从系统层面的角度实现远程医疗:范围审查
Xuezhu Li1, Lifeng Huang1, Hui Zhang1
1School of Public Health, Sun Yat-sen University, Guangzhou, China.
Journal of medical Internet research
|March 7, 2025
概括
成功实施远程医疗需要系统和组织合作,特别是在农村地区. 关键因素包括基础设施,资金,技术和患者/临床医生的支持,以实现更好的健康公平.
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
- 远程医疗的实施科学 远程医疗的实施科学
背景情况:
- 远程医疗提高了医疗保健的可访问性,但研究往往忽视了系统层面的因素.
- 了解系统层面的影响对于成功采用远程医疗至关重要,特别是在区域和农村环境中.
研究的目的:
- 进行系统层面的成功因素和远程医疗实施和采用的挑战的范围审查.
- 特别关注区域和农村地区的独特背景.
主要方法:
- 根据阿克西和奥马利框架和PRISMA-ScR指南进行范围审查.
- 搜索了 5 个数据库 (CINAHL,Cochrane,Medline,Ovid,Scopus) 的 2010-2023 年的英语文章.
主要成果:
- 在6个类别 (系统,经济,技术,组织,临床医生,患者) 中确定了70多个成功因素,并在5个类别中确定了50多个挑战.
- 16项研究集中在区域/农村地区,其中11项是针对这些环境的具体因素.
- 组织的要求和患者的看法是重要的成功因素,而系统和组织的挑战是突出的.
结论:
- 成功的远程医疗需要协调的系统和组织努力,国家网络,明确的支付模式和强大的数据安全性.
- 解决基础设施缺口,特别是农村地区的互联网连接,并提供有针对性的支持至关重要.
- 拟议的框架旨在普及远程医疗,提高医疗保健质量,促进健康公平.
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