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实施远程会诊的优势、劣势、机会与威胁(SWOT):一项系统综述

Strengths, Weaknesses, Opportunities, and Threats (SWOT) of Implementing Teleconsultation: A Systematic Review.

作者信息

Khoshsirat Shiva, Soleimanpour Hassan, Rezaei-Hachesu Peyman

机构信息

Department of Health Information Technology School of Management and Medical Informatics, Tabriz University of Medical Sciences Tabriz Iran.

Medical Philosophy and History Research Center, Emergency and Trauma Care Research Center Imam Reza General Hospital, Tabriz University of Medical Sciences Tabriz Iran.

出版信息

Health Sci Rep. 2025 May 5;8(5):e70645. doi: 10.1002/hsr2.70645. eCollection 2025 May.

Abstract

BACKGROUND AND AIMS

The COVID-19 pandemic has changed the traditional models of providing services in health systems. One of the recommended ways to provide healthcare services in this era is teleconsultation. This study aimed to determine the strengths, weaknesses, opportunities, and threats (SWOTs) of teleconsultation from the general practitioner's point of view and to implement it in the COVID-19 era.

METHODS

A systematic review was conducted by searching online databases, including the PubMed, Scopus, and WOS databases, from the beginning to January 1, 2024, without restrictions and using relevant keywords. All studies that mentioned at least one of the areas of strength, weakness, opportunities, or threats related to teleconsultation were included in the study. We used content analysis to combine the results.

RESULTS

Ultimately, 32 studies were included in this review. The most important factors were determined in four domains. Strengths included ease of use of technology, reduction of time and cost, and facilitating documentation. Weaknesses included a lack of physical exams, less direct communication, and internet-related problems. The opportunities included the increasing progress of medical technologies worldwide, continuity of care, and people's interest in the daily use of new technologies. Threats included sociocultural barriers, the need for continuous training, and competing interests.

CONCLUSION

Examining internal and external factors is important for formulating a plan. Identifying these factors and using them can lead to the formulation of effective and efficient programs in the field of teleconsultation for general practitioners in the era of COVID-19. Without paying attention to these issues, adopting appropriate plans to minimize weaknesses and threats, and effectively using strengths and opportunities to implement telemedicine projects, there is a possibility of failure and waste of time, effort, and credit in the health sector.

摘要

背景与目的

新冠疫情改变了卫生系统提供服务的传统模式。在这个时代,远程会诊是推荐的医疗服务提供方式之一。本研究旨在从全科医生的角度确定远程会诊的优势、劣势、机遇和威胁(SWOT),并在新冠疫情时代实施远程会诊。

方法

通过检索在线数据库进行系统综述,包括PubMed、Scopus和WOS数据库,检索时间从开始到2024年1月1日,无限制条件,并使用相关关键词。所有提及与远程会诊相关的优势、劣势、机遇或威胁中至少一个领域的研究都纳入本研究。我们采用内容分析法整合结果。

结果

最终,本综述纳入了32项研究。在四个领域确定了最重要的因素。优势包括技术易用性、时间和成本的降低以及便于记录。劣势包括缺乏体格检查、沟通不够直接以及与互联网相关的问题。机遇包括全球医疗技术的不断进步、医疗连续性以及人们对日常使用新技术的兴趣。威胁包括社会文化障碍、持续培训的需求以及利益冲突。

结论

审视内部和外部因素对于制定计划很重要。识别这些因素并加以利用,可以为新冠疫情时代的全科医生制定出有效且高效的远程会诊领域方案。如果不关注这些问题,不采取适当计划来最小化劣势和威胁,以及有效地利用优势和机遇来实施远程医疗项目,那么在卫生部门就有可能失败并浪费时间、精力和信誉。

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