Gorst Sarah L, Armitage Christopher J, Brownsell Simon, Hawley Mark S
Department of Psychology, University of Sheffield, Western Bank, Sheffield, S10 2TP, UK.
Ann Behav Med. 2014 Dec;48(3):323-36. doi: 10.1007/s12160-014-9607-x.
Home telehealth has the potential to benefit heart failure (HF) and chronic obstructive pulmonary disease (COPD) patients, however large-scale deployment is yet to be achieved.
The aim of this review was to assess levels of uptake of home telehealth by patients with HF and COPD and the factors that determine whether patients do or do not accept and continue to use telehealth.
This research performs a narrative synthesis of the results from included studies.
Thirty-seven studies met the inclusion criteria. Studies that reported rates of refusal and/or withdrawal found that almost one third of patients who were offered telehealth refused and one fifth of participants who did accept later abandoned telehealth. Seven barriers to, and nine facilitators of, home telehealth use were identified.
Research reports need to provide more details regarding telehealth refusal and abandonment, in order to understand the reasons why patients decide not to use telehealth.
家庭远程医疗有潜力使心力衰竭（HF）和慢性阻塞性肺疾病（COPD）患者受益，然而尚未实现大规模部署。
本综述的目的是评估HF和COPD患者对家庭远程医疗的接受程度，以及决定患者是否接受并继续使用远程医疗的因素。
本研究对纳入研究的结果进行叙述性综合分析。
37项研究符合纳入标准。报告拒绝率和/或退出率的研究发现，近三分之一提供远程医疗服务的患者拒绝接受，五分之一接受的参与者后来放弃了远程医疗。确定了家庭远程医疗使用的七个障碍和九个促进因素。
研究报告需要提供更多关于远程医疗拒绝和放弃的细节，以便了解患者决定不使用远程医疗的原因。
