都市部に住むHIV感染者に遠隔医療による医療の提供に関する提供者の見解
Reetu Grewal1, Ross Jones1, Fern Webb2
1University of Florida, College of Medicine, Department of Community Health and Family Medicine, Jacksonville, FL, United States.
Health policy and technology
|September 2, 2025
まとめ
遠隔医療訓練は,HIV感染者へのケアに対する医療提供者の準備と意欲を大幅に高めました. アクセスを改善する一方で,医療提供者は遠隔訪問中に患者と医療提供者の相互作用が減少したことを指摘しました.
科学分野:
- 医療サービス研究
- 感染症
- デジタル・ヘルス
背景:
- HIV感染者 (PWH) を一貫したケアに巻き込むことは,健康上の結果にとって極めて重要です.
- 交通問題などの障壁は,特に公共交通機関のない都市部でのケアへのアクセスを妨げます.
- 遠隔医療は HIV治療の地理的・物流的な障壁を克服する 可能性のある解決策です
研究 の 目的:
- 専門的な訓練を受けた後の医療従事者の遠隔医療に対する態度を評価する.
- 遠隔医療訓練が医療従事者への準備と信頼に与える影響を評価する.
主な方法:
- フロリダ大学ヘルスの112人の医療従事者のコンビニエンス・サンプルは,遠隔医療訓練 (2018-2020年) を受けました.
- 研修前の調査と研修後の調査,フォーカスグループ,訪問後の評価を通じて 提供者の態度が評価されました.
- 記述的統計とペア化されたtテストがデータ分析に使用された.
主要な成果:
- 訓練後,提供者はPWHで遠隔医療を行うための準備 (p < 0. 0001) と意思が著しく高まったことを示しました.
- 提供者は,コミュニケーション能力の向上 (p < 0. 001) とトラブルシューティング技術に対する信頼の向上 (p < 0. 0001) を報告した.
- 診察後の調査を完了した患者のうち93%は遠隔医療が使いやすいと認めましたが,患者と医療従事者の間の交流が減少したことが示されました.
結論:
- 遠隔医療の訓練は 遠隔医療でHIV治療を行う 医療従事者の能力と意欲を高めます
- 遠隔医療の訓練を最適化し,遠隔医療の患者と医療従事者のやり取りのベストプラクティスを特定するには,さらなる研究が必要です.
- HIVの治療における遠隔医療の有効性を最大化するために 相互作用の減少に取り組みます
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