住宅老年护理和初级保健机构的虚拟护理:使用SEIPS框架的系统文献审查
Meredith A B Makeham1, Tamasha Jayawardena2, Samiha Elkheir1
1Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia.
International journal of medical informatics
|December 18, 2025
概括
虚拟护理可以改善老年护理的初级保健服务,但成功实施需要的不仅仅是技术. 解决数字素养,基础设施和与居民的共同设计对于可持续的以人为中心的模式至关重要.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 初级保健研究研究初级保健研究
背景情况:
- 在住宅养老院 (RACH) 中对初级保健的需求不断增长,引发了对虚拟护理的兴趣.
- 对影响虚拟护理在老年护理机构采用的社会技术因素的理解有限.
- 本综述综合了使用SEIPS框架在RACH中虚拟护理的证据.
研究的目的:
- 确定RACH中虚拟护理的障碍和推动因素.
- 分析影响虚拟护理实施的社会技术因素.
- 综合报道的虚拟护理在老年护理的结果.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在 MEDLINE,Embase,CINAHL 和 Scopus 中进行了搜索 (2016年1月至2025年3月).
- 应用SEIPS框架用于数据提取和合成.
主要成果:
- 包括13项研究;共同的障碍:数字素养,障碍,质量差,缺乏培训,工作流程中断.
- 系统挑战:互操作性,基础设施,政策支持. 推动因素:人际关系,远程监控,同行支持.
- 结果:改善访问/通信,减少转移;关注点:工作量,减少关系护理,诊断限制. 缺乏居民的前景.
结论:
- 虚拟护理为老年人护理提供了潜力,但仅靠技术是不够的.
- 混合模式需要支持性政策,资金和工作流程.
- 解决互操作性,基础设施和共同设计是可持续,以人为中心的虚拟护理的关键.
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