Khosravi Fateme, Khosravi Mohammadreza, Behzadifar Masoud, Arabzadeh Mohammad, Tabrizi Reza, Ghahramani Nasrollah, Shahabi Saeed
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Science, Shiraz, Iran.
J Health Popul Nutr. 2025 Aug 26;44(1):309. doi: 10.1186/s41043-025-01061-4.
Considering recent advances in technology, kidney transplant patients can significantly benefit from telemedicine. Understanding the factors that influence its integration into routine care is essential for optimizing implementation and ensuring equitable access.
This review was conducted in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The electronic databases including PubMed, Web of Science, Embase, Scopus and ProQuest were searched. Relevant studies were evaluated and selected by two authors independently. The extracted data were analyzed and synthesized using a thematic approach. Barriers and facilitators of integrating telemedicine services into routine kidney transplant patients care were extracted based on four pre-defined main themes (Human, Organizational, Technological, and economic environments).
From 1,188 records screened, 17 qualitative studies were selected for inclusion. Analysis revealed multiple barriers and facilitators to telemedicine integration in kidney transplant care, categorized into four main areas: human factors, organizational issues, technological challenges, and economic considerations. Key barriers identified included limited technological infrastructure, patient and provider resistance to digital tools, technology literacy gaps, privacy concerns, and increased workload. Facilitators highlighted were comprehensive guidelines, training programs, user-friendly platforms, ongoing technical support, and strong physician-patient relationships. These synthesized insights highlighted a set of 27 facilitators that can support telemedicine implementation.
The integration of telemedicine services into routine kidney transplant patient care faces many challenges but also offers promising facilitators. Addressing these factors is crucial to improving telemedicine implementation and enhancing patient outcomes.
鉴于近期技术的进步，肾移植患者可从远程医疗中显著获益。了解影响其融入常规护理的因素对于优化实施和确保公平获取至关重要。
本综述按照PRISMA-ScR（系统评价和Meta分析扩展版的范围综述优先报告项目）指南进行。检索了包括PubMed、Web of Science、Embase、Scopus和ProQuest在内的电子数据库。由两位作者独立评估和选择相关研究。使用主题方法对提取的数据进行分析和综合。基于四个预先定义的主要主题（人文、组织、技术和经济环境）提取将远程医疗服务整合到常规肾移植患者护理中的障碍和促进因素。
从筛选的1188条记录中，选择了17项定性研究纳入。分析揭示了肾移植护理中远程医疗整合的多个障碍和促进因素，分为四个主要领域：人为因素、组织问题、技术挑战和经济考量。确定的主要障碍包括技术基础设施有限、患者和提供者对数字工具的抵触、技术素养差距、隐私担忧以及工作量增加。突出的促进因素包括全面的指南、培训计划、用户友好的平台、持续的技术支持以及牢固的医患关系。这些综合见解突出了一组可支持远程医疗实施的27个促进因素。
将远程医疗服务整合到常规肾移植患者护理中面临许多挑战，但也提供了有前景的促进因素。解决这些因素对于改善远程医疗实施和提高患者结局至关重要。
