尽管最近采用率有所上升，但远程医疗咨询的保留率仍然具有挑战性，相关体验和结果的各个方面仍不清楚。需要进一步调查这些方面是进行本次范围界定审查的一个推动因素。本次范围界定审查重点关注非恶性慢性疾病患者和医疗保健专业人员 (HCP) 之间的同步远程医疗咨询，旨在深入了解 (1)有关通过远程医疗咨询改善患者健康结果的现有证据，(2) 患者和 HCP 的相关行为和态度，以及 (3) 补充技术如何协助远程咨询。PRISMA-ScR（系统评价和元数据的首选报告项目） -范围界定审查的分析扩展）指导范围界定审查过程。纳入标准为 (1) 将患有非恶性、非传染性慢性病的成年人作为研究人群； (2) 关注健康结果以及患者和医护人员对同步远程医疗咨询的体验和态度； (3)进行实证研究。检索策略应用于 PubMed（包括 MEDLINE）、CINAHL Complete、APA PsycNet、Web of Science、IEEE 和 ACM Digital。两名研究人员并行独立地对文章进行筛选并从纳入的文章中提取数据，他们证实了他们的发现并解决了任何冲突。总体而言，从搜索的数据库中识别出 4167 篇独特的文章。经过多层过滤后，19 项（0.46%）研究满足数据提取的纳入标准。他们调查了6种非恶性慢性病，即慢性阻塞性肺病、糖尿病、慢性肾病、溃疡性结肠炎、高血压和充血性心力衰竭，每种情况的远程医疗咨询方式各不相同。大多数人通过远程医疗咨询观察到慢性病患者的积极健康结果。患者普遍喜欢该方式的便利性，但对成本、实际后勤和临床检查的彻底性也很担忧。大多数 HCP 也支持该技术，但少数人的工作满意度下降。确定了与技术考虑因素、改进的远程工作流程和远程护理使用培训相关的补充技术援助。对于患有非传染性慢性病的患者，远程医疗咨询通常与与其疾病直接或间接相关的积极健康结果相关，但持续改进仍不清楚。这些方式还表明有可能使这些患者能够更好地管理自己的病情。医护人员和患者往往对远程护理体验感到满意，大多数人都接受这种方式作为一种选择。补充技术的帮助主要在于解决技术问题，并且可以集成其他模块来解决与患者和 HCP 相关的挑战。然而，积极的结果和对该方式的态度可能并不适用于所有病例，这表明远程医疗咨询作为选择而不是替代亲自就诊更合适。©Pranavsingh Dhunnoo、Bridie Kemp、Karen McGuigan、Bertalan Meskó、Vicky O'洛克，迈克尔·麦肯。最初发表于《医学互联网研究杂志》(https://www.jmir.org)，2024 年 7 月 9 日。

Despite a recent rise in adoption, telemedicine consultations retention remains challenging, and aspects around the associated experiences and outcomes remain unclear. The need to further investigate these aspects was a motivating factor for conducting this scoping review.With a focus on synchronous telemedicine consultations between patients with nonmalignant chronic illnesses and health care professionals (HCPs), this scoping review aimed to gain insights into (1) the available evidence on telemedicine consultations to improve health outcomes for patients, (2) the associated behaviors and attitudes of patients and HCPs, and (3) how supplemental technology can assist in remote consultations.PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guided the scoping review process. Inclusion criteria were (1) involving adults with nonmalignant, noncommunicable chronic conditions as the study population; (2) focusing on health outcomes and experiences of and attitudes toward synchronous telemedicine consultations between patients and HCPs; and (3) conducting empirical research. A search strategy was applied to PubMed (including MEDLINE), CINAHL Complete, APA PsycNet, Web of Science, IEEE, and ACM Digital. Screening of articles and data extraction from included articles were performed in parallel and independently by 2 researchers, who corroborated their findings and resolved any conflicts.Overall, 4167 unique articles were identified from the databases searched. Following multilayer filtration, 19 (0.46%) studies fulfilled the inclusion criteria for data extraction. They investigated 6 nonmalignant chronic conditions, namely chronic obstructive pulmonary disease, diabetes, chronic kidney disease, ulcerative colitis, hypertension, and congestive heart failure, and the telemedicine consultation modality varied in each case. Most observed positive health outcomes for patients with chronic conditions using telemedicine consultations. Patients generally favored the modality's convenience, but concerns were highlighted around cost, practical logistics, and thoroughness of clinical examinations. The majority of HCPs were also in favor of the technology, but a minority experienced reduced job satisfaction. Supplemental technological assistance was identified in relation to technical considerations, improved remote workflow, and training in remote care use.For patients with noncommunicable chronic conditions, telemedicine consultations are generally associated with positive health outcomes that are either directly or indirectly related to their ailment, but sustained improvements remain unclear. These modalities also indicate the potential to empower such patients to better manage their condition. HCPs and patients tend to be satisfied with remote care experience, and most are receptive to the modality as an option. Assistance from supplemental technologies mostly resides in addressing technical issues, and additional modules could be integrated to address challenges relevant to patients and HCPs. However, positive outcomes and attitudes toward the modality might not apply to all cases, indicating that telemedicine consultations are more appropriate as options rather than replacements of in-person visits.©Pranavsingh Dhunnoo, Bridie Kemp, Karen McGuigan, Bertalan Meskó, Vicky O’Rourke, Michael McCann. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 09.07.2024.