Objective

The COVID-19 pandemic and its socio-economic impacts have disrupted our health systems and society. We sought to examine informatics and digital health strategies that supported the primary care response to COVID-19 in Australia. Specifically, the review aims to answer: how Australian primary health care responded and adapted to COVID-19, the facilitators and inhibitors of the Primary care informatics and digital health enabled COVID-19 response and virtual models of care observed in Australia.

Methods

We conducted a rapid scoping review complying with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews guidelines. Two reviewers independently performed the literature search, data extraction, and synthesis of the included studies. Any disagreement in the eligibility screening, data extraction or synthesis was resolved through consensus meeting and if required. was referred to a third reviewer. Evidence was synthesised, summarised, and mapped to several themes that answer the research question s of this review.

Results

We identified 377 papers from PubMed, Scopus, Web of Science and Embase. Following title, abstract and full-text screening, 29 eligible papers were included. The majority were “perspectives” papers. The dearth of original research into digital health and COVID-19 in primary care meant limited evidence on effectiveness, access, equity, utility, safety, and quality. Data extraction and evidence synthesis identified 14 themes corresponding to 3 research questions. Telehealth was the key digital health response in primary care, together with mobile applications and national hotlines, to enable the delivery of virtual primary care and support public health. Enablers and barriers such as workforce training, digital resources, patient experience and ethical issues, and business model and management issues were identified as important in the evolution of virtual primary care.

Conclusions

COVID-19 has transformed Australian primary care with the rapid adaptation of digital technologies to complement “in-person” primary care with telehealth and virtual models of care. The pandemic has also highlighted several literacy, maturity/readiness, and micro, meso and macro-organisational challenges with adopting and adapting telehealth to support integrated person-centred health care. There is a need for more research into how telehealth and virtual models of care can improve the access, integration, safety, and quality of virtual primary care.

中文翻译：

---

从远程医疗到澳大利亚的虚拟初级保健？快速范围界定审查

客观的

COVID-19 大流行病及其社会经济影响扰乱了我们的卫生系统和社会。我们试图研究支持澳大利亚初级保健应对 COVID-19 的信息学和数字健康策略。具体而言，该评论旨在回答：澳大利亚初级卫生保健如何应对和适应 COVID-19，初级保健信息学和数字健康的促进因素和抑制剂使 COVID-19 响应和在澳大利亚观察到的虚拟护理模型成为可能。

方法

我们根据系统审查的首选报告项目和范围审查指南的元分析扩展进行了快速范围审查。两名评价员独立对纳入的研究进行文献检索、数据提取和综合。在资格筛选、数据提取或合成方面的任何分歧都通过共识会议解决，如果需要的话。被转给第三个审稿人。证据被综合、总结并映射到回答本综述研究问题的几个主题。

结果

我们从 PubMed、Scopus、Web of Science 和 Embase 中确定了 377 篇论文。经过标题、摘要和全文筛选，共纳入 29 篇符合条件的论文。大多数是“观点”论文。初级保健中缺乏对数字健康和 COVID-19 的原始研究，这意味着有效性、可及性、公平性、实用性、安全性和质量方面的证据有限。数据提取和证据综合确定了 14 个主题，对应 3 个研究问题。远程医疗是初级保健中的关键数字健康响应，与移动应用程序和国家热线一起，可以提供虚拟初级保健并支持公共卫生。推动因素和障碍，例如劳动力培训、数字资源、患者体验和道德问题，

结论

COVID-19 通过数字技术的快速适应改变了澳大利亚的初级保健，以通过远程医疗和虚拟护理模式补充“面对面”初级保健。这场大流行病还凸显了在采用和调整远程医疗以支持以人为本的综合医疗保健方面面临的一些文化素养、成熟度/准备以及微观、中观和宏观组织挑战。需要对远程医疗和虚拟护理模型如何改善虚拟初级保健的访问、整合、安全和质量进行更多研究。