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2019冠状病毒病大流行期间电子健康、远程医疗和远程医学在慢性病患者中的作用:一项快速系统评价

The role of eHealth, telehealth, and telemedicine for chronic disease patients during COVID-19 pandemic: A rapid systematic review.

作者信息

Bitar Hind, Alismail Sarah

机构信息

Department of Information Systems, King Abdulaziz University, Jeddah, Saudi Arabia.

Center for Information Systems & Technology, Claremont Graduate University, Claremont, USA.

出版信息

Digit Health. 2021 Apr 19;7:20552076211009396. doi: 10.1177/20552076211009396. eCollection 2021 Jan-Dec.

Abstract

OBJECTIVE

To summarize the current status of, and the current expert opinions, recommendation and evidence associated with the use and implementation of electronic health (eHealth), telemedicine, and/or telehealth to provide healthcare services for chronic disease patients during the COVID-19 pandemic.

MATERIALS AND METHODS

We searched four electronic databases (PubMed, Google Scholar, Science Direct, and Web of Science Core Collection) to identify relevant articles published between 2019 and 2020. Searches were restricted to English language articles only. Two independent reviewers screened the titles, abstracts, and keywords for relevance. The potential eligible articles, papers with no abstract, and those that fall into the uncertain category were read in full text independently. The reviewers met and discussed which articles to include in the final review and reached a consensus.

RESULTS

We identified 51 articles of which 25 articles met the inclusion criteria. All included articles indicated the promising potential of eHealth, telehealth, and/or telemedicine solutions in delivering healthcare services to patients living with chronic diseases/conditions during the COVID-19 pandemic. We synthesized the main findings into ten usages and eight recommendations concerning the different activities for delivering healthcare services remotely for those living with chronic diseases/conditions in the era of COVID-19.

DISCUSSION AND CONCLUSIONS

There is limited evidence available about the effectiveness of such solutions. Further research is required during this pandemic to improve the credibility of evidence on telemedicine, telehealth, and/or eHealth-related outcomes for those living with chronic diseases.

摘要

目的

总结在2019冠状病毒病大流行期间,使用和实施电子健康(eHealth)、远程医疗和/或远程健康为慢性病患者提供医疗服务的现状、当前专家意见、建议和证据。

材料与方法

我们检索了四个电子数据库(PubMed、谷歌学术、科学Direct和科学网核心合集),以识别2019年至2020年发表的相关文章。检索仅限于英文文章。两名独立评审员筛选标题、摘要和关键词的相关性。对潜在符合条件的文章、无摘要的论文以及属于不确定类别的文章进行独立全文阅读。评审员会面并讨论哪些文章纳入最终评审,并达成共识。

结果

我们识别出51篇文章,其中25篇文章符合纳入标准。所有纳入文章均表明,在2019冠状病毒病大流行期间,电子健康、远程健康和/或远程医疗解决方案在为慢性病患者提供医疗服务方面具有广阔前景。我们将主要研究结果综合为关于在2019冠状病毒病时代为慢性病患者远程提供医疗服务的不同活动的十种用法和八项建议。

讨论与结论

关于此类解决方案有效性的证据有限。在本次大流行期间需要进一步研究,以提高关于远程医疗、远程健康和/或与电子健康相关结果的证据对慢性病患者的可信度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9950/8060773/1fbe09c31858/10.1177_20552076211009396-fig1.jpg

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