College of Nursing, Gachon University, Incheon, Korea.
School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei.
West J Nurs Res. 2022 Jun;44(6):598-611. doi: 10.1177/01939459211008917. Epub 2021 Apr 23.
This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients' satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.
本范围综述旨在考察远程医疗辅助慢性病管理,并评估其对医疗保健服务的整体影响。本综述以 PRISMA 声明为指导,纳入了 2011 年至 2020 年间发表的 36 项实证研究。本研究确定了远程医疗辅助慢性病管理的三个弱点和四个优势。虽然远程医疗的负面感受、患者在学习和使用远程医疗设备方面面临的挑战以及个案管理者的工作量增加是弱点,但效率和及时性、增加获得医疗服务的机会、支持患者满意度和节省成本则是优势。可以设计和开展未来的研究,以克服远程医疗辅助慢性病管理的弱点。此外,本综述所确定的优势需要从研究转化为慢性病管理实践。本综述不仅描述了这种护理策略的价值,还为未来的护理实践和研究提供了启示。