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描述消费者在虚拟护理模式中的参与情况:一项系统评价与叙述性综合分析

Characterising consumer engagement in virtual models of care: A systematic review and narrative synthesis.

作者信息

Iqbal Maha Pervaz, Newman Bronwyn, Ellis Louise A, Mears Stephen, Harrison Reema

机构信息

Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

出版信息

Patient Educ Couns. 2023 Oct;115:107922. doi: 10.1016/j.pec.2023.107922. Epub 2023 Jul 25.

Abstract

BACKGROUND

Widespread adoption of digital tools and technologies now support the delivery of virtual healthcare. Although, consumer engagement is central to care processes in virtual care models, there is paucity of evidence regarding the nature and outcomes of consumer engagement. This study aimed to determine the nature of consumer engagement used in virtual models of care, and its impact on quality and safety of care.

METHODS

A systematic review was undertaken with a narrative synthesis, with a search strategy applied to five electronic databases (CINAHL, EMBASE, MEDLINE, PsycINFO and Web of Science) RESULTS: Fifty-eight studies were included in the review that utilised a variety of virtual models of care across care services. Consumer engagement, such as patients' active involvement in monitoring, capturing and reporting their health data, was a common feature of the identified virtual models.

CONCLUSION

Increasing use of virtual models of care requires consideration of the role of patients and their support persons in the use of technology and in wider care processes that occur at a distance from health professionals. Ensuring consumers are equipped with necessary support to effectively engage in virtual care is important to ensure equity in access to, and outcomes of, virtual care models.

摘要

背景

数字工具和技术的广泛应用如今支持了虚拟医疗保健的提供。尽管消费者参与是虚拟护理模式中护理过程的核心,但关于消费者参与的性质和结果的证据却很少。本研究旨在确定虚拟护理模式中消费者参与的性质及其对护理质量和安全性的影响。

方法

采用叙述性综合进行系统评价,并将检索策略应用于五个电子数据库(CINAHL、EMBASE、MEDLINE、PsycINFO和Web of Science)。结果:该评价纳入了58项研究,这些研究在各种护理服务中采用了多种虚拟护理模式。消费者参与,如患者积极参与监测、记录和报告他们的健康数据,是所确定的虚拟模式的一个共同特征。

结论

虚拟护理模式的使用增加,需要考虑患者及其支持人员在技术使用以及与医疗专业人员远程进行的更广泛护理过程中的作用。确保消费者获得必要的支持以有效参与虚拟护理对于确保虚拟护理模式的可及性和结果的公平性很重要。

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