Barriers and Facilitators for Sustainability of Tele-Homecare Programs: A Systematic Review
Barriers and Facilitators for Sustainability of Tele-Homecare Programs: A Systematic Review
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DOI：
10.1111/1475-6773.12327
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发表时间：
2016-02-01
影响因子：
3.4
通讯作者：
Kim, Miyong
中科院分区：
文献类型：
--
作者：
Radhakrishnan, Kavita;Xie, Bo;Kim, Miyong
目的 确定家庭健康护理机构实施慢性病管理远程家庭护理计划可持续性的障碍和促进因素。数据来源 CINAHL、PubMed/MEDLINE、PsychInfo、Web of Science 和 Cochrane Reviews 数据库中 1996 年 1 月至 2013 年 12 月发表的有关家庭远程医疗的英文文章。研究设计我们进行了系统的文献综述。对相关实证研究进行了使用 PRISMA 指南的数据提取和使用混合方法评估工具（MMAT）的质量评估。研究中的主题分析和叙述性总结用于综合纳入研究的结果。主要结果在最初的 3,920 次引用中，我们确定了 16 篇质量中等且符合纳入标准的文章。对远程家庭护理计划实现预期结果有效性的看法；根据患者特征和需求定制远程家庭护理计划；远程家庭护理的患者、护士和其他医疗保健专业用户之间的关系和沟通；家庭健康组织流程和文化；技术质量、能力和可用性影响远程家庭护理计划的可持续性。 结论 本系统评价的结果为家庭健康护理机构持续使用远程家庭护理计划提供了启示，并可以帮助此类计划实现其慢性病管理的潜力。
ObjectiveTo identify the barriers and facilitators for sustainability of tele-homecare programs implemented by home health nursing agencies for chronic disease management.Data SourcesEnglish-language articles on home telehealth in the CINAHL, PubMed/MEDLINE, PsychInfo, Web of Science, and Cochrane Reviews databases published from January 1996 to December 2013.Study DesignWe performed a systematic literature review. Data extraction using PRISMA guidelines and quality appraisal using the Mixed Methods Appraisal Tool (MMAT) were conducted on relevant empirical studies. Thematic analysis across the studies and narrative summaries were used to synthesize the findings from the included studies.Principal FindingsOf the initial 3,920 citations, we identified 16 articles of moderate quality meeting our inclusion criteria. Perceptions on effectiveness of tele-homecare programs for achieving intended outcomes; tailoring of tele-homecare programs to patient characteristics and needs; relationship and communication between patient, nurse, and other health care professional users of tele-homecare; home health organizational process and culture; and technology quality, capability, and usability impacted the sustainability of tele-homecare programs.ConclusionsThe findings of this systematic review provide implications for sustained usage of tele-homecare programs by home health nursing agencies and can help such programs realize their potential for chronic disease management.