Division for Health and Social Sciences, NORCE Norwegian Research Centre, Stavanger, Norway.
Department for Dermatology, Stavanger University Hospital, Stavanger, Norway.
Int Wound J. 2023 May;20(5):1712-1724. doi: 10.1111/iwj.13986. Epub 2022 Oct 19.
Based on initially identified needs for further telemedicine (TM) and chronic wound management research, the objective of this article is twofold: to conduct a systematic review of existing knowledge on TM interventions in chronic wound management-including barriers and opportunities-across the specialist and primary care sectors, and to incorporate the review findings into a system framework that can be further developed and validated through empirical data. We conclude that there is a pressing need for broader and more comprehensive empirical explorations into quality improvement and integration of TM in chronic wound management, including using system frameworks that can capture cross-sector system perspectives and associated implications. Of practical consideration, we suggest that the design and execution of TM improvement interventions and associated research projects should be conducted in close cooperation with managers and practitioners knowledgeable about barriers and opportunities that can influence the implementation of important interventions within chronic wound management.
基于初步确定的进一步远程医疗 (TM) 和慢性伤口管理研究需求，本文的目的有两个：系统回顾 TM 干预措施在专科和初级保健领域的慢性伤口管理中的现有知识，包括障碍和机会；并将审查结果纳入系统框架，通过实证数据进一步开发和验证该系统框架。我们得出的结论是，迫切需要更广泛和更全面地探索 TM 在慢性伤口管理中的质量改进和整合，包括使用能够捕捉跨部门系统观点和相关影响的系统框架。从实际考虑，我们建议 TM 改进干预措施的设计和实施以及相关研究项目应与了解障碍和机会的管理者和从业者密切合作，这些障碍和机会可能会影响慢性伤口管理中重要干预措施的实施。
