Department for Prevention and Care of Diabetes, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany.
Research Association Public Health Saxony/Center for Evidence-Based Healthcare, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, 01307 Dresden, Germany.
Nutrients. 2020 May 8;12(5):1340. doi: 10.3390/nu12051340.
(1) Background: The objective of this study was to identify, categorize and prioritize current implications for future research in the use telemedicine for diabetes and hypertension in order to inform policy and practice decisions. (2) Methods: An iterative mixed methods design was followed, including three consecutive steps: An updated umbrella review of telemedicine effectiveness, qualitative content analysis of extracted data on current research needs and a quantitative survey with practitioners and health care researchers in order to prioritize the identified needs. (3) Results: Overall, 32 included records reported on future research implications. Qualitative content analysis yielded five categories as well as subcategories, covering a need for high quality studies, comprehensive technology assessments, in-depth considerations of patients' characteristics, ethics and safety as well as implementation strategies. The online survey revealed that the most pressing future research needs are data security, patient safety, patient satisfaction, implementation strategies and longer follow-ups. Chi² statistics and -tests revealed significant differences in the priorities of participants with and without experience in telemedicine use, evaluation and development. A factor analysis revealed six over-arching factors. (4) Conclusion: These results may help learning from mistakes previously made and may serve as key topics of a future telemedicine research agenda.
(1) 背景：本研究旨在确定、分类和优先考虑未来远程医疗在糖尿病和高血压管理中的应用研究的影响，以为政策和实践决策提供信息。(2) 方法：采用迭代混合方法设计，包括三个连续步骤：对远程医疗效果进行更新的伞式评价、对当前研究需求的提取数据进行定性内容分析，以及对从业者和医疗保健研究人员进行定量调查，以确定优先考虑的需求。(3) 结果：总体而言，32 项纳入的研究报告了未来研究的影响。定性内容分析产生了五个类别和子类别，涵盖了高质量研究、全面的技术评估、深入考虑患者特征、伦理和安全以及实施策略的需求。在线调查显示，最紧迫的未来研究需求是数据安全、患者安全、患者满意度、实施策略和更长时间的随访。卡方检验和 t 检验显示，有远程医疗使用、评估和开发经验与无经验的参与者在优先事项上存在显著差异。因子分析揭示了六个总体因素。(4) 结论：这些结果可能有助于从以前的错误中吸取教训，并可作为未来远程医疗研究议程的关键主题。
