Department of Gerontology, Faculty of Health Sciences, University of Akdeniz, Antalya 07070, Turkey.
Elderly Care Program, Vocational School of Haymana, University of Ankara, Ankara 06860, Turkey.
Int J Environ Res Public Health. 2022 Dec 12;19(24):16672. doi: 10.3390/ijerph192416672.
A scoping review was conducted to map and analyze the concept of telecare services and the trends in telecare use. This scoping review was conducted according to Arksey and O'Malley's framework. A search was conducted in CINAHL (via EBSCO), ERIC, Academic Search Ultimate, and MEDLINE/PubMed databases. This scoping review considered quantitative (e.g., analytical observational studies, including prospective and retrospective cohort studies, case-control, analytical cross-sectional, and descriptive-observational studies), qualitative (e.g., phenomenology, grounded theory, ethnography, and action research), and mixed-method primary studies. Forty research articles published from 1 January 2012, to 1 January 2022 were included in this review, these studies met the eligibility criteria as all were focused on telecare and targeting older adults over 65 living at home. The reviewers coded the data in an Excel spreadsheet, including the articles' title, year, author, journal information and subject, research methods, sample size, location, and summary. Then, the researchers analyzed the conceptual definitions, measurement techniques, and findings in detail and the findings were grouped into categories. The trends around the concept of telecare are independent living, remote care, aging in place, and safety. Telecare research focuses mainly on service use, chronic illness, ethics, and cost-effectiveness. Technology acceptance among older individuals is a critical factor for telecare use. The results found in the literature about the cost-effectiveness of telecare are inconsistent.
这是一篇关于远程医疗服务概念及使用趋势的范围综述。本综述遵循 Arksey 和 O'Malley 的框架进行。在 CINAHL（通过 EBSCO）、ERIC、Academic Search Ultimate 和 MEDLINE/PubMed 数据库中进行了检索。本综述考虑了定量（例如，分析性观察研究，包括前瞻性和回顾性队列研究、病例对照、分析性横断面和描述性观察研究）、定性（例如，现象学、扎根理论、民族志和行动研究）和混合方法的主要研究。从 2012 年 1 月 1 日至 2022 年 1 月 1 日，共纳入了 40 篇研究文章，这些研究符合纳入标准，均专注于远程医疗，且以 65 岁以上居家的老年人为目标人群。审查员在 Excel 电子表格中对数据进行编码，包括文章标题、年份、作者、期刊信息和主题、研究方法、样本量、地点和摘要。然后，研究人员详细分析了概念定义、测量技术和研究结果，并将研究结果分为几类。远程医疗服务的发展趋势主要有独立生活、远程护理、原地老龄化和安全。远程医疗服务的研究主要集中在服务使用、慢性病、伦理和成本效益方面。老年人对技术的接受程度是远程医疗服务使用的关键因素。文献中关于远程医疗成本效益的结果不一致。
