医护人员远程健康照护准备度现状及其影响因素的系统评价

Current status and influencing factors of telehealth readiness of clinical medical staff:a systematic review

目的 系统性描述和分析临床医护人员的远程健康照护准备度的现状及其影响因素。方法 计算机检索中国知网,万方数据库,维普期刊数据库,SinoMed,Pubmed,Embase,Cochrane Library,CINAHL,Web of Science中英文数据库,搜集有关临床医护人员远程健康照护准备度现状及影响因素的中、英文文献,检索时间为建库至2023年7月12日,并对文献进行筛选、质量评价及资料提取整合后,采用定性方法分析总结研究结果。结果 最终纳入18篇文献,涉及12 298例医护人员。临床医护人员的远程健康照护准备度处于中等水平,影响因素包括医护人员因素(一般人口学因素、医护服务意愿、创新自我效能感、远程照护模式的了解及参与情况、电子信息能力);组织因素(远程医疗政策、远程医疗培训、人力资源充足、工作环境及氛围、医院等级及类型)。结论 临床医护人员的远程健康照护准备度处于中等水平,但其参与远程健康照护的意愿较高,建议根据健康照护准备度及其影响因素为医护人员构建科学可行的远程健康照护培训方案,提高医院服务质量。

Objective To conduct a systematic review of relevant literature to understand the current status and influencing factors of telehealth readiness of clinical medical staff.Methods The Chinese and English databases of CNKI,Wanfang database,VIP,SinoMed,Pubmed,Embase,Cochrane Library,CINAHL,Web of Science were searched by computer.The Chinese and English literatures on the current status and influencing factors of remote health care readiness among medical staff personnel were collected.The search time was from the establishment of the database to July 12th,2023,and the literature was screened and evaluated.After data extraction and integration of the literature,descriptive analysis is conducted.Results 18 articles were ultimately included,involving 12298 medical staff members.Research shows that the readiness of clinical medical staff for telehealth is currently at a moderate level and not optimistic.The relevant influencing factors are:medical staff factors,including general demography factors,willingness of medical care services,innovative self-efficacy,understanding and participation of telehealth care mode,and electronic information ability;organizational factors:including telemedicare policies,telemedicare training,sufficient human resource working environment and atmosphere,hospital level and type.Conclusions The readiness of clinical medical staff for remote health care is at a moderate level,but their willingness to participate in remote health care is high.It is recommended to construct a scientific and feasible remote health care training program for medical staff in the future to improve the quality of hospital services.