...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>JMIR Medical Informatics >Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review
【24h】

Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review

机译：利用障碍和医疗结果与老年人使用远程医疗相称：系统评论

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Rising telehealth capabilities and improving access to older adults can aid in improving health outcomes and quality of life indicators. Telehealth is not being used ubiquitously at present. Objective This review aimed to identify the barriers that prevent ubiquitous use of telehealth and the ways in which telehealth improves health outcomes and quality of life indicators for older adults. Methods This systematic review was conducted and reported in accordance with the Kruse protocol and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Reviewers queried the following four research databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed (MEDLINE), Web of Science, and Embase (Science Direct). Reviewers analyzed 57 articles, performed a narrative analysis to identify themes, and identified barriers and reports of health outcomes and quality of life indicators found in the literature. Results Reviewers analyzed 57 studies across the following five interventions of telehealth: eHealth, mobile health (mHealth), telemonitoring, telecare (phone), and telehealth video calls, with a Cohen κ of 0.75. Reviewers identified 14 themes for barriers. The most common of which were technical literacy (25/144 occurrences, 17%), lack of desire (19/144 occurrences, 13%), and cost (11/144 occurrences, 8%). Reviewers identified 13 medical outcomes associated with telehealth interventions. The most common of which were decrease in psychological stress (21/118 occurrences, 18%), increase in autonomy (18/118 occurrences, 15%), and increase in cognitive ability (11/118 occurrences, 9%). Some articles did not report medical outcomes (18/57, 32%) and some did not report barriers (19/57, 33%). Conclusions The literature suggests that the elimination of barriers could increase the prevalence of telehealth use by older adults. By increasing use of telehealth, proximity to care is no longer an issue for access, and thereby care can reach populations with chronic conditions and mobility restrictions. Future research should be conducted on methods for personalizing telehealth in older adults before implementation.
机译：背景技术远程遥气能力和改善对老年人的访问可以帮助改善健康结果和生活质量指标。目前，远程医疗不会普遍使用。目的这一审查旨在确定防止远程使用远程使用的障碍以及遥测的方式提高了老年人的健康成果和生活质量指标。方法根据Kruse议定书和系统评价和荟萃分析（PRISMA）指南的首选报告项目进行了该系统审查。审稿人查询以下四个研究数据库：护理和盟军健康文学（CINAHL），PubMed（Medline），科学网站和Embase（科学直接）的累积指数。审稿人分析了57篇文章，对叙述性分析进行了叙述性分析，并确定了文献中发现的卫生成果和卫生成果质量的障碍和报告。结果审查人员分析了下列五次综合电力的五项干预措施：电子健康，移动健康（MHECHEATH），远程监视（MHECHEART）和远程医疗视频通话，带有0.75的COHENκ。审查人员确定了14个障碍主题。其中最常见的是技术素养（25/144出现，17％），缺乏愿望（19/144出现，13％）和成本（11/144出现，8％）。审稿人确定了与远程医疗干预相关的13名医疗结果。最常见的是心理压力下降（21/118出现，18％），自主性增加（18/118次出现，15％），并且认知能力的增加（11/118发生，9％）。有些文章没有报告医疗结果（18/57,32％），其中一些没有报告障碍（19/57,33％）。结论文献表明，消除障碍可能会增加老年人远程使用的流行。通过增加远程医疗的使用，靠近护理不再是访问的问题，从而关心可以达到慢性条件和移动限制的人口。应在实施前对老年人进行个性化的方法进行未来的研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号