改变贫困社区喘护理的准入:一个范围审查
Danielle Ben-Shoshan1, Mariah Rodriguez-Imbarlina2, Alexander Singer3,4
1Department of Applied Health Sciences, Brock University, St.Catharines, Ontario, Canada, dbenshoshan@laurentian.ca.
International archives of allergy and immunology
|December 2, 2025
概括
远程医疗改善了喘护理,特别是在弱势群体中,但数字沟仍然是充分发挥其潜力的重要障碍. 需要进一步的研究,以确保平等地获得虚拟健康服务.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 喘是一种慢性疾病,患病率和成本很高.
- 有效的喘管理对于预防不良结果至关重要.
- COVID-19大流行加速了虚拟医疗保健的采用,突出了远程医疗在喘管理中的潜力.
研究的目的:
- 在喘护理中对远程医疗的可访问性进行范围审查.
- 确定针对喘患者的服务不足或脆弱人群的远程医疗研究.
- 探索远程医疗在喘管理中的好处和障碍.
主要方法:
- 以阿克西和奥马利框架为指导的范围审查.
- 在四个数据库 (OVID Medline,CINAHL,Web of Science,Embase) 从5月到2023年7月对2010年以后的出版物进行搜索.
- 纳入标准侧重于农村,低收入,BIPOC和EAL人口的远程医疗可访问性.
主要成果:
- 11篇文章符合纳入标准,重点是农村 (n=3),低收入 (n=1),低收入农村 (n=2),BIPOC (n=4) 和EAL (n=1) 人口.
- 在大多数文章中报告了远程医疗使用与喘护理之间的积极关联 (n=9,69%).
- 确定了数字沟等障碍 (n=3,21%).
结论:
- 远程医疗证明了对喘护理的积极影响.
- 无法访问和数字沟对实现远程医疗的全部好处构成重大障碍.
- 需要克服这些障碍的策略,以确保公平获得虚拟喘护理.
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