The Use of Telemedicine for Home-Based Palliative Care for Children With Serious Illness: A Scoping Review

奇纳 医学 心理信息 缓和医疗 心理干预 远程医疗 梅德林 系统回顾 科克伦图书馆 护理部 家庭医学 荟萃分析 医疗保健 政治学 内科学 法学 经济 经济增长
作者
Kimberly A. Miller,Jennifer Baird,Jessica Lira,Josseline Herrera Eguizabal,Shangnon Fei,Lynn Kysh,Debra Lotstein
出处
期刊:Journal of Pain and Symptom Management [Elsevier BV]
卷期号:62 (3): 619-636.e6 被引量:7
标识
DOI:10.1016/j.jpainsymman.2020.12.004
摘要

There is potential value to home-based palliative care for children with serious illness delivered via telemedicine (TM HBPC). Evidence to guide optimal design and delivery of TM HBPC is urgently needed.To explore the existing literature to identify research on pediatric TM HBPC.Systematic scoping review conducted following preferred reporting items for systematic reviews and meta-analysis for scoping reviews guidelines. PubMed, Embase, Cochrane CENTRAL, CINAHL, Web of Science, PsycINFO, and ERIC were searched (January-April 2020) using keywords and controlled vocabulary. The Reach, Effectiveness, Adoption, Implementation, Maintenance framework was used to identify components in the literature that facilitate or limit dissemination of TM HBPC interventions.Seventeen articles were included. Most of the literature comprised small descriptive studies, such as case reports, and feasibility trials. Many studies focused on acceptability, and the TM HBPC model was generally acceptable to both clinicians and families. Few studies measured patient access to care, patient, and family centered health or quality of life outcomes. While included studies addressed multiple criteria for each of the Reach, Effectiveness, Adoption, Implementation, Maintenance dimensions, much of the information was qualitative and subjective.TM HBPC is a promising strategy to increase access to palliative care for children with serious illness. However, the current review found a need for more robust information describing implementation and effectiveness of TM HBPC models, adaptation across care settings, and maintenance over time to guide and facilitate broader dissemination.
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