{"title":"不同排班系统下的技术与医疗服务:范围审查》。","authors":"Lucas Manarte","doi":"10.4258/hir.2024.30.3.194","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Online consultation scheduling is increasingly common in health services across various countries. This paper reviews articles published in the past five years and reflects on the risks and benefits of this practice, linking it to a recent Portuguese pilot project.</p><p><strong>Methods: </strong>A search for articles from Web of Science and Scopus published since 2018 was conducted using the terms \"online scheduling,\" \"online booking,\" and \"consultations.\" This search was completed in the last week of 2023.</p><p><strong>Results: </strong>Out of 64 articles retrieved, 26 were relevant to the topic. These articles were reviewed, and their main findings, along with those from other relevant sources, were discussed.</p><p><strong>Conclusions: </strong>Several limitations of online consultations were identified, encompassing ethical, clinical, and economic aspects. While these consultations tend to be less expensive, their accessibility varies based on factors such as the users' age, whether they reside in rural or urban areas, and the technological capabilities of different countries, indicating that access disparities may continue to widen. Confidentiality concerns also arise, varying by medical specialty, along with issues related to payment. Overall, however, both users and health professionals view the advent of online consultation booking positively. In conclusion, despite the risks identified, online consultation booking has the potential to enhance user access to health services, provided that usage limitations and technological disparities are addressed. Research production has not kept pace with rapid technological advancements.</p>","PeriodicalId":12947,"journal":{"name":"Healthcare Informatics Research","volume":"30 3","pages":"194-205"},"PeriodicalIF":2.3000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333816/pdf/","citationCount":"0","resultStr":"{\"title\":\"Technology and Access to Healthcare with Different Scheduling Systems: A Scoping Review.\",\"authors\":\"Lucas Manarte\",\"doi\":\"10.4258/hir.2024.30.3.194\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Online consultation scheduling is increasingly common in health services across various countries. This paper reviews articles published in the past five years and reflects on the risks and benefits of this practice, linking it to a recent Portuguese pilot project.</p><p><strong>Methods: </strong>A search for articles from Web of Science and Scopus published since 2018 was conducted using the terms \\\"online scheduling,\\\" \\\"online booking,\\\" and \\\"consultations.\\\" This search was completed in the last week of 2023.</p><p><strong>Results: </strong>Out of 64 articles retrieved, 26 were relevant to the topic. These articles were reviewed, and their main findings, along with those from other relevant sources, were discussed.</p><p><strong>Conclusions: </strong>Several limitations of online consultations were identified, encompassing ethical, clinical, and economic aspects. While these consultations tend to be less expensive, their accessibility varies based on factors such as the users' age, whether they reside in rural or urban areas, and the technological capabilities of different countries, indicating that access disparities may continue to widen. Confidentiality concerns also arise, varying by medical specialty, along with issues related to payment. Overall, however, both users and health professionals view the advent of online consultation booking positively. In conclusion, despite the risks identified, online consultation booking has the potential to enhance user access to health services, provided that usage limitations and technological disparities are addressed. Research production has not kept pace with rapid technological advancements.</p>\",\"PeriodicalId\":12947,\"journal\":{\"name\":\"Healthcare Informatics Research\",\"volume\":\"30 3\",\"pages\":\"194-205\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333816/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Healthcare Informatics Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4258/hir.2024.30.3.194\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICAL INFORMATICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare Informatics Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4258/hir.2024.30.3.194","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/31 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICAL INFORMATICS","Score":null,"Total":0}
引用次数: 0
摘要
目的:在线咨询安排在各国的医疗服务中越来越常见。本文回顾了过去五年发表的文章,并结合葡萄牙最近的一个试点项目,对这种做法的风险和益处进行了反思:使用 "在线排班"、"在线预约 "和 "咨询 "等术语,从 Web of Science 和 Scopus 中搜索了 2018 年以来发表的文章。该搜索于 2023 年最后一周完成:在检索到的 64 篇文章中,有 26 篇与本主题相关。对这些文章进行了审查,并讨论了其主要发现以及其他相关来源的发现:研究发现了在线会诊的一些局限性,包括伦理、临床和经济方面。虽然这些会诊的费用往往较低,但其可及性却因用户的年龄、居住在农村还是城市地区以及不同国家的技术能力等因素而异,这表明在可及性方面的差距可能会继续扩大。保密方面的问题也随医疗专业的不同而不同,还有与支付有关的问题。不过,总体而言,用户和医疗专业人员都对在线问诊预约的出现持积极态度。总之,尽管存在已发现的风险,但只要能解决使用限制和技术差异问题,在线预约问诊仍有可能增加用户获得医疗服务的机会。研究成果没有跟上技术快速发展的步伐。
Technology and Access to Healthcare with Different Scheduling Systems: A Scoping Review.
Objectives: Online consultation scheduling is increasingly common in health services across various countries. This paper reviews articles published in the past five years and reflects on the risks and benefits of this practice, linking it to a recent Portuguese pilot project.
Methods: A search for articles from Web of Science and Scopus published since 2018 was conducted using the terms "online scheduling," "online booking," and "consultations." This search was completed in the last week of 2023.
Results: Out of 64 articles retrieved, 26 were relevant to the topic. These articles were reviewed, and their main findings, along with those from other relevant sources, were discussed.
Conclusions: Several limitations of online consultations were identified, encompassing ethical, clinical, and economic aspects. While these consultations tend to be less expensive, their accessibility varies based on factors such as the users' age, whether they reside in rural or urban areas, and the technological capabilities of different countries, indicating that access disparities may continue to widen. Confidentiality concerns also arise, varying by medical specialty, along with issues related to payment. Overall, however, both users and health professionals view the advent of online consultation booking positively. In conclusion, despite the risks identified, online consultation booking has the potential to enhance user access to health services, provided that usage limitations and technological disparities are addressed. Research production has not kept pace with rapid technological advancements.