大流行后患者对远程医疗利用感知的评估:范围审查。

IF 2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Telemedicine and e-Health Pub Date : 2025-10-01 Epub Date: 2025-05-19 DOI:10.1089/tmj.2024.0604
Faith Ogini, Rashidat Elesho, Mary Awuonda
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引用次数: 0

摘要

背景:研究报告了远程医疗的益处,重点是大流行期间的远程医疗绩效。然而,有必要评估在大流行之后患者满意度的持续性。这项工作的目的是评估大流行后几年患者对远程医疗的满意度、接受度和利用情况,强调未来研究的重大障碍和潜在领域。方法:从PubMed和Scopus数据库中检索2022年1月至2024年1月发表的研究。采用预先设计的纳入/排除标准和系统评价和meta分析流程图的首选报告项目。使用与“大流行后”、“患者满意度”和“远程医疗”相关的搜索词,并从文章中提取感兴趣的主要结果(患者的感知和满意度)。结果:通过文献检索共获得228篇文献。经筛选,纳入17篇文献。大多数研究记录了持续的满意度和大流行后早期使用率的下降。患者报告的反复出现的关切领域是与医患沟通有关的障碍、由于缺乏体检而导致的远程保健无效以及对病情较轻的患者更倾向于远程保健。没有远程医疗经验的个体使用远程医疗的倾向最低。治疗时间、对专家能力的信任度降低以及对远程医疗模式的不熟悉被认为是影响远程医疗利用的非常规因素。结论:在大流行后的年代,远程保健仍然是一种重要的保健提供形式。这篇综述强调了对患者远程医疗感知进行更多最新研究的必要性。反复出现的障碍、新出现的非常规因素以及针对较少首选访问类型的远程医疗优化是未来研究的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Patients' Postpandemic Perception of Telehealth Utilization: A Scoping Review.

Background: Studies have reported telehealth benefits, focusing on telehealth performance during the pandemic. However, there is a need to assess the persistence of patients' satisfaction beyond the pandemic. The objective of this work was to evaluate patient satisfaction, acceptance, and utilization of telehealth in the postpandemic years, highlighting significant barriers and potential areas for future studies. Methods: Published studies were identified from PubMed and Scopus databases from January 2022 to January 2024. Predesigned inclusion/exclusion criteria and Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram were applied. Search terms related to "Post-pandemic," "Patient satisfaction," and "Telehealth" were used, and the primary outcomes of interest (patients' perception and satisfaction) were extracted from the articles. Results: A total of 228 articles were obtained from the literature search. After screening, 17 articles were included in the study. Most studies recorded sustained satisfaction and a decrease in utilization early postpandemic. Recurring areas of concern reported by patients were barriers related to patient-physician communication, the ineffectiveness of telehealth due to a lack of physical examination, and the preference for telehealth for less severe conditions. Individuals without prior telehealth experience had the lowest tendency to utilize telehealth. Treatment time, reduced trust in specialist competency, and lack of familiarity with telehealth modality were identified as nonconventional factors influencing telehealth utilization. Conclusion: Telehealth remains an essential form of care delivery in the postpandemic years. This review emphasizes the need for more up-to-date research on patients' telehealth perceptions. The recurring barriers, emerging nonconventional factors, and telehealth optimization for less preferred visit types are areas for future research.

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来源期刊
Telemedicine and e-Health
Telemedicine and e-Health 医学-卫生保健
CiteScore
8.80
自引率
6.40%
发文量
270
审稿时长
2.3 months
期刊介绍: Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings. Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.
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