低成本,技术增强的模拟培训在低收入和中等收入国家 (LMICs) 医疗保健培训的有效性:一个系统的文献审查
Julia Messina Gonzaga Ferreira1, José Roberto Generoso2,3, Alexandre R Marra4,5
1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. julia.ferreira@einstein.br.
Journal of general internal medicine
|September 19, 2025
概括
低成本的模拟工具提高了低收入和中等收入国家 (LMICs) 的医疗培训. 技术增强的教育工具提高了技能和知识,增加了资源有限的环境中的可访问性.
科学领域:
- 医学教育 医学教育
- 健康 职业 教育 教育 专业
- 全球健康 全球健康
背景情况:
- 基于模拟的培训对于医疗保健教育和患者安全至关重要.
- 高成本限制了低收入和中等收入国家 (LMICs) 的模拟访问.
- 低成本的模拟替代方案可以减少全球教育差距.
研究的目的:
- 综合低成本,技术增强的教育工具的证据,用于资源有限的环境中医疗保健培训.
- 为LMICs确定可扩展的模拟解决方案.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在多个数据库 (Medline,CINAHL,Embase等) 进行了搜索. 在2024年8月31日之前.
- 包括对LMIC,健康学员和低成本模拟工具的研究;使用Downs和Black尺度评估研究质量.
主要成果:
- 包括13项研究:6项随机试验,7项非随机试验.
- 评估的工具:智能手机应用,VR/AR,远程模拟,虚拟网站.
- 报告了积极的学习成果 (技能,知识);高用户满意度;障碍包括连接和语言.
结论:
- 可扩展的技术模拟工具可以改善LMICs的医疗培训.
- 审查遵循PRISMA指导方针,涵盖不同学科和大陆.
- 局限性包括低成本工具的不同定义,研究质量以及缺乏长期影响评估.
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