Challenges of Telemedicine during the COVID-19 pandemic: a systematic review.
Challenges of Telemedicine during the COVID-19 pandemic: a systematic review.
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DOI：
10.1186/s12911-022-01952-0
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发表时间：
2022-08-03
影响因子：
3.5
通讯作者：
Salem, Nariman
中科院分区：
文献类型：
--
作者：
Ftouni, Racha;AlJardali, Baraa;Hamdanieh, Maya;Ftouni, Louna;Salem, Nariman
COVID-19大流行促使人们减少了亲自探访，以降低病毒传播的风险。远程医疗是医疗保健提供者和患者之间使用的一种有效的通信工具，可防止接触感染者的风险。然而，远程医疗的使用并非万无一失；它的用户报告了使这项技术的扩展复杂化的多个问题。因此，本系统综述旨在探讨大流行期间远程医疗使用的障碍和挑战，并提出改进未来使用的解决方案。按照PRISMA（系统评价和荟萃分析首选报告项目）声明进行系统评价。使用PubMed、Scopus、Web of Science、Academic Search Complete、CINAHL、Embase和Science Direct来寻找解决障碍和挑战的文章，以及提出解决方案的文章。研究通过标题和摘要进行筛选，然后进行全文综述。偏倚风险评估采用定性研究的关键评估技能程序，横断面研究的纽卡斯尔-渥太华量表，系统评价的评估系统评价的测量工具。在提取数据后，对结果进行叙事综合和分析。在被识别的1194篇论文中，只有27篇研究被纳入。障碍和挑战分为7类：技术方面、隐私、数据保密和报销、体检和诊断、特殊人群、医疗保健提供者和患者的培训、医患关系和可接受性。互联网连接不佳和缺乏普及技术是技术障碍之一。对患者隐私和报销的担忧也阻碍了远程医疗的使用。通过远程医疗无法进行身体检查和某些程序。对医疗保健提供者和患者的培训不足。远程医疗给医患关系带来了困扰，医疗服务提供者和患者都不愿意使用远程医疗。远程医疗的广泛使用仍然受到各种障碍和挑战的阻碍。医疗保健提供者应与各种利益相关者合作，以实施拟议的解决方案。更多的研究和政策变化对于优化远程医疗的利用至关重要。在线版本包含补充材料，可在10.1186/s12911-022-01952-0获得。
The COVID-19 pandemic has prompted the decrease of in-person visits to reduce the risk of virus transmission. Telemedicine is an efficient communication tool employed between healthcare providers and patients that prevents the risk of exposure to infected persons. However, telemedicine use is not infallible; its users reported multiple issues that complicated the expansion of this technology. So, this systematic review aimed to explore the barriers and challenges of telemedicine use during the pandemic and to propose solutions for improving future use. A systematic review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement. PubMed, Scopus, Web of Science, Academic Search Complete, CINAHL, Embase, and Science Direct were used to look for articles addressing barriers and challenges, in addition to articles proposing solutions. Studies were screened by title and abstract, followed by a full-text review. Risk of bias assessment was done using Critical Appraisal Skills Program for qualitative studies, Newcastle–Ottawa Scale for cross-sectional studies, and A MeaSurement Tool to Assess Systematic Reviews for systematic reviews. After the extraction of data, a narrative synthesis and analysis of the outcomes were performed. Among 1194 papers identified, only 27 studies were included. Barriers and challenges were assembled under 7 categories: technical aspects, privacy, data confidentiality and reimbursement, physical examination and diagnostics, special populations, training of healthcare providers and patients, doctor-patient relationship, and acceptability. Poor internet connection and lack of universal access to technology were among the technical barriers. Concerns about patient privacy and reimbursement hindered the use of telemedicine too. Physical examination and certain procedures were impossible to perform via telemedicine. Training both healthcare providers and patients was deficient. The doctor-patient relationship was troubled by telemedicine, and both healthcare providers and patients were reluctant to use telemedicine. Widespread use of telemedicine is still hampered by various barriers and challenges. Healthcare providers should work with various stakeholders to implement the proposed solutions. More research and policy changes are essential to optimize telemedicine utilization. The online version contains supplementary material available at 10.1186/s12911-022-01952-0.
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影响因子：
7.4
作者：
Chu C;Cram P;Pang A;Stamenova V;Tadrous M;Bhatia RS
通讯作者：
Bhatia RS
DOI：
10.4314/mmj.v32i4.11
发表时间：
2020-12
期刊：
Malawi medical journal : the journal of Medical Association of Malawi
影响因子：
--
作者：
Adejumo OA;Adejumo OA
通讯作者：
Adejumo OA
DOI：
10.3390/ijerph17145112
发表时间：
2020-07-01
影响因子：
--
作者：
Jimenez-Rodriguez, Diana;Santillan Garcia, Azucena;Arrogante, Oscar
通讯作者：
Arrogante, Oscar
影响因子：
3.7
作者：
Holmner, Asa;Ebi, Kristie L.;Nilsson, Maria
通讯作者：
Nilsson, Maria
影响因子：
4.7
作者：
Calton, Brook;Abedini, Nauzley;Fratkin, Michael
通讯作者：
Fratkin, Michael