在家居姑息治疗中使用远程医疗的优势与挑战：一项系统性混合研究综述方案
Advantages and Challenges in Using Telehealth for Home-Based Palliative Care: Protocol for a Systematic Mixed Studies Review.
作者信息
Steindal Simen A, Nes Andréa Aparecida Goncalves, Godskesen Tove E, Lind Susanne, Dhle Alfhild, Winger Anette, Österlind Jane, Pettersen Fredrik Solvang, Holmen Heidi, Klarare Anna
机构信息
Lovisenberg Diaconal University College, Oslo, Norway.
Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
出版信息
JMIR Res Protoc. 2021 May 21;10(5):e22626. doi: 10.2196/22626.
BACKGROUND
Given the increasing number of people in need of palliative care services and the current health care professional workforce strain, providing equitable, quality palliative care has become a challenge. Telehealth could be an innovative approach to palliative care delivery, enabling patients to spend more time or even remain at home, if they wish, throughout the illness trajectory. However, no previous systematic mixed studies reviews have synthesized evidence on patients' experiences of the advantages and challenges of telehealth for home-based palliative care.
OBJECTIVE
The aim of this systematic mixed studies review is to critically appraise and synthesize findings from studies that investigated patients' use of telehealth in home-based palliative care with a focus on the advantages and challenges experienced by the patients.
METHODS
This article describes the protocol for a systematic mixed studies review with a convergent design. The reporting will be guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. A systematic search was performed in eight databases for studies published from January 2010 to June 2020. The search will be updated in 2021. Pairs of authors will independently assess eligibility, extract data, and assess methodological quality. The data will then be analyzed using thematic synthesis.
RESULTS
We describe the rationale and design of a systematic mixed studies review. The database searches were performed on June 25, 2020. Assessment of eligibility and further steps have not yet been performed. Results are anticipated by August 2021.
CONCLUSIONS
Following the ethos of patient-centered palliative care, this systematic mixed studies review could lead to recommendations for practice and policy, enabling the development and implementation of telehealth applications and services that align with patients' preferences and needs at home.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/22626.
背景
鉴于需要姑息治疗服务的人数不断增加以及当前医疗保健专业人员队伍紧张，提供公平、高质量的姑息治疗已成为一项挑战。远程医疗可能是一种提供姑息治疗的创新方法，使患者能够在整个疾病过程中根据自己的意愿在家中度过更多时间甚至一直居家。然而，以前没有系统的混合研究综述综合过关于患者对远程医疗用于居家姑息治疗的优势和挑战的体验的证据。
目的
本系统混合研究综述的目的是批判性地评估和综合研究结果，这些研究调查了患者在居家姑息治疗中使用远程医疗的情况，重点关注患者所经历的优势和挑战。
方法
本文描述了采用收敛设计的系统混合研究综述方案。报告将遵循PRISMA（系统评价和Meta分析的首选报告项目）声明。在八个数据库中对2010年1月至2020年6月发表的研究进行了系统检索。检索将在2021年更新。作者对将独立评估纳入标准、提取数据并评估方法学质量。然后将使用主题综合法对数据进行分析。
结果
我们描述了系统混合研究综述的基本原理和设计。数据库检索于2020年6月25日进行。纳入标准评估和后续步骤尚未进行。预计2021年8月得出结果。
结论
遵循以患者为中心的姑息治疗理念，本系统混合研究综述可能会得出实践和政策建议，从而能够开发和实施符合患者在家中的偏好和需求的远程医疗应用和服务。
国际注册报告识别号（IRRID）：PRR1-10.2196/22626
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