目的:确定在将院前护理整合到健康网络中应用技术的主要益处和局限性。
方法:基于PRISMA声明的系统审查,在2020年7月至10月之间进行,使用的数据库:Pubmed,BVSalud,Cinahl,Scielo,和MeSH搜索引擎的Scopus:[“紧急医疗服务”],[\“院前,[\"技术\"],[“系统集成”],[“跨部门合作”],[\"远程医疗\"],[\"突发事件技术\"],[\"医学信息学\"],和布尔运算符AND,或者2010年至2020年,英语和西班牙语。Theses,会议摘要和社论被排除在外。在4719篇文章中,根据方法学质量混合方法评价收费标准选择16项。
结果:使用Infoway效益评估框架模型进行分析。
结果:优化医院中心和救援队之间的信息,实时访问患者记录,及早准备接收医院。巩固系统生产力,最小化等待时间,转介,和病人转移;局限性:互联网接入和质量问题,不可靠的技术提供商,反应慢,或者系统资金和隐私方面的困难,这会在团队中产生挫败感。
结论:将院前护理集成到卫生网络中的技术应用会产生好处,并且应考虑使用信息系统和用户满意度,以实现与卫生系统的集成,考虑到上下文的局限性。
OBJECTIVE: To identify the main benefits and limitations of applying technology in integrating prehospital care into the health network.
METHODS: Systematic
review based on the PRISMA statement, carried out between July and October 2020, databases used: Pubmed, BVSalud, Cinahl, Scielo, and Scopus with MeSH search engines: [\"Emergency medical service\"], [\"prehospital, [\"Technology\"], [\"System integration\"], [\"Intersectorial collaboration\"], [\"Telemedicine\"], [\"Emergencies technology\"], [\"Medical informatics\"], and boolean operators AND, OR. Between 2010 and 2020, in English and Spanish. Theses, conference abstracts and editorials were excluded. Out of 4719 articles, 16 were selected according to the methodological quality Mixed Methods Appraisal Toll.
RESULTS: The Infoway Benefits Evaluation Framewor Model was used for the analysis.
RESULTS: Optimization of information between hospital centers and rescue teams, real-time access to patient records, early preparation of receiving hospitals. Consolidation of system productivity, minimization of waiting times, referrals, and patient transfers; Limitations: Problems with internet access and quality, unreliable technology providers, slow response, or difficulties with funding and privacy of the system, which generates frustration in the teams.
CONCLUSIONS: The application of technology in integrating prehospital care into the health network generates benefits and should consider the use of information systems and user satisfaction to achieve integration with health systems, considering the limitations of the context.