Department of Primary Care and Public Health, Imperial College London, London, UK
Department of Primary Care and Public Health, Imperial College London, London, UK.
BMJ Open. 2024 Nov 2;14(11):e082452. doi: 10.1136/bmjopen-2023-082452.
Around 463 million people globally have diabetes, of which over 90% have type 2 diabetes (T2D). Projections indicate an expected increase to 700 million by 2045. The COVID-19 pandemic accelerated digital health uptake, establishing virtual consultations as a feasible alternative to traditional in-person care. Despite promising preliminary evidence, a comprehensive review is needed to fully assess the impact of virtual consultations on diabetes care. This review aims to systematically evaluate the impact of remote consultations on the quality of care provided to persons with T2D, by mapping impacts against the six quality domains outlined by the National Academy of Medicine (NAM) (ie, patient-centeredness, effectiveness, efficiency, timeliness, equity and safety).
PubMed/MEDLINE (Medical Literature Analysis and Retrieval System Online), COCHRANE Library, EMBASE (Excerpta Medica Database), CINAHL (Cumulative Index to Nursing and Allied Health Literature) and Web of Science will be searched for studies published between 2010 and 2024. Primary outcomes will include any quality measures pertaining to the NAM domains for adult patients accessing virtual consultations. The Cochrane Collaboration's tool will be used to assess the quality of the randomised studies, and the Risk of Bias in Non-Randomised Studies of Interventions will be used for non-randomised studies. The findings will be summarised as a narrative synthesis. This systematic review protocol was registered with the International Prospective Register of Systematic Reviews on 15 November 2023 (registration number: CRD42023474219).
This review will not include primary data and therefore does not require ethical approval. This protocol complies with the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols guidelines. Findings will be disseminated as academic publications and conference presentations and summarised into patient-led lay summaries.
全球约有 4.63 亿人患有糖尿病，其中超过 90%的人患有 2 型糖尿病（T2D）。预计到 2045 年，这一数字将增至 7 亿。COVID-19 大流行加速了数字医疗的普及，使虚拟咨询成为传统面对面护理的可行替代方案。尽管有初步的有希望的证据，但仍需要进行全面审查，以充分评估虚拟咨询对 T2D 患者护理的影响。本综述旨在通过对照国家医学科学院（NAM）概述的六个质量领域（即患者为中心、有效性、效率、及时性、公平性和安全性）来系统评估远程咨询对 T2D 患者护理质量的影响。
将在 2010 年至 2024 年期间，在 PubMed/MEDLINE（医学文献分析和检索系统在线）、考科兰图书馆、EMBASE（医学文摘数据库）、CINAHL（护理和联合健康文献累积索引）和 Web of Science 上搜索研究。主要结果将包括与虚拟咨询成人患者相关的任何质量措施，这些措施涉及 NAM 领域。将使用 Cochrane 协作工具评估随机研究的质量，对于非随机研究，将使用干预措施非随机研究的偏倚风险。研究结果将以叙述性综合形式进行总结。本系统评价方案于 2023 年 11 月 15 日在国际前瞻性系统评价登记册（登记号：CRD42023474219）上进行了登记。
本综述不包括原始数据，因此不需要伦理批准。本方案符合系统评价和荟萃分析方案的首选报告项目指南。研究结果将作为学术出版物和会议演讲进行传播，并总结为患者主导的通俗易懂的摘要。
