Factors associated with teletrauma utilization in rural areas: a review of the literature
| Autor: | Neil Hanlon, Davina Banner, Melinda Martin-Khan, Shannon Freeman, Frank Flood, Timothy Wood |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Rural Population
Emergency Medical Services Canada Health (social science) teletrauma trauma lcsh:Special situations and conditions Medicine (miscellaneous) Telehealth 03 medical and health sciences 0302 clinical medicine Nursing Patient age Illness severity Humans 030212 general & internal medicine Empirical evidence emergency care telehealth lcsh:RC952-1245 lcsh:Public aspects of medicine Public Health Environmental and Occupational Health 030208 emergency & critical care medicine lcsh:RA1-1270 Trauma care Telemedicine Rural area Psychology Inclusion (education) Limited resources |
| Zdroj: | Rural and Remote Health, Vol 21 (2021) |
| ISSN: | 1445-6354 |
| Popis: | Introduction: Trauma patients residing in rural areas face increased challenges to accessing timely and appropriate health services as a result of large geographic distances and limited resource availability. Virtual trauma supports, coined 'teletrauma', are one solution offered to address gaps in rural trauma care. Teletrauma represents a new and innovative solution to addressing health system gaps and optimizing patient care within rural settings. Here, the authors synthesize the empirical evidence on teletrauma research. Methods: A review of literature, with no date limiters, was guided by Arksey and O'Malley's (2005) scoping review methodology. The aim of the review was to provide an overview of the current landscape of teletrauma research while identifying factors associated with utilization. Results: Following a systematic search of key health databases, 1484 articles were initially identified, of which 28 met the inclusion criteria and were included for final analysis. From the review of the literature, the benefits of teletrauma for rural and remote areas were well-recognized. Several factors were found to be significantly associated with teletrauma utilization, including younger patient age, penetrating injury, and higher injury or illness severity. Lack of access to resources and clinician characteristics were also identified as reasons that sites adopted teletrauma services. Conclusion: By identifying factors associated with teletrauma utilization, teletrauma programs may be used more judiciously and effectively in rural areas as a means of enhancing access to definitive trauma care in rural areas. Gaps in current knowledge were also identified, along with recommendations for future research. |
| Databáze: | OpenAIRE |
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