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通过虚拟医院实施推进区域和远程医疗保健:快速审查
Artika Archana Kumari1, Tafheem Ahmad Wani1, Michael Liem1
1Department of Public Health, School of Psychology and Public Health, La Trobe University, Bundoora, Australia.
虚拟医院 (VHs) 可以通过提高可访问性和患者/提供者体验来改善农村医疗保健. 成功实施需要解决障碍,利用促进者获得更好的健康结果.
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
- 农村卫生公平 农村卫生公平
背景情况:
- 城市和农村地区之间的全球健康差异仍然存在.
- 虚拟医院 (VHs) 提供了一个有希望的解决方案,以弥合服务不足地区的医疗保健接入差距.
- 需要对基于证据的VH实施策略进行进一步的研究.
研究的目的:
- 审查VHs在改善区域和远程医疗保健中的作用.
- 分析可访问性,患者和提供者的经验,以及实施因素.
- 为偏远地区提供公平的医疗保健服务提供建议.
主要方法:
- 按照世卫组织指导方针进行快速审查.
- 在数据库 (PubMed,MEDLINE,CINAHL) 和灰色文献 (2015-2023) 中进行系统搜索.
- 混合方法:对35篇入选文章进行主题分析.
主要成果:
- 在26%的研究中报告了积极的临床结果 (例如,减少传播,提高安全性).
- 在43%的研究中发现卫生系统的好处 (例如,成本降低,效率,覆盖率).
- 经常发现与人,过程,技术和财务相关的障碍和促进因素.
结论:
- 虚拟医院 (VHs) 显示出改变区域和远程医疗保健的巨大潜力.
- 应对实施挑战和利用促进者可以带来更好的临床结果.
- 在远程环境中,VH可以提高患者和医疗保健提供者的满意度.
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