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支持临床远程医疗使用的教育与培训:文献综述

Education and training to support the use of clinical telehealth: A review of the literature.

作者信息

Edirippulige S, Armfield N R

机构信息

1 Centre for Online Health, The University of Queensland, Australia.

2 Centre for Children's Health Research, Australia.

出版信息

J Telemed Telecare. 2017 Feb;23(2):273-282. doi: 10.1177/1357633X16632968. Epub 2016 Jul 8.

Abstract

Introduction Despite a growing literature base, substantial investment, and policy changes within governments, the integration of telehealth into routine clinical care has been limited. The availability of appropriate systematic education and training for practitioners has been highlighted as necessary for strong adoption. However, the availability and nature of telehealth-related education and training for practitioners is not understood. By reviewing the literature, we aimed to describe the delivery of education and training in telehealth, with particular focus on content, modes of delivery, types of institutions, and target clinician groups. Methods We performed searches using PubMed, Scopus, Embase, Web of Science, PsycINFO, the Cochrane Library, and ERIC. We included studies that were focused on the delivery of telehealth-related academic or vocational education and training. We extracted information pertaining to country, programs and their participants, and tabulated the results. Results Altogether 388 articles were identified, of which nine studies were selected for final review. Programs from five countries were represented and articles were spread across telemedicine and clinically oriented journals. Education and training in telehealth has been provided as both university level and vocational courses using conventional classroom based delivery methods and e-learning. Reported curriculum items included terminology, clinical applications, the evidence-base, and technological aspects. Conclusions Published evidence in peer-reviewed literature on telehealth education and training is limited. According to this review, a number of topics relating to telehealth have been covered by existing education programs both within tertiary and professional development levels.

摘要

引言 尽管文献基础不断扩大、投入大量资金且政府政策有所变化,但远程医疗融入常规临床护理的程度仍然有限。从业者获得适当的系统教育和培训被视为广泛采用远程医疗的必要条件。然而,从业者接受的远程医疗相关教育和培训的可得性及性质尚不清楚。通过回顾文献,我们旨在描述远程医疗教育和培训的开展情况,特别关注内容、授课方式、机构类型和目标临床医生群体。方法 我们使用PubMed、Scopus、Embase、Web of Science、PsycINFO、Cochrane图书馆和教育资源信息中心(ERIC)进行检索。我们纳入了专注于提供远程医疗相关学术或职业教育和培训的研究。我们提取了与国家、项目及其参与者相关的信息,并将结果制成表格。结果 共识别出388篇文章,其中9项研究被选作最终审查。这些项目来自五个国家,文章分布在远程医学和临床导向的期刊上。远程医疗教育和培训以大学课程和职业课程的形式提供,采用传统的课堂授课方式和电子学习。报告的课程内容包括术语、临床应用、证据基础和技术方面。结论 同行评审文献中关于远程医疗教育和培训的已发表证据有限。根据本次综述,现有教育项目在高等教育和专业发展层面都涵盖了一些与远程医疗相关的主题。

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