Zhang Yunxi, Lin Yueh-Yun, Lal Lincy S, Reneker Jennifer C, Hinton Elizabeth G, Chandra Saurabh, Swint J Michael
Department of Data Science, John D Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, United States.
Center for Telehealth, University of Mississippi Medical Center, Jackson, MS, United States.
JMIR Res Protoc. 2024 Mar 28;13:e55209. doi: 10.2196/55209.
The rapid expansion of telehealth services, driven by the COVID-19 pandemic, necessitates systematic evaluation to guarantee the quality, effectiveness, and cost-effectiveness of telehealth services and programs in the United States. While numerous evaluation frameworks have emerged, crafted by various stakeholders, their comprehensiveness is limited, and the overall state of telehealth evaluation remains unclear.
The overarching goal of this scoping review is to create a comprehensive overview of telehealth evaluation, incorporating perspectives from multiple stakeholder categories. Specifically, we aim to (1) map the existing landscape of telehealth evaluation, (2) identify key concepts for evaluation, (3) synthesize existing evaluation frameworks, and (4) identify measurements and assessments considered in the United States.
We will conduct this scoping review in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews and in line with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). This scoping review will consider documents, including reviews, reports, and white papers, published since January 1, 2019. It will focus on evaluation frameworks and associated measurements of telehealth services and programs in the US health care system, developed by telehealth stakeholders, professional organizations, and authoritative sources, excluding those developed by individual researchers, to collect data that reflect the collective expertise and consensus of experts within the respective professional group.
The data extracted from selected documents will be synthesized using tools such as tables and figures. Visual aids like Venn diagrams will be used to illustrate the relationships between the evaluation frameworks from various sources. A narrative summary will be crafted to further describe how the results align with the review objectives, facilitating a comprehensive overview of the findings. This scoping review is expected to conclude by August 2024.
By addressing critical gaps in telehealth evaluation, this scoping review protocol lays the foundation for a comprehensive and multistakeholder assessment of telehealth services and programs. Its findings will inform policy makers, health care providers, researchers, and other stakeholders in advancing the quality, effectiveness, and cost-effectiveness of telehealth in the US health care system.
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在新冠疫情的推动下，远程医疗服务迅速扩张，因此有必要进行系统评估，以确保美国远程医疗服务及项目的质量、有效性和成本效益。尽管已经出现了众多由不同利益相关者制定的评估框架，但其全面性有限，远程医疗评估的整体状况仍不明确。
本范围综述的总体目标是全面概述远程医疗评估，纳入多个利益相关者类别的观点。具体而言，我们旨在：（1）梳理远程医疗评估的现有格局；（2）确定评估的关键概念；（3）整合现有的评估框架；（4）确定美国所考虑的测量方法和评估。
我们将按照乔安娜·布里格斯研究所（JBI）的范围综述方法并遵循PRISMA-ScR（系统综述和Meta分析扩展版的首选报告项目）进行本范围综述。本范围综述将考虑自2019年1月1日以来发表的文献，包括综述、报告和白皮书。它将聚焦于美国医疗保健系统中由远程医疗利益相关者、专业组织和权威来源制定的远程医疗服务及项目的评估框架和相关测量方法，不包括个别研究人员制定的框架，以收集反映各专业组内专家集体专业知识和共识的数据。
从选定文献中提取的数据将使用表格和图表等工具进行整合。将使用维恩图等视觉辅助工具来说明不同来源的评估框架之间的关系。将撰写一篇叙述性总结，进一步描述结果与综述目标的契合情况，以便全面概述研究结果。预计本范围综述将于2024年8月结束。
通过填补远程医疗评估中的关键空白，本范围综述方案为对远程医疗服务及项目进行全面的多利益相关者评估奠定了基础。其研究结果将为政策制定者、医疗保健提供者、研究人员和其他利益相关者提供信息，以提高美国医疗保健系统中远程医疗的质量、有效性和成本效益。
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