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Elección entre atención virtual y presencial por médicos de familia: un estudio cualitativo
Bridget L Ryan1,2,3, Judith Belle Brown1,2, Thomas R Freeman1,2
1Centre for Studies in Family Medicine, Western University, London, Ontario, Canada N6A 3K7.
Family practice
|January 9, 2026
Resumen
La elección entre atención primaria virtual y presencial para pacientes con múltiples afecciones crónicas requiere considerar el acceso, la tecnología y las preferencias del paciente. Los médicos de familia (MF) y los pacientes prefieren un proceso que respete tanto la elección del paciente como la experiencia del MF.
Área de la Ciencia:
- Medicina Familiar; Investigación en Servicios de Salud; Salud Digital
Sus antecedentes:
- La pandemia de COVID-19 aceleró la adopción de la atención virtual en las consultas de médicos de familia (MF).
- La selección entre atención primaria virtual y presencial requiere sensibilidad al contexto del paciente, especialmente para aquellos con multimorbilidad.
Objetivo del estudio:
- Explorar cómo la elección entre la atención virtual y presencial de MF puede ser aceptable tanto para los pacientes como para los MF para personas con multimorbilidad.
Principales métodos:
- Se utilizó un enfoque de teoría fundamentada constructivista.
- Se realizaron entrevistas individuales con pacientes (2+ afecciones crónicas) y MF para comprender los procesos de toma de decisiones para el modo de prestación de atención.
Principales resultados:
- Dos temas principales surgieron: consideraciones para elegir el modo de prestación (motivo de la visita, acceso, tecnología, reembolso) y el proceso de elección (respaldando la elección del paciente, programación).
- Se identificaron las preferencias de pacientes y MF para la toma de decisiones, destacando la importancia de respetar la elección del paciente y el juicio clínico del MF.
Conclusiones:
- La integración de las experiencias de pacientes y MF puede informar el futuro de diversos modos de prestación de atención en MF.
- Persisten las barreras tecnológicas y los sistemas actuales de programación clínica pueden no respaldar completamente los procesos de toma de decisiones preferidos que equilibran la preferencia del paciente con la experiencia del MF.
Palabras clave:
medicina familiarmultimorbilidadatención primariainvestigación cualitativatelemedicinaMás Videos Relacionados
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