在初级保健中进行虚拟咨询的患者安全措施:系统审查
Tetiana Lunova1, Katherine-Helen Hurndall2, Ulrik Bak Kirk3
1Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, UK tlunova@ic.ac.uk.
BMJ quality & safety
|July 31, 2025
概括
本系统审查确定了初级保健中虚拟咨询的安全措施. 需要进一步的研究来开发可靠的指标来监测和改善虚拟护理安全.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 患者安全 患者安全
背景情况:
- 虚拟咨询在初级保健中越来越多地被采用.
- 迫切需要为虚拟护理提供标准化的安全评估指标.
- 现有的安全措施需要系统地识别和审查.
研究的目的:
- 系统地确定和审查初级保健中虚拟咨询的现有安全措施.
- 将安全措施综合化为评估的总体主题.
- 为虚拟护理提供信息,开发可靠的安全指标.
主要方法:
- 在Ovid MEDLINE/PubMed,Embase和Cochrane图书馆 (2014-2024) 进行了系统的文献搜索.
- 包括比较初级保健中虚拟和面对面咨询的研究.
- 采用了感应性主题分析和叙事合成.
主要成果:
- 包括47项研究 (n=2,223,697名患者).
- 安全性通过影响安全性的因素 (提供者,患者,系统相关) 和有形结果 (不良事件,健康结果,患者感知) 来评估.
- 确定了评估虚拟咨询安全性的关键领域和子主题.
结论:
- 本综述综合了评估虚拟咨询安全性的措施.
- 建议对患者和医生的观点进行进一步的研究.
- 需要进行共识研究,以最终确定安全指标,以改善虚拟护理监测和分析.
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