美国的远程医疗评估：范围审查方案

Telehealth Evaluation in the United States: Protocol for a Scoping Review.

作者信息

Zhang Yunxi, Lin Yueh-Yun, Lal Lincy S, Reneker Jennifer C, Hinton Elizabeth G, Chandra Saurabh, Swint J Michael

机构信息

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.

出版信息

JMIR Res Protoc. 2024 Mar 28;13:e55209. doi: 10.2196/55209.

DOI:10.2196/55209

PMID:38546709

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11009841/

Abstract

BACKGROUND

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.

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

TRIAL REGISTRATION

OSF Registries osf.io/aytus; https://osf.io/aytus.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/55209.

摘要

背景

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。

目的

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。

方法

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。