McGraw Monica, Morin Anaelle, Tremblay Vaillancourt Vanessa, Poitras Marie-Eve, Couturier Yves, Gaboury Isabelle, Poirier Marie-Dominique
Université de Sherbrooke Saguenay, QC, Canada.
CRMUS Research Chair on Optimal Professional Practices in Primary Care, Saguenay, Canada.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251333858. doi: 10.1177/21501319251333858. Epub 2025 Jun 6.
With the rise of people being affected with chronic illness, now the leading cause of mortality worldwide, primary care is overwhelmed with the demand for healthcare services. Primary healthcare is the first resource for patients living with chronic illness, but in 2019, COVID-19 brought healthcare professionals to increase services through virtual care for patients living with chronic illness. In the workplace, such professionals often need to be sufficiently resourced to collaborate, to address collaborative care barriers in telehealth and to keep patients engaged in their health. We performed a scoping review to identify how patients living with chronic diseases actively engage and describe their involvement in the process of interprofessional collaboration within the context of telehealth in primary care settings. We followed Arksey and O'Malley's and the Joanna Briggs Institute's methodological guidelines to conduct this scoping review. The analysis of the retained twelve studies showed little distinction between the experience of interprofessional collaboration from the patient's perspective in a telehealth context compared to a face-to-face context. However, we were able to identify gaps (eg, limited insight onto engagement dynamic, lack of patient-centric research, and insufficient research on patient engagement) relating to the experiences of patients, patient engagement, and professionals who have used telehealth. In an era of digital innovations, this lack of literature regarding the patient experience may jeopardize the quality of the interprofessional collaboration services offered to patients and patient engagement. This gap in patient engagement integrated into interprofessional collaboration in a telehealth context needs to be addressed.
随着受慢性病影响的人数增加，慢性病现已成为全球主要死因，初级保健面临着对医疗服务的巨大需求。初级医疗保健是慢性病患者的首要资源，但在2019年，新冠疫情促使医疗专业人员通过虚拟护理为慢性病患者增加服务。在工作场所，这类专业人员往往需要有充足的资源来进行协作，解决远程医疗中的协作护理障碍，并让患者积极参与自身健康管理。我们进行了一项范围综述，以确定慢性病患者如何积极参与并描述他们在初级保健环境中远程医疗背景下的跨专业协作过程中的参与情况。我们遵循阿克西和奥马利以及乔安娜·布里格斯研究所的方法指南进行这项范围综述。对保留的12项研究的分析表明，从患者角度来看，远程医疗背景下的跨专业协作体验与面对面背景下的体验几乎没有区别。然而，我们能够识别出与患者体验、患者参与以及使用过远程医疗的专业人员相关的差距（例如，对参与动态的洞察力有限、缺乏以患者为中心的研究以及对患者参与的研究不足）。在数字创新时代，这种关于患者体验的文献匮乏可能会危及提供给患者的跨专业协作服务的质量以及患者参与度。在远程医疗背景下，需要解决患者参与纳入跨专业协作方面的这一差距。
