Faculty of Health, School of Health Sciences, Birmingham City University, Birmingham, United Kingdom.
Dental Academy, University of Portsmouth, Portsmouth, United Kingdom.
Med Sci Monit. 2024 Feb 11;30:e943383. doi: 10.12659/MSM.943383.
Telemedicine technologies allow distribution of health-related services and information and can include electronic and telecommunication technologies, remote patient and clinician contact, referral and prescribing, patient education, and monitoring. This systematic review aimed to evaluate publications on the perceptions and management of chronic medical conditions using telehealth remote consultations by primary healthcare professionals between April 2020 and December 2021 during the COVID-19 pandemic. Electronic databases, including Cinhal, PubMed, Science Direct, and ProQuest were searched to extract qualitative studies relevant to the topic. Inclusion criteria were developed based on the Population, Exposure, and Outcomes scoping framework. The target population was healthcare professionals working in primary care settings. Included studies encompassed various types of telemedicine, such as synchronous telemedicine, video conferencing, telephone conversations, and smart devices. Eight studies were included. Synchronous telemedicine was highly effective in ensuring the continuity of care and treatment, providing patients with convenience, improved access to treatment, and earlier disease management. Video conferencing and telephone consultations were the most common methods used. Challenges included concerns about patient privacy, technology literacy, and acceptance. Telemedicine was commended for its ability to provide access to immediate expert medical advice and eliminate the need for long-distance travel, contributing to increased patient compliance. Synchronous telemedicine is a promising solution for managing chronic conditions during and after the COVID-19 pandemic, offering benefits to patients and healthcare professionals. To maximize its potential, concerns regarding patient privacy, confidentiality, and technology literacy need to be addressed. Proper legislation and regulations are required for long-term success of telemedicine, making it a valuable component of healthcare systems.
远程医疗技术可以实现医疗服务和信息的传播，包括电子和电信技术、远程医患联系、转诊和处方、患者教育和监测。本系统评价旨在评估 2020 年 4 月至 2021 年 12 月期间 COVID-19 大流行期间初级保健专业人员使用远程医疗进行远程咨询对慢性病管理的看法。通过 Cinhal、PubMed、Science Direct 和 ProQuest 等电子数据库检索与主题相关的定性研究。根据人群、暴露和结果范围框架制定了纳入标准。目标人群是在初级保健环境中工作的医疗保健专业人员。纳入的研究涵盖了各种类型的远程医疗，如同步远程医疗、视频会议、电话交谈和智能设备。共纳入了 8 项研究。同步远程医疗在确保医疗连续性和治疗效果方面非常有效，为患者提供了便利，改善了治疗机会，并更早地进行疾病管理。视频会议和电话咨询是最常用的方法。挑战包括对患者隐私、技术素养和接受程度的担忧。远程医疗因其能够提供即时专家医疗建议和消除长途旅行的需要而受到称赞，有助于提高患者的依从性。同步远程医疗是 COVID-19 大流行期间和之后管理慢性病的有前途的解决方案，为患者和医疗保健专业人员带来了好处。为了最大限度地发挥其潜力，需要解决患者隐私、保密性和技术素养方面的问题。需要制定适当的立法和法规，以确保远程医疗的长期成功，使其成为医疗保健系统的有价值组成部分。
