■本研究旨在确定COVID-19大流行期间的医疗保健转变,并评估这些护理转变的经济效率。
■根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行系统审查。搜索协议中使用的数据库包括PubMed,RSCI和谷歌学者。
■确定了十项合格的英文研究和一份俄文出版物。总的来说,观察到自2020年以来医疗保健过程的组织发生了以下变化:医院在家里,远程医疗(医生对患者),以及在医生对医生和医生对护士的沟通中采用新的信息通信技术。早期趋势,例如(A)电子设备的广泛使用,(b)采用精益技术,(c)纳入患者和其他客户体验反馈,(d)临床决策支持系统的实施和工作流程的自动化,倾向于保存。
■医院护理组织中最常见的变化以及工作流程变化的各自影响(即,工作流干预,重新设计,和转变)对医院护理的效率进行了总结,并讨论了未来研究和政策含义的途径。大流行表明需要建立更具弹性和适应性的医疗保健系统,加强危机准备以及快速有效的反应。
UNASSIGNED: This study aims to identify medical care transformations during the COVID-19 pandemic and to assess the economic efficiency of these care transformations.
UNASSIGNED: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines. The databases used in the search protocol included PubMed, RSCI, and Google Scholar.
UNASSIGNED: Ten eligible studies in English and one publication in Russian were identified. In general, the following changes in organization of health care processes since 2020 are observed: hospital at home, telemedicine (physician-to-patient), and the adoption of new information communication technologies within physician-to-physician and physician-to-nurse communication. Earlier trends, such as (a) wider use of electronic devices, (b) adoption of Lean techniques, (c) the incorporation of patient and other customer experience feedback, and (d) the implementation of clinical decision support systems and automation of workflow, tend to be preserved.
UNASSIGNED: The most common changes in hospital care organization and the respective impacts of workflow changes (ie, workflow interventions, redesign, and transformations) on the efficiency of hospital care were summarized and avenues for future research and policy implications were discussed. The pandemic demonstrated a need for building more resilient and adaptive healthcare systems, enhancing crisis preparedness along with rapid and effective responses.