关键词: chronic condition chronic disease diabetes diabetic health care system health outcome primary care privacy review methodology scoping review secure message secure messaging security text messaging virtual care

来  源:   DOI:10.2196/42339   PDF(Pubmed)

Abstract:
BACKGROUND: Diabetes-a high-burden chronic disease-requires lifetime active management involving the use of different tools and health care resources to improve patient health outcomes. Recent studies have demonstrated promising results regarding the impact of the use of virtual care technology on the treatment of chronic diseases, such as diabetes. However, it is unclear whether the use of technologies, such as secure messaging, improves the quality of care and reduces diabetes-related costs to the health care system.
OBJECTIVE: The purpose of our scoping review is to explore what is known about the use of secure messaging in the treatment of diabetes within the primary care setting and how its impact has been assessed from the patient and health system perspectives. Our review aims to understand to what extent secure messaging improves the quality of diabetes care.
METHODS: Our scoping review will follow the 6-step Arksey and O\'Malley methodological framework, as well as the Joanna Briggs Institute methodology for scoping reviews and their recommended tools. The tools to guide the development and reporting of the review in a structured way will include the Population, Concept, and Context framework and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines and checklist. The search strategy was developed iteratively in collaboration with a professional information specialist. Furthermore, a peer review of electronic search strategies was also conducted by an independent, third-party, professional information specialist. A systematic literature search will be conducted against databases, including Ovid MEDLINE ALL, Embase, APA PsycINFO, Cochrane Library on Wiley, CINAHL on EBSCO, and PubMed. Grey literature sources will also be searched for relevant literature. Literature on the use of secure messaging in the treatment of diabetes (types 1 and 2) within a primary care setting will be included. Two reviewers will review the literature based on the inclusion criteria in the following two steps: (1) title and abstract review and (2) full-text review. Discrepancies will be discussed to reach consensus where possible; otherwise, a third reviewer will resolve the dispute.
RESULTS: The results and a final report are expected to be completed and submitted to a peer-reviewed journal in 6 months.
CONCLUSIONS: The review will examine existing literature to identify the impact of secure messaging in diabetes treatment within primary care settings. Research gaps will also be identified to determine if there is a need for further studies.
UNASSIGNED: DERR1-10.2196/42339.
摘要:
背景:糖尿病是一种高负担的慢性疾病,需要终生积极管理,包括使用不同的工具和医疗保健资源来改善患者的健康结果。最近的研究表明,关于使用虚拟护理技术对慢性病治疗的影响,比如糖尿病。然而,目前还不清楚技术的使用,例如安全消息传递,提高医疗质量,降低与糖尿病相关的医疗费用。
目的:我们范围审查的目的是探讨在初级保健环境中使用安全消息传递治疗糖尿病的已知情况,以及如何从患者和卫生系统的角度评估其影响。我们的评论旨在了解安全消息传递在多大程度上提高了糖尿病护理的质量。
方法:我们的范围审查将遵循6步Arksey和O\'Malley方法框架,以及JoannaBriggsInstitute用于范围审查的方法及其推荐的工具。以结构化的方式指导审查的制定和报告的工具将包括人口,概念,和上下文框架以及PRISMA-ScR(系统审查的首选报告项目和范围审查的元分析扩展)指南和清单。搜索策略是与专业信息专家合作开发的。此外,独立人士还对电子搜索策略进行了同行审查,第三方,专业信息专家。将对数据库进行系统的文献检索,包括OvidMEDLINE所有,Embase,APAPsycINFO,Wiley的Cochrane图书馆,EBSCO上的CINAHL,和PubMed。灰色文献来源也将搜索相关文献。将包括有关在初级保健环境中治疗糖尿病(1型和2型)中使用安全消息传递的文献。两名审稿人将根据纳入标准对文献进行审查,分为以下两个步骤:(1)标题和摘要审查;(2)全文审查。在可能的情况下,将讨论差异以达成共识;否则,第三位审稿人将解决争端。
结果:结果和最终报告预计将在6个月内完成并提交给同行评审的期刊。
结论:本综述将研究现有文献,以确定安全信息在初级护理环境中糖尿病治疗中的影响。还将确定研究差距,以确定是否需要进一步研究。
DERR1-10.2196/42339。
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