扩大和维持便利远程医疗以扩大弱势群体的治疗机会:一项定性研究
Ana Ventuneac1, Suzanne S Dickerson2, Arpan Dharia3
1START Treatment & Recovery Centers, Brooklyn, New York, USA.
概括
阿片类药物治疗计划可以整合远程医疗,以改善阿片类药物使用障碍 (OUD) 患者的C型肝炎病毒 (HCV) 护理. 这种模式通过克服地理和时间障碍,提高了医疗保健的获取能力,特别是在COVID-19后.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 阿片类药物治疗计划 (OTP) 对于管理阿片类药物使用障碍 (OUD) 至关重要,可以作为医疗中心.
- 扩大对服务不足的人群,特别是OUD患者的医疗保健准入,仍然是一个重大挑战.
- 肝炎C病毒 (HCV) 感染在OUD患者中很普遍,需要综合护理解决方案.
研究的目的:
- 探索在OTP内整合HCV护理的便利远程医疗.
- 收集员工和管理人员关于维持和扩展OUD患者的远程医疗服务的见解.
- 确定影响OTP中远程医疗可持续性的关键主题和因素.
主要方法:
- 使用解释学现象学的定性研究.
- 采访了30名员工和15名OTP管理员.
- 分析重点关注与远程医疗可持续性和整合相关的主题.
主要成果:
- 出现了三个核心主题:远程医疗作为技术创新,超越空间和时间的技术,以及COVID-19作为变革的催化剂.
- 可持续发展的关键因素包括熟练的员工,持续培训,强大的技术基础设施和有效的营销.
- 病例管理人员在管理技术方面发挥着至关重要的作用,以克服OUD患者治疗HCV的门障碍.
结论:
- 办公医疗服务提供者可以成功地维持便利远程医疗,以改善服务不足的人群获得医疗保健的机会.
- COVID-19大流行加速了远程医疗的创新和政策接受,扩大了其在医疗保健提供中的作用.
- 在OTP中整合远程医疗支持了他们作为OUD患者医疗中心的使命.
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