Traulsen Pia, Steinhäuser Jost, Waschkau Alexander
Institut für Allgemeinmedizin, Universitätsklinikum Schleswig-Holstein - Campus Lübeck, Lübeck, Germany.
Gesundheitswesen. 2023 Apr;85(4):339-345. doi: 10.1055/a-1791-0479. Epub 2022 Jun 9.
The German ban on remote treatment was relaxed in 2018. The SARS-CoV-2 pandemic ultimately ensured a surge in the implementation of video consultations as part of telemedicine in primary care. However, the question of how the quality of this form of care is represented is currently unanswered. The aim of this review was to identify criteria for assessing the quality of video consultations in primary care.
As part of this review, a literature search was carried out in the databases PubMed, Web of Science, Google Scholar, Open Gray and Google. We searched for literature on quality criteria or quality indicators for telemedicine. German and English-language literature was included, there was no limit on publication date.
A total of 14 publications were included in the review. Out of the quality criteria identified, 13 quality indicators were derived. Of these, seven were for structural quality, two for process quality and four indicators for outcome quality. For instance, the switch to face-to-face treatment for those cases for which it was required, staff qualifications and access to this type of care were identified as possible indicators.
The quality indicators proposed in this article enable a structured evaluation of the quality of video consultations in primary care through their measurability. Further development of these indicators in order to define threshold values for the stated goals appears to be warranted.
德国对远程治疗的禁令于2018年放宽。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行最终促使作为初级保健远程医疗一部分的视频会诊实施激增。然而,这种护理形式的质量如何体现的问题目前尚无答案。本综述的目的是确定评估初级保健中视频会诊质量的标准。
作为本综述的一部分,在PubMed、科学网、谷歌学术、Open Gray和谷歌数据库中进行了文献检索。我们搜索了关于远程医疗质量标准或质量指标的文献。纳入了德语和英语文献,对出版日期没有限制。
本综述共纳入14篇出版物。在确定的质量标准中,得出了13个质量指标。其中,7个用于结构质量,2个用于过程质量,4个用于结果质量。例如,对于需要面对面治疗的病例改为面对面治疗、工作人员资质以及获得此类护理的机会被确定为可能的指标。
本文提出的质量指标通过其可测量性能够对初级保健中视频会诊的质量进行结构化评估。为确定既定目标的阈值而进一步开发这些指标似乎是有必要的。