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肌骨系统远程医疗和远程康复服务的当前准确性、成本效益和用途。

The Current Accuracy, Cost-Effectiveness, and Uses of Musculoskeletal Telehealth and Telerehabilitation Services.

机构信息

Department of Clinical Research, Sina Medical Technology, Manchester, UNITED KINGDOM.

出版信息

Curr Sports Med Rep. 2022 Jul 1;21(7):247-260. doi: 10.1249/JSR.0000000000000974.

Abstract

Musculoskeletal conditions are a major contributor to global morbidity. During the COVID-19 pandemic, clinicians needed to rapidly meet the evolving requirements of their patients, which resulted in an increased adoption of telehealth services. This area needs more research, as there is currently a paucity of studies, and telehealth practices are continuing to advance and evolve. This study subsequently aims to evaluate the ethics, health economics, and accuracy of current musculoskeletal telehealth services. This article combines three original studies; a telehealth accuracy systematic review; a cost-effectiveness scoping review; and a biopsychosocial narrative review. These studies were combined into one article. This article concludes that telehealth services achieve an average agreement with in-person assessments of 62% for the knee and 31% for the shoulder and that telerehabilitation services incur average cost savings per patient of £38.57 but that these savings are primarily a result of a reduced need to travel.

摘要

肌肉骨骼疾病是全球发病率的主要原因。在 COVID-19 大流行期间,临床医生需要迅速满足患者不断变化的需求,这导致远程医疗服务的采用率增加。这一领域需要更多的研究,因为目前研究很少,远程医疗实践正在不断发展和演变。因此,本研究旨在评估当前肌肉骨骼远程医疗服务的伦理、健康经济学和准确性。本文结合了三项原始研究;一项远程医疗准确性系统评价;一项成本效益范围评价;和一个心理社会叙事综述。这些研究被合并在一篇文章中。本文的结论是,远程医疗服务在膝关节方面的平均一致性评估为 62%,在肩部方面为 31%,远程康复服务平均每位患者节省 38.57 英镑,但这些节省主要是由于减少了旅行需求。

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