virtual clinic

虚拟诊所
  • 文章类型: Journal Article
    简介:虚拟诊所移动应用程序(VCMA)是管理和远程监控各种医疗状况患者的宝贵工具。它可以减轻门诊服务的压力,并为不需要体检的患者提供随访选择。对最新文献的透彻了解可以帮助确定新开发和当前应用程序(应用程序)未来改进的合适功能。本综述研究旨在确定VCMA的功能和非功能要求。方法:本研究使用PubMed等数据库进行了系统搜索,Scopus,ISIWebofScience,科学直接,ProQuest,和IEEE收集从数据库开始到2022年4月以英文发表的VCMA文章的要求。在总共1223篇文章中,76符合纳入标准。然后使用常规内容分析对这些文章进行分析,以提取和分类其需求。结果:根据VCMA要求提取了两个主要主题和8个子主题,如下所示:(1)具有3个子主题的功能要求(人口统计数据文档,健康记录,用户界面(UI)的一般特征);(2)具有5个子主题的非功能性需求(可用性、可访问性,兼容性,效率,和安全)。结论:研究结果强调了mHealth解决方案对虚拟护理的重要性,以及基于VCMA提取的功能性和非功能性需求开发应用程序的必要性;然而,对照试验是必要的。建议优先考虑mHealth干预措施的透明报告,以有效解释提取的数据。
    Introduction: The Virtual Clinic Mobile Application (VCMA) is a valuable tool for managing and remotely monitoring patients with various medical conditions. It can alleviate the strain on outpatient services and offer follow-up options for patients who do not require a physical examination. A thorough understanding of recent literature can assist in identifying suitable functionalities for new development and future improvement of current applications (apps). This review study is aimed at identifying functional and nonfunctional requirements for VCMA. Methods: This study conducted a systematic search using databases such as PubMed, Scopus, ISI Web of Science, Science Direct, ProQuest, and IEEE to gather requirements of VCMA articles published in English from the inception of the databases up to April 2022. Out of a total of 1223 articles, 76 met the inclusion criteria. These articles were then analyzed using conventional content analysis to extract and categorize their requirements. Results: Two main themes and 8 subthemes in terms of VCMA requirements were extracted as follows: (1) functional requirements with 3 subthemes (demographic data documentation, health record, general features of the user interface (UI)); (2) nonfunctional requirements with 5 subthemes (usability, accessibility, compatibility, efficiency, and security). Conclusion: The findings highlight the importance of mHealth solutions for virtual care and the need for the development of apps based on the extracted functional and nonfunctional requirements for VCMA; however, controlled trials are necessary. It is recommended that transparent reporting of mHealth interventions be prioritized to enable effective interpretation of the extracted data.
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  • 文章类型: Journal Article
    未经授权:随时监测孕妇的健康状况,可以使用远程医疗领域的新技术,例如虚拟访问和虚拟诊所。在COVID-19大流行期间,通过使用这些技术,为孕妇提供了有用和令人满意的服务。本研究的目的是指定应用,特点,以及妇科和妊娠护理领域的综合虚拟诊所的基础设施。
    UNASSIGNED:从2013年2月到2022年2月,使用Scopus通过科学数据库进行了系统的审查搜索,WebofScience,和PubMed。此外,在GoogleScholar中进行了手动搜索,并进行了纳入研究的参考列表。
    UNASSIGNED:在这篇系统综述中,我们纳入了16篇文章,报道了妊娠和产后保健虚拟诊所的经验。涉及的研究是实验性的,队列,和横断面研究。目标群体用户是孕妇或分娩妇女以及新生儿家庭。虚拟诊所的应用是为了参观,协商,监测,后续行动,实际上是家庭护理。报告了虚拟访问和咨询后护理人员的满意度得分很高。在虚拟访问和咨询过程中遇到了一些挑战;最重要的挑战是互联网连接不良。
    UNASSIGNED:所审查的研究显示,根据患者和提供者的满意度,有希望的结果。我们预测,远程医疗将成为未来妇科护理的重要组成部分。
    UNASSIGNED: To monitor the health status of pregnant women moment by moment, new technologies in the field of telemedicine can be used, such as virtual visits and virtual clinics. During the COVID-19 pandemic, by using these technologies, useful and satisfactory services have been provided to pregnant mothers. The aim of this study is to specify the applications, features, and infrastructure of a comprehensive virtual clinic in the field of gynecological and pregnancy care.
    UNASSIGNED: A systematic review search was conducted through the scientific databases from February 2013 to February 2022 using Scopus, Web of Science, and PubMed. Furthermore, manual searches in Google Scholar and the reference lists of included studies were carried out.
    UNASSIGNED: In this systematic review we included 16 articles that reported experiences in virtual clinics in pregnancy and postpartum healthcare. The involved studies were experimental, cohort, and cross-sectional studies. The target group users were pregnant or women who gave birth and families of neonatal. The application of virtual clinics was for the visit, consultation, monitoring, follow-up, and home care virtually. Highly satisfaction scores of caregivers after virtual visits and consultation were reported. There were some challenges during virtual visits and consultation; the most important challenge was a poor internet connection.
    UNASSIGNED: The reviewed studies show promising outcomes according to patient and provider satisfaction. We predict that telehealth will become a growingly significant part of gynecological care in the future.
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  • 文章类型: Journal Article
    Technological progress, including virtual clinics, web or smartphone-based applications, and assessment of fecal calprotectin (FC) at home has favored the implementation of treat to target strategies for patients with inflammatory bowel diseases (IBD). Although these innovations are promising and have been associated with a significant reduction in health costs, their application in clinical practice is limited. Here, we summarize the most recent literature on virtual clinics and available FC home tests. In addition, we report the experience of IBD patients monitored through the IBDoc® test at the Nancy University Hospital, focusing on usability testing and patient\'s satisfaction. This pilot experience shows that a virtual calprotectin clinic doubles adherence rate to FC in IBD patients. This finding is especially clinically relevant in the post-coronavirus disease 2019 (COVID-19) pandemic era, with an increasing use of e-health.
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  • 文章类型: Journal Article
    An audit of outpatient clinic attendances at Cardiff Dental Hospital (between September 2009 and March 2010) showed that 30% of patients failed to attend review appointments after minor operations. To reduce rates of non-attendance we set up a system of telephone review in March 2010. Patients were given a telephone appointment two weeks after their minor operation (mainly removal of lower third molars), instead of an appointment at the outpatient clinic. A trained nurse contacted each patient to complete a structured questionnaire that included questions about numbness, pain, and swelling. During the first year of the project, 1020 patients were booked for telephone review and of these 90% were discharged. 674 (66%) were discharged after telephone review, and 245 (24%) were not contactable. A total of 101 patients (10%) were brought in for clinic review because they reported complications. Estimated staff costs per patient for telephone review and clinic review were £3.05 and £23.55 respectively. Telephone review resulted in a significant reduction in the number of patients who failed to attend the clinic (OR=0.88, 95% CI 0.81 to 0.96) and facilitated audit of complications. The use of telephone review in conjunction with clinical follow-up for those with postoperative problems allows for cost-effective care with reduced rates of non-attendance.
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