TY -的AU -彼得斯,圭多米非盟- Kooij设计,劳拉盟——Lenferink Anke AU - van Harten,维姆·H盟——Doggen Carine J M PY - 2021 DA - 2021/9/1 TI -在医院远程医疗服务使用的影响:系统回顾和荟萃分析乔- J地中海互联网Res SP - e25195六世- 23 - 9千瓦,远程医疗KW -系统回顾KW -荟萃分析KW -住院KW -卫生服务使用千瓦-电子健康AB -背景:远程保健干预措施，即利用信息和通信技术进行远距离保健，建议通过减少医院服务的使用来解决保健费用上升的问题。然而，这在多大程度上是可能的尚不清楚。目的:本研究的目的是评估远程医疗对医院服务使用的影响，即住院时间，并比较远程医疗类型和健康状况之间的影响。方法:我们搜索了PubMed、Scopus和Cochrane图书馆，从创建到2019年4月。同行评议的随机对照试验(rct)报告了远程保健干预对医院服务使用的影响，与常规护理相比。使用Cochrane偏倚风险2工具和依据分级推荐评估、发展和评估指南的证据质量评估偏倚风险。结果:我们在荟萃分析中纳入了127项rct。在这些rct中，82.7%(105/127)总体上存在低偏倚风险或一些担忧。高质量证据表明，远程医疗可将每1000名患者的全因或病情相关住院风险分别降低18例(95% CI 0-30)和37例(95% CI 20-60)。 We found high-quality evidence that telehealth leads to reductions in the mean all-cause and condition-related hospitalizations, with 50 and 110 fewer hospitalizations per 1000 patients, respectively. Overall, the all-cause hospital days decreased by 1.07 (95% CI −1.76 to −0.39) days per patient. For hospitalized patients, the mean hospital stay for condition-related hospitalizations decreased by 0.89 (95% CI −1.42 to −0.36) days. The effects were similar between telehealth types and health conditions. A trend was observed for studies with longer follow-up periods yielding larger effects. Conclusions: Small to moderate reductions in hospital service use can be achieved using telehealth. It should be noted that, despite the large number of included studies, uncertainties around the magnitude of effects remain, and not all effects are statistically significant. SN - 1438-8871 UR - //www.mybigtv.com/2021/9/e25195 UR - https://doi.org/10.2196/25195 UR - http://www.ncbi.nlm.nih.gov/pubmed/34468324 DO - 10.2196/25195 ID - info:doi/10.2196/25195 ER -