在自愿辅助死亡中使用远程医疗:系统性审查
Imogen Summers1,2,3, Elizabeth Reymond4,5, Helen M Haydon1,2
1Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Qld, Australia.
概括
远程医疗改善了获得自愿辅助死亡 (VAD) 服务的机会,特别是对于偏远地区的患者. 尽管存在一些法律模两可,但远程医疗对VAD咨询的好处远大于风险.
科学领域:
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 自愿辅助死亡 (VAD) 是一种敏感的医疗服务,全球越来越感兴趣.
- 获得VAD可能具有挑战性,特别是对于地理上孤立地区的个人来说.
- 远程医疗已经成为一个潜在的解决方案,以弥合医疗保健提供中的接入差距.
研究的目的:
- 调查远程医疗在全球促进获得自愿辅助死亡 (VAD) 的作用.
- 探索与使用远程医疗用于VAD咨询相关的潜在好处和风险.
- 确定对医疗保健提供者和使用远程医疗为VAD的患者的影响.
主要方法:
- 进行了对同行评审文献的全面系统审查.
- 搜索包括主要的数据库 (PubMed,Embase,CINAHL,科学网,Scopus) 和手动搜索.
- 采用Braun和Clarke方法的专题分析应用于26篇纳入的文章,其质量根据SQUIRE指南进行评估.
主要成果:
- 远程医疗显然促进了VAD服务,改善了患者和提供者的体验.
- 它有效地减轻了获取不平等现象,特别有利于农村和偏远地区的人.
- 对于提供商的法律模两可,在澳大利亚等特定司法管辖区仍然是令人担忧的问题.
结论:
- 远程医疗显著提高了对VAD的访问,减少了绝症患者的旅行负担.
- 有证据表明,远程医疗在VAD和类似敏感领域的好处超过其风险.
- 在澳大利亚,立法清晰度至关重要,以确保对远程医疗支持的VAD的持续访问和提供商信心.
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