在COVID-19大流行期间,老年专家对远程医疗的观点:同时三角化混合方法研究
Victoria L Chuen1, Saumil Dholakia2,3, Saurabh Kalra4
1Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto.
Canadian geriatrics journal : CGJ
|June 2, 2023
概括
在COVID-19大流行期间,老年医疗提供者迅速采用远程医疗,包括电话和视频访问. 他们认为它对于护理连续性至关重要,并打算继续使用它,但取决于持续支付.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 由于COVID-19的流行,需要快速采用虚拟护理,以确保患者的安全并最大限度地减少病毒传播.
- 远程医疗,包括同步 (电话,视频) 和异步 (eConsults) 模式,成为医疗保健提供的一个关键工具.
研究的目的:
- 评估加拿大安大略省老年医疗服务提供者在同步电话和视频访问以及异步电子咨询的使用情况.
- 探索提供者对远程医疗在流行病后老年护理中的作用和未来的观点.
主要方法:
- 进行了一项并发的三角测量混合方法研究.
- 在线调查对老年医学或老年护理认证的医生进行了管理.
- 使用反射性主题分析来解释有关远程医疗使用和前景的定性调查答案.
主要成果:
- 电话 (96.6%) 和视频 (86.2%) 访问被高度利用,大多数提供商在疫情期间新实施这些.
- 大多数提供者打算在疫情后继续使用电话和视频访问.
- 远程医疗促进了护理连续性,培养了积极的观点,尽管在身体和认知评估方面存在局限性. 持续的报酬是持续使用的关键.
结论:
- 远程医疗在COVID-19大流行期间证明是维持老年患者护理连续性的关键.
- 老年医疗服务提供者报告说,他们对虚拟护理工具的开放性增加,预计将持续使用.
- 远程医疗在老年病的长期可持续性取决于包括适当的报酬和解决当前限制在内的因素.
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