在评估远程医疗中使用离散选择实验:系统审查
Feby Savira1, Madison Frith1, Dieu Nguyen1
1Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Victoria, Australia.
Health policy (Amsterdam, Netherlands)
|September 3, 2025
概括
离散选择实验显示,虽然面对面的护理往往更受欢迎,但当远程医疗降低成本,减少等待时间,并与特定患者群体的综合护理计划相结合时,远程医疗的采用就会增加.
科学领域:
- 医疗服务研究
- 数字健康
- 患者的偏好
背景情况:
- 离散选择实验 (DCE) 越来越多地用于研究远程医疗.
- 远程医疗服务提供设计,评估和实施远程医疗服务和政策的见解.
研究的目的:
- 系统审查使用DCE的研究,以评估消费者对远程医疗的偏好.
- 确定影响患者和临床医师在远程医疗和面对面护理之间的选择因素.
主要方法:
- 对五个健康和多学科数据库进行了系统审查.
- 搜索包括灰色文献,手动搜索和参考清单检查至2024年4月.
- 在2832个选记录中,有52项研究符合纳入标准.
主要成果:
- 大多数研究 (90%) 集中在不同人群和环境的患者观点上.
- 面对面的咨询通常比远程医疗更好.
- 当远程医疗提供更低的成本,更短的等待时间,并且是综合医疗计划的一部分时,
- 年轻人,熟悉数字技术的人,以及不那么严重或被污名化的人更喜欢远程医疗.
结论:
- 远程医疗是传统医疗服务的宝贵补充,
- 患者对远程医疗的偏好受具体特征的影响,例如节省成本和融入护理.
- 结果为远程医疗服务的设计和基于偏好的研究提供了信息,以优化采用.
相关概念视频
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Study Designs in Epidemiology
410
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
410
Issues And Trends In Healthcare Delivery System
5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
What is an Experiment?
13.2K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
13.2K
Health Information Technology and Healthcare Information System
915
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
915


