虚拟护理对药物处方实践的影响:范围审查
Maryann Rogers1, Lindsay Hedden2, Kimberlyn McGrail3
1Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.
在COVID-19期间,虚拟护理变得很常见,但研究表明,与面对面访问相比,处方模式没有显著差异. 需要更多的研究来证实这些发现在不同的医疗保健机构.
科学领域:
- 医疗保健政策 医疗保健政策
- 数字健康数字健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 随着COVID-19的流行,虚拟护理作为面对面访问的替代品的应用加快了.
- 医生越来越多地提供混合护理模式,混合虚拟和面对面的预约.
- 人们对虚拟护理的质量存在担忧,特别是规定适当性.
研究的目的:
- 为了调查全球处方模式在虚拟对比在人体医生访问后COVID-19发作.
- 评估虚拟和实体护理之间的药物和抗生素处方差异.
- 确定研究缺口,并指导未来的高质量研究.
主要方法:
- 进行了对全球文献的范围审查.
- 利用叙事合成来分析发现.
- 评估了关于在虚拟和面对面的护理中处方适当性的研究.
主要成果:
- 大多数研究都没有发现药物或抗生素处方率的显著差异.
- 一些证据表明,虚拟护理可能会改善对临床指南的遵守.
- 调查结果受到美国研究占主导地位和方法方面的弱点的限制.
结论:
- 关于虚拟和面对面的护理之间的处方模式如何不同,目前还没有全球共识.
- 方法上的局限性和有限的概括性阻碍了强有力的结论.
- 在各种环境中进行进一步的高质量研究是必不可少的.
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