一项关于物理治疗和职业治疗远程康复的快速审查方案，以告知伦理和公平问题。
A rapid review protocol of physiotherapy and occupational therapy telerehabilitation to inform ethical and equity concerns.
作者信息
Veras Mirella, Sigouin Jennifer, Auger Claudine, Auger Louis-Pierre, Ahmed Sara, Boychuck Zachary, Cavallo Sabrina, Lévesque Martine, Lovo Stacey, Miller William C, Nelson Michelle, Norouzi-Gheidari Nahid, O'Neil Jennifer, Perreault Kadija, Urbanowski Reg, Sheehy Lisa, Singh Hardeep, Vincent Claude, Wang Rosali, Zidarov Diana, Hudon Anne, Kairy Dahlia
机构信息
Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR), Montreal, Canada.
School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
出版信息
Digit Health. 2024 Jul 21;10:20552076241260367. doi: 10.1177/20552076241260367. eCollection 2024 Jan-Dec.
BACKGROUND
Telerehabilitation (TR) has emerged as a feasible and promising approach for delivering rehabilitation services remotely, utilizing technology to bridge the gap between healthcare providers and patients. As new modalities of virtual care and health technologies continue to emerge, it is crucial to stay informed about the growing landscape of virtual care to ensure that telehealth service delivery is ethical and equitable, and improves the quality of services and patient outcomes.
OBJECTIVE
The primary objective of this article is to present the protocol of a rapid review to examine the equity-related aspects surrounding the implementation of TR. This includes a comprehensive analysis of the ethical dimensions and fairness concerns linked to this practice.
METHODS
A rapid review protocol was developed in accordance with Cochrane Rapid Reviews Methods Guidance. Medline and EMBASE databases were searched between January 2010 and March 2023. Study selection and data extraction will be conducted in two phases (Phase I) by two independent reviewers and subsequently (Phase II) by a single reviewer. Our study will utilize the PROGRESS-Plus and Equitable virtual rehabilitation in the metaverse era framework to identify dimensions where potential inequities may exist within TR interventions.
RESULTS
This rapid review is anticipated to enhance our knowledge of TR in the fields of physiotherapy and occupational therapy, with a specific focus on its influence on ethical and equitable practices and providing a foundation for informed decision-making and improved patient care.
CONCLUSION
This rapid review will contribute to the advancement of our understanding of TR within physiotherapy and occupational therapy. Through synthesizing existing evidence, this study not only addresses current gaps in knowledge but also offers valuable insights for future research and clinical practice in TR services.
背景
远程康复（TR）已成为一种可行且有前景的方法，可利用技术远程提供康复服务，弥合医疗服务提供者与患者之间的差距。随着虚拟护理和健康技术的新形式不断涌现，了解虚拟护理不断发展的格局至关重要，以确保远程医疗服务的提供符合道德且公平，并提高服务质量和患者治疗效果。
目的
本文的主要目的是介绍一项快速综述的方案，以研究围绕TR实施的公平性相关方面。这包括对与这种做法相关的伦理维度和公平性问题的全面分析。
方法
根据Cochrane快速综述方法指南制定了快速综述方案。在2010年1月至2023年3月期间检索了Medline和EMBASE数据库。研究选择和数据提取将分两个阶段进行（第一阶段）由两名独立评审员进行，随后（第二阶段）由一名评审员进行。我们的研究将利用PROGRESS-Plus和元宇宙时代框架中的公平虚拟康复来确定TR干预措施中可能存在潜在不公平现象的维度。
结果
预计这项快速综述将增强我们在物理治疗和职业治疗领域对TR的了解，特别关注其对道德和公平实践的影响，并为明智的决策和改善患者护理提供基础。
结论
这项快速综述将有助于推进我们对物理治疗和职业治疗中TR的理解。通过综合现有证据，本研究不仅解决了当前的知识空白，还为TR服务的未来研究和临床实践提供了有价值的见解。
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