老年人电话康复中的伦理和公平挑战:快速审查
Mirella Veras1,2,3, Louis-Pierre Auger2,4, Jennifer Sigouin2
1Department of Physical Therapy, University of Manitoba, R115-771 McDermot Avenue, Winnipeg, MB, R3E 0T6, Canada, 1 2047893417.
JMIR aging
|August 13, 2025
概括
电话康复为老年人提供可访问的护理,但必须解决诸如互联网接入和数字素养等道德和公平问题,以提供包容性服务.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 康复科学 康复科学 康复科学
背景情况:
- 技术整合,特别是远程康复,正在改变老年人的医疗保健服务.
- 远程康复克服了与传统的面对面护理模式相关的障碍.
研究的目的:
- 探索老年人电话康复的伦理和公平问题.
- 专注于包括互联网接入,技术采用和数字素养在内的挑战.
主要方法:
- 按照柯克伦指南进行快速审查,利用Metaverse公平康复治疗框架.
- 包括55岁以上的成人 (2010-2023) 的远程康复研究,在Medline和CINAHL进行搜索.
- 使用Rayyan的两个研究人员进行了独立选,并由其他团队成员进行了全文审查.
主要成果:
- 49项研究 (2013-2023年发表) 符合323篇获取论文的纳入标准.
- 社会经济地位,地理位置和种族/族裔显著影响到远程康复的使用.
- 关于隐私,安全和自主性的道德问题经常得到不充分的解决.
结论:
- 电话康复服务必须在文化上适当,易于获得和包容.
- 在远程康复的设计和交付中,伦理和公平考虑的整合至关重要.
- 解决差距对于公平的技术支持的老年人医疗保健至关重要.
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