在英国设计儿科目的学试点：从文献的范围审查的结果，从耳朵门户试点服务的见解在珀斯，西澳大利亚州

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-04-07 DOI:10.1016/j.ijporl.2025.112343

Babatunde Oremule , James Dempsey , Tamara Veselinović , Ali A.H. Altamimi , Eman M.A. Alenezi , Tu Trang Tran , Jafri Kuthubutheen , Karolina Kluk , Gabrielle H. Saunders , Jaya Nichani , Iain A. Bruce , Christopher G. Brennan-Jones

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引用次数: 0

摘要

目的通过分析全球目的学倡议并借鉴西澳大利亚珀斯成功的儿科目的学试点服务（Ear Portal）的见解，为英国（UK）儿科目的学试点的设计提供信息。方法根据PRISMA-ScR指南（MEDLINE, Embase）进行范围审查（2014年1月- 2024年12月），以确定儿科临终学服务设计、结果和操作框架。其中包括11项研究，为英国试点提供了核心标准。此外，对珀斯儿童医院Ear Portal（一项针对6-18岁转诊耳部疾病儿童的服务）的回顾性审查检查了来自149名参与者的定性数据，以探讨主诉的性质。结果范围审查确定了异步和同步服务模式，报告了高用户满意度，成本效益和精简的临床途径。英国目的学试点的关键标准包括耳鼻喉科（ENT）专家主导的分诊、视频耳镜检查、训练有素的助理员，以及与目前的国家卫生服务（NHS）途径保持一致。Ear Portal的参与者经常报告非耳科症状，如打鼾（59%）和语言问题（50%），这加强了对有效的耳科分诊和有针对性的转诊的需求。结论全球证据和Ear Portal数据表明，目的学可以提高儿科耳科护理的可及性、效率和满意度。NHS的成功采用取决于强大的诊断工具，训练有素的工作人员，以及其成本效益的明确证据。我们建议英国儿科目的学试点，利用国际证据和现实世界的数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Designing a paediatric teleotology pilot in the UK: Outcomes from a scoping review of the literature, with insights from the Ear Portal pilot service in Perth, Western Australia

Objective

To inform the design of a United Kingdom (UK) paediatric teleotology pilot by analysing global teleotology initiatives and drawing on insights from a successful paediatric teleotology pilot service in Perth, Western Australia (Ear Portal).

Methods

A scoping review (January 2014–December 2024) was conducted following PRISMA-ScR guidelines (MEDLINE, Embase) to identify paediatric teleotology service designs, outcomes, and operational frameworks. Eleven studies were included, informing core criteria for a UK pilot. Additionally, a retrospective review of Ear Portal at Perth Children's Hospital (a service for children aged 6–18 years referred with ear disease) examined qualitative data from 149 participants to explore the nature of presenting complaints.

Results

The scoping review identified both asynchronous and synchronous service models, reporting high user satisfaction, cost-efficiency and streamlined clinical pathways. Key criteria for a UK teleotology pilot include Ear, Nose and Throat (ENT) specialist-led triage, video-otoscopy, trained facilitators, and alignment with current National Health Service (NHS) pathways. Non-otological symptoms, such as snoring (59 %) and speech issues (50 %), were frequently reported by Ear Portal participants, reinforcing the need for efficient ENT-led triage and targeted referrals.

Conclusions

Global evidence and Ear Portal data demonstrate that teleotology can improve access, efficiency, and satisfaction for paediatric ear care. Successful NHS adoption depends on robust diagnostic tools, adequately trained staff, and clear evidence of its cost-effectiveness. We propose recommendations for a UK paediatric teleotology pilot, leveraging both international evidence and real-world data.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.