Gidora Hanne, Borycki Elizabeth M, Kushniruk Andre W
Clinical Informatics, Primary Care and Community, Provincial Health Services Authority, Canada.
School of Health Information Science, University of Victoria, Canada.
Stud Health Technol Inform. 2019;257:133-139.
Telenursing triage and advice services are continuing to expand both nationally and internationally. A primary role of telehealth nursing triage is to channel patients or clients towards appropriate levels of care, thereby reducing healthcare costs and freeing up resources.
The objective of this research is to: (a) present an overview of the current research, (b) describe the extent to which telenursing services are fulfilling this role, (c) identify gaps in the literature and (d) propose future research directions.
The report consists of a scoping review of current literature based on the framework suggested by Arkseyand O'Malley (2005).
Although the available research spans a variety of jurisdictions, which makes comparison difficult, there is some evidence that suggests telenursing services empower clients to access levels of care in keeping with the severity of their symptoms, as well as enabling clients to engage in self-care when appropriate. This in turn leads to cost savings for the broader health care system.
More evaluation of telenursing programs is needed to identify consistent savings. Health outcomes should be a part of the research.
远程护理分诊与咨询服务在国内和国际上都在持续扩展。远程医疗护理分诊的一个主要作用是引导患者或客户获得适当级别的护理，从而降低医疗成本并释放资源。
本研究的目的是：（a）概述当前研究情况，（b）描述远程护理服务履行这一作用的程度，（c）找出文献中的差距，以及（d）提出未来的研究方向。
该报告基于阿克西和奥马利（2005年）建议的框架对当前文献进行了范围综述。
尽管现有研究涵盖了多个司法管辖区，这使得比较变得困难，但有一些证据表明，远程护理服务使客户能够根据症状的严重程度获得相应级别的护理，并在适当的时候促使客户进行自我护理。这进而为更广泛的医疗保健系统节省了成本。
需要对远程护理项目进行更多评估，以确定持续的成本节约情况。健康结果应成为研究的一部分。
