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关键利益相关者的观点关于心房的查:一个系统的混合研究审查和解释性分析

Kirsty McKenzie^1,2, Anushka Jacob^1,3, Ben Freedman^1,3

¹Heart Research Institute, Sydney, Australia.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|March 14, 2026

概括

对心房动 (AF) 的查是可以接受的,但需要更多关于其必要性和危害的证据. 实施需要协作,公平获取,并解决有效医疗整合的系统性障碍.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

了解障碍和利益相关者的需求对于设计有效的心房动 (AF) 查计划至关重要.
现有的关于AF查实施的文献缺乏全面的利益相关者观点,特别是来自系统级决策者.

研究的目的:

综合现有的有关利益相关者的需求和实施查心房动 (AF) 的障碍的文献.
确定成功设计和实施AF查计划的关键概念和要求.

主要方法:

在多个数据库 (MEDLINE,Embase,CINAHL,PsycInfo,Scopus,Web of Science) 和灰色文学中进行了全面的文献搜索.
包括的研究重点是利益相关者对AF查实施的看法.
用一种批判性解释综合方法来分析来自34篇纳入论文的数据.

主要成果:

利益相关者对AF查的好处和加强实践角色表示谨慎乐观,但对风险,患者负担和医疗保健系统压力表示担忧.
基于风险的查模型和手持式心电图设备比系统或直接向消费者提供的方法更受青.
实施的主要障碍包括时间限制,工作流程中断,薪酬不足,数据系统问题以及需要明确的指导方针和机构间合作.

结论:

对心房动 (AF) 的查是可以接受的,但需要确定其必要性和潜在危害的确证据.
成功实施需要跨部门的合作,公平的访问,明确的途径和强大的数据安全解决方案.
进一步的研究应该集中在系统层面的障碍,决策者观点和解决司法管辖区特定挑战的策略上.

关键词:

系统性审查系统性审查心房动是心房动的一种.心血管疾病的心血管疾病意见意见意见意见意见这就是前景,前景,前景.查检查查检查查检查查检查

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