利益相关者驱动的多阶段适应性现实世界主题导向 (SMART) 远程医疗评估框架:一个范围审查
Yunxi Zhang1,2, Yueh-Yun Lin2, Lincy S Lal3
1Department of Data Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, United States.
Lancet regional health. Americas
|March 21, 2025
概括
一个新的框架通过解决质量保证差距来增强远程医疗评估. 这种方法标准化了远程医疗服务,改善了健康结果并促进了公平.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 远程医疗的采用量急剧增加,但对质量保证的综合评估框架仍然不发达.
- 现有的评估往往缺乏标准化的方法,阻碍了一致的质量评估.
- 这种差距影响了远程医疗服务的有效实施和可扩展性.
研究的目的:
- 在美国医疗保健系统内对现有的远程医疗评估框架进行范围审查.
- 确定当前远程医疗评估方法的关键主题和组件.
- 开发一个新的,全面的概念框架来评估远程医疗计划.
主要方法:
- 根据乔安娜·布里格斯研究所的方法和公布的协议进行了范围审查.
- 系统搜索和综合2019年至2023年间发表的远程医疗评估框架.
- 开发一个由利益相关者驱动的,多阶段的适应性现实世界主题导向 (SMART) 概念框架.
主要成果:
- 确定并分析了12个远程医疗评估框架.
- 关键主题包括计划实施,临床影响,经济影响和公平.
- 为远程医疗评估开发了一个新的SMART概念框架,并用一个用例来说明.
结论:
- 开发的SMART框架为全面的远程医疗评估提供了一个结构化的方法.
- 该框架帮助利益相关者制定针对远程医疗服务的量身定制评估计划.
- 标准化远程医疗评估可以提高服务质量,改善患者的治疗结果,促进健康公平.
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