远程医疗提供的肌肉骨骼物理治疗的健康经济影响:系统综述

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2022-12-13 DOI:10.5195/ijt.2022.6524
Darryn Marks, Sarah Kitcher, Elodie Attrazic, W. Hing, M. Cottrell
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引用次数: 0

摘要

引言:虽然远程医疗在肌肉骨骼理疗中的疗效得到了支持,但其成本效益尚未确定。因此,本综述的目的是确定远程医疗提供的门诊肌肉骨骼理疗对健康经济的影响,并描述迄今为止使用的方法。方法:在对PubMed、CINHAL、PEDro和Web of Science数据库进行电子搜索的同时,对包括以下内容的出版物进行手查:人群:在任何类型的门诊环境中管理的患有肌肉骨骼疾病的成年人;干预:远程医疗提供的物理治疗比较:传统的面对面物理治疗;以及成果:报告成本和后果的经济分析。使用Downs and Black问卷和综合健康经济评估报告标准检查表进行评估。结果:纳入了11项混合方法学质量的研究。从医疗服务资助者的经济角度来看,大多数都是在公共部门进行的。远程医疗始终产生类似于亲自护理的健康结果。除一项外,远程医疗的成本较低,通过减少当面咨询和差旅成本节省了费用。结论:对于公立医院门诊的肌肉骨骼疾病,远程医疗与亲自理疗一样有效且便宜。需要进一步的健康经济研究,以阐明远程医疗对非政府肌肉骨骼理疗提供者的经济影响。
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The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review
Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date. Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist. Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs. Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.
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来源期刊
CiteScore
4.60
自引率
6.10%
发文量
14
审稿时长
10 weeks
期刊最新文献
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