@文章{信息:doi/10.2196/43601，作者=“Kruse, Clemens Scott and Molina-Nava, Annamaria and Kapoor, Yajur and Anerobi, Courtney and Maddukuri, Harshita”，标题=“通过采纳的促进因素和障碍分析远程医疗对质量领域的影响:系统评价”，期刊=“J Med Internet Res”，年=“2023”，月=“1”，日=“5”，卷=“25”，页=“e43601”，关键词=“远程医疗;远程医疗;移动健康;移动健康;电子健康;，摘要=“背景:远程医疗历史悠久;然而，对其疗效的报道褒贬不一。研究报告了在使用远程医疗护理方式时广泛的质量影响。目的:通过对2022年至今已发表的文献中随机对照试验(RCTs)的分析，从6个质量领域分析远程医疗的有效性。方法:采用标准布尔字符串对4个数据库进行检索。 The 882,420 results were reduced to 33 for analysis through filtering and randomization. The systematic literature review was conducted in accordance with the Kruse Protocol and reported in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses; 2020). Results: The Cohen $\kappa$ statistic was calculated to show agreement between the reviewers (Cohen $\kappa$=0.90, strong). Medical outcomes associated with the telemedicine modality were 100{\%} effective with a weighted average effect size of 0.21 (small effect). Many medical outcomes were positive but not statistically better than treatment as usual. RCTs have reported positive outcomes for physical and mental health, medical engagement, behavior change, increased quality of life, increased self-efficacy, increased social support, and reduced costs. All 6 domains of quality were identified in the RCTs and 4 were identified in 100{\%} of the studies. Telemedicine is highly patient-centered because it meets digital preferences, is convenient, avoids stigma, and enables education at one's own pace. A few barriers exist to its wide adoption, such as staff training and cost, and it may not be the preferred modality for all. Conclusions: The effectiveness of telemedicine is equal to or greater than that of traditional care across a wide spectrum of services studied in this systematic literature review. Providers should feel comfortable offering this modality of care as a standard option to patients where it makes sense to do so. Although barriers exist for wide adoption, the facilitators are all patient facing. Trial Registration: PROSPERO CRD42022343478; https://www.crd.york.ac.uk/prospero/display{\_}record.php?RecordID=343478 ", issn="1438-8871", doi="10.2196/43601", url="//www.mybigtv.com/2023/1/e43601", url="https://doi.org/10.2196/43601", url="http://www.ncbi.nlm.nih.gov/pubmed/36602844" }