Provision of digital devices and internet connectivity to improve synchronous telemedicine access in the U.S.: a systematic scoping review.
| Autor: | Bell J; Department of Pediatrics, University of California, San Francisco, CA, United States., Gottlieb LM; Department of Family & Community Medicine, University of California, San Francisco, CA, United States.; Social Interventions Research and Evaluation Network (SIREN), Center for Health and Community, University of California, San Francisco, CA, United States., Lyles CR; Center for Healthcare Policy and Research, University of California, Sacramento, CA, United States.; Department of Public Health Sciences, University of California, Davis School of Medicine, Davis, CA, United States., Nguyen OK; UCSF Center for Vulnerable Populations, University of California, San Francisco, CA, United States.; Division of Hospital Medicine at Zuckerberg San Francisco General Hospital, Department of Medicine, University of California, San Francisco, CA, United States.; Chan Zuckerberg Biohub, San Francisco, CA, United States., Ackerman SL; Department of Social & Behavioral Sciences, School of Nursing, University of California, San Francisco, CA, United States., De Marchis EH; Department of Family & Community Medicine, University of California, San Francisco, CA, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in digital health [Front Digit Health] 2024 Jul 29; Vol. 6, pp. 1408170. Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024). |
| DOI: | 10.3389/fdgth.2024.1408170 |
| Abstrakt: | Introduction: The COVID-19 pandemic led to a dramatic increase in telemedicine use for direct patient care. Inequities in device/internet access can limit the extent to which patients can engage with telemedicine care and exacerbate health disparities. In this review, we examined existing literature on interventions designed to improve patient telemedicine access by providing digital devices including tablets, smartphones, and computers and/or internet connectivity. Methods: In this systematic scoping review, we searched four databases for peer-reviewed studies published 1/1/2000-10/19/2021 that described healthcare interventions that provided patients with devices and/or internet connectivity and reported outcomes related to telemedicine access and/or usage. Data extraction elements included: study population, setting, intervention design, details on device/connectivity provision, and outcomes evaluated. Results: Twelve articles reflecting seven unique interventions met inclusion criteria. Ten articles examined telemedicine utilization (83%) and reported improved patient show rates/utilization. Seven articles examined patient satisfaction with the interventions (58%) and reported positive experiences. Fewer articles examined health outcomes (17%; 2/12) though these also demonstrated positive results. Across included studies, study quality was low. There were no controlled trials, and the most rigorously designed studies ( n = 4) involved pre/post-intervention assessments. Discussion: Findings from this review indicate that providing material technology supports to patients can facilitate telemedicine access, is acceptable to patients and clinicians, and can contribute to improved health outcomes. The low number and quality of existing studies limits the strength of this evidence. Future research should explore interventions that can increase equitable access to telemedicine services. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=183442, identifier, PROSPERO: CRD42020183442. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Bell, Gottlieb, Lyles, Nguyen, Ackerman and De Marchis.) |
| Databáze: | MEDLINE |
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