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远程医疗在内分泌学中的应用系统评价

A Systematic Review of Telehealth Applications in Endocrinology.

作者信息

SeyedAlinaghi SeyedAhmad, Yarmohammadi Soudabeh, Mirzapour Pegah, Dehghani Soheil, Ahmadi Sepide, Abbaspour Faeze, Pashaei Ava, Molla Ayoob, Pashaei Alireza, Ahmadi Samin, Mehraeen Esmaeil

机构信息

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Research Development Center, Arash Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Telemed Rep. 2024 Sep 27;5(1):269-289. doi: 10.1089/tmr.2024.0032. eCollection 2024.

DOI:10.1089/tmr.2024.0032
PMID:39463462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512089/
Abstract

INTRODUCTION

The prevalence of telehealth has witnessed a significant increase in various medical domains, especially in endocrinology. Telehealth brings about considerable advantages for both patients and health care professionals. However, despite these positive aspects, the growing prominence of telehealth is accompanied by certain challenges. This systematic review aims to assess the role of telehealth in endocrinology, including its applications, effectiveness, challenges, and implications for patient care.

METHODS

This study involved a thorough search using comprehensive techniques across databases such as PubMed/Medline, Embase, and Scopus. The studies were selected for a tailored adaptation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to enhance the clarity of our systematic review's reporting.

RESULTS

This systematic review explores global telemedicine applications in endocrinology. Addressing various endocrine conditions, interventions utilize technology tools such as smartphones and applications, offering multifaceted utility from education and data gathering to screening and treatment. Notably, these interventions demonstrate adaptability during the COVID-19 pandemic. Positive outcomes include enhanced patient education, disease self-management, reduced complications, and improved glycemic control. However, drawbacks include the need for technical proficiency, perceived lower care quality, and potential privacy risks. These nuanced findings contribute to the discourse on telemedicine efficacy and limitations.

CONCLUSION

In conclusion, telehealth holds significant potential in transforming endocrine care. While there are challenges to its implementation, the benefits it offers underscore its value as a health care delivery model.

摘要

引言

远程医疗在各个医学领域的普及率都有显著提高,尤其是在内分泌学领域。远程医疗为患者和医护人员都带来了诸多优势。然而,尽管有这些积极方面,远程医疗日益突出的同时也伴随着某些挑战。本系统综述旨在评估远程医疗在内分泌学中的作用,包括其应用、有效性、挑战以及对患者护理的影响。

方法

本研究采用全面的技术,在PubMed/Medline、Embase和Scopus等数据库中进行了全面检索。这些研究被选择用于对系统评价和荟萃分析的首选报告项目(PRISMA)进行针对性调整,以提高我们系统综述报告的清晰度。

结果

本系统综述探讨了全球远程医疗在内分泌学中的应用。针对各种内分泌疾病,干预措施利用智能手机和应用程序等技术工具,从教育、数据收集到筛查和治疗提供多方面的效用。值得注意的是,这些干预措施在COVID-19大流行期间表现出了适应性。积极结果包括加强患者教育、疾病自我管理、减少并发症和改善血糖控制。然而,缺点包括需要技术熟练程度、感觉护理质量较低以及潜在的隐私风险。这些细微的发现有助于关于远程医疗疗效和局限性的讨论。

结论

总之,远程医疗在改变内分泌护理方面具有巨大潜力。虽然其实施存在挑战,但其提供的益处凸显了其作为一种医疗服务模式的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec9c/11512089/7f297e280c73/tmr.2024.0032_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec9c/11512089/7f297e280c73/tmr.2024.0032_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec9c/11512089/7f297e280c73/tmr.2024.0032_figure1.jpg

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Improving diabetic retinopathy screening at the point of care: integrating telemedicine to overcome current challenges.改善即时护理中的糖尿病视网膜病变筛查:整合远程医疗以克服当前挑战。
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Support Care Cancer. 2024 Feb 9;32(3):151. doi: 10.1007/s00520-024-08339-z.
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Comprehensive Telehealth Model to Support Diabetes Self-Management.支持糖尿病自我管理的综合远程医疗模式
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Implications for implementation and adoption of telehealth in developing countries: a systematic review of China's practices and experiences.远程医疗在发展中国家的实施与应用启示:对中国实践与经验的系统评价
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The Effect of Telemedicine in Glycemic Control in Adult Patients with Diabetes during the COVID-19 Era-A Systematic Review.远程医疗对2019冠状病毒病疫情期间成年糖尿病患者血糖控制的影响——一项系统评价
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Comparison of Endocrinologists' Physical Examination Documentation for In-person vs Video Telehealth Diabetes Visits.面对面与视频远程医疗糖尿病问诊中内分泌科医生体格检查记录的比较。
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