合到高质量的初级保健中.
研究的目的:
- 系统地审查临床研究和系统审查,比较虚拟和面对面的初级保健.
- 评估虚拟护理在初级保健功能中的作用:分拣,医疗评估,治疗,咨询和康复.
- 评估虚拟护理在管理特定健康状况方面的有效性.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 搜索包括Embase,MEDLINE,PsycInfo,Emcare和Cochrane系统评价数据库. 搜索结果包括这些数据库.
- 在选了13,667篇文章后,包括了170项研究 (142项初级,28项系统性审查).
主要成果:
- 许多初级保健功能,包括分拣,咨询和康复,可以有效地在虚拟环境下进行.
- 虚拟康复和咨询在多个环境中表现出与面对面护理相美效果.
- 虚拟分组减少了面对面的访问,但诊断准确性数据有限,慢性疾病管理显示出可变的结果.
结论:
- 虚拟护理是安全的,适合分拣,咨询和一些康复,但需要进一步的研究来诊断和管理.
- 适应虚拟护理工作流程对于优化患者体验,结果和成本效益至关重要.
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