Impact of telemedicine on health outcomes in children with medical complexity: an integrative review.
Impact of telemedicine on health outcomes in children with medical complexity: an integrative review.
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DOI：
10.1007/s00431-021-04164-2
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发表时间：
2021-08
影响因子：
3.6
通讯作者：
Gawronski O
中科院分区：
文献类型：
--
作者：
Ferro F;Tozzi AE;Erba I;Dall'Oglio I;Campana A;Cecchetti C;Geremia C;Rega ML;Tontini G;Tiozzo E;Gawronski O
患有医学复杂性疾病的儿童是一个高度优先的人群，他们患有慢性病，依赖于使用卫生服务，依赖技术系统来支持他们的重要功能，并具有多种健康需求。与慢性病相关的主要挑战之一是找到在家监测CMC的解决方案，避免再次住院和并发症的发生。远程医疗可以远程跟踪患者和家属。进行了综合审查，以评估远程医疗是否改善CMC的健康结果。检索Medline/PubMed、CINAHL、科克伦图书馆、Web of Science和Scopus，以确定描述使用远程医疗系统对CMC健康结局影响的研究。PRISMA指南用于选择论文。通过Johanna Briggs研究所的批判性评价工具和科克伦协作ROB 2.0评价研究的方法学质量。共有17篇论文符合质量标准并被纳入。据报告，专门的远程医疗系统（远程访问）、远程保健和远程监测可减少计划外住院和访问，降低医疗服务和家庭的总成本，并提高家庭成员的满意度。对儿童及其家庭的生活质量没有影响。结论：现有证据支持在CMC中使用远程医疗是有利的，但有限。需要高质量的方法学研究，包括其他未探索的健康结果，如心理健康，再入院，死亡率，护理人员的能力和自我效能，以确认远程医疗系统在改善CMC的健康结果的有效性。 在线版本包含补充材料，可通过10.1007/s 00431 -021-04164-2获得。
Children with medical complexity (CMC) are a high priority population with chronic illnesses dependent on the use of health services, on technological systems to support their vital functions and characterized by multiple health needs. One of the main challenges linked to chronic conditions is finding solutions to monitor CMC at home, avoiding re-hospitalization and the onset of complications. Telemedicine enables to remotely follow up patients and families. An integrative review was performed to assess whether telemedicine improves health outcomes for CMC. Medline/PubMed, CINAHL, Cochrane Library, Web of Science, and Scopus were searched to identify studies describing the effect of using telemedicine systems on health outcomes for CMC. The PRISMA guidelines were used to select the papers. The methodological quality of the studies was evaluated through the Johanna Briggs Institute critical appraisal tools and the Cochrane Collaboration ROB 2.0. A total of 17 papers met the quality criteria and were included. Specialized telemedicine systems (tele-visits), telehealth, and tele-monitoring have been reported to reduce unplanned hospitalizations and visits, decrease total costs for healthcare services and families, and increase satisfaction for family members. No effect was found on the quality of life in children and their families. Conclusion: Available evidence supporting the use of telemedicine in CMC is favorable but limited. High-quality methodological studies including other unexplored health outcomes such as mental health, hospital readmissions, mortality, caregiver competences, and self-efficacy are needed to confirm the effectiveness of telemedicine systems in improving health outcomes for CMC. The online version contains supplementary material available at 10.1007/s00431-021-04164-2.
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影响因子：
26.1
作者：
Berry, Jay G.;Hall, Matt;Hall, David E.;Kuo, Dennis Z.;Cohen, Eyal;Agrawal, Rishi;Mandl, Kenneth D.;Clifton, Holly;Neff, John
通讯作者：
Neff, John
影响因子：
8
作者：
Burns, Katherine H.;Casey, Patrick H.;Robbins, James M.
通讯作者：
Robbins, James M.
影响因子：
1.9
作者：
Cormack, Carrie L.;Garber, Kelli;McElligott, Liah
通讯作者：
McElligott, Liah
影响因子：
4.7
作者：
Cady, Rhonda;Kelly, Anne;Finkelstein, Stanley
通讯作者：
Finkelstein, Stanley
使用远程医疗先进的注册护士护理协调模型来满足有医疗复杂性的儿童的需求。
影响因子：
2.3
作者：
Cady, Rhonda G.;Erickson, Mary;Lunos, Scott;Finkelstein, Stanley M.;Looman, Wendy;Celebreeze, Margaret;Garwick, Ann
通讯作者：
Garwick, Ann