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针对患有可预防慢性病的老年人的虚拟医疗保健:质量方面的元综合分析

Virtual Healthcare for Older Adults With Preventable Chronic Conditions: A Meta-synthesis of Quality Aspects.

作者信息

Hamiduzzaman Mohammad, Gaffney Harry James, Jindal Shruti, Patra Mahua, Gudur Raghavendra, Pit Sabrina, Rahman Aziz

机构信息

Research Fellow, University Center for Rural Health, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lismore, NSW, Australia.

Concord Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

出版信息

J Appl Gerontol. 2025 Jul;44(7):1089-1108. doi: 10.1177/07334648241296791. Epub 2024 Nov 12.


DOI:10.1177/07334648241296791
PMID:39531527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12163194/
Abstract

Our study employed a six-step meta-synthesis approach to understand quality aspects of virtual healthcare trajectories and identify effective strategies for older adults with preventable chronic conditions across the world. Review of twenty-one articles revealed four key themes: functionality of virtual healthcare, equity in service delivery, satisfaction with care, and cost-effectiveness. Despite the challenges posed by technological and clinical complexities, virtual healthcare initiatives have significantly improved accessibility and availability of health services, thereby reducing disparities. Notably, telehealth saved an average of 166-minutes of travel time, demonstrating a clear benefit of virtual healthcare. While all parties expressed satisfaction with virtual healthcare, several challenges were reported, including a digital divide, limited access to digital devices, absence of a multidisciplinary approach, and lack of rural-specific programs.

摘要

我们的研究采用了六步元综合法,以了解虚拟医疗轨迹的质量方面,并为全球患有可预防慢性病的老年人确定有效的策略。对21篇文章的综述揭示了四个关键主题:虚拟医疗的功能、服务提供的公平性、护理满意度和成本效益。尽管技术和临床复杂性带来了挑战,但虚拟医疗举措显著提高了医疗服务的可及性和可得性,从而减少了差距。值得注意的是,远程医疗平均节省了166分钟的出行时间,显示出虚拟医疗的明显益处。虽然各方都对虚拟医疗表示满意,但也报告了一些挑战,包括数字鸿沟、数字设备获取有限、缺乏多学科方法以及缺乏针对农村地区的项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc8/12163194/2f821705464c/10.1177_07334648241296791-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc8/12163194/2f821705464c/10.1177_07334648241296791-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cc8/12163194/2f821705464c/10.1177_07334648241296791-fig1.jpg

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引用本文的文献

[1]
Virtual Care Appointments and Experience Among Older Rural Patients with Chronic Conditions in New South Wales: An Analysis of Existing Survey Data.

Int J Environ Res Public Health. 2024-12-17

本文引用的文献

[1]
Patient-reported experiences and outcomes of virtual care during COVID-19: a systematic review.

J Patient Rep Outcomes. 2023-12-1

[2]
A Framework for Digital Health Policy: Insights from Virtual Primary Care Systems Across Five Nations.

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[3]
The burden and trend of diseases and their risk factors in Australia, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Lancet Public Health. 2023-8

[4]
Virtual avatars as a new tool for human immunodeficiency virus prevention among men who have sex with men: a narrative review.

Mhealth. 2023-6-28

[5]
Training for virtual care: What do the experts think?

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[6]
Lifestyle medicine as a modality for prevention and management of chronic diseases.

J Taibah Univ Med Sci. 2023-4-15

[7]
Caregiver Experience of Tele-dementia Care for Older Veterans.

J Gen Intern Med. 2023-10

[8]
Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review.

Health Informatics J. 2023

[9]
Personalized Telehealth: Redesigning Complex Care Delivery for the 65+ During the COVID Pandemic: a Survey of Patients, Caregivers, and Health-care Providers.

Can Geriatr J. 2023-3-1

[10]
General practitioners' perceptions of using virtual primary care during the COVID-19 pandemic: An international cross-sectional survey study.

PLOS Digit Health. 2022-5-16

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