使用虚拟急诊医疗临床医生作为卫生系统入口点 (虚拟第一):横截面调查研究
Jennifer Potter1, Dana Watson Gans2, Alison Gardner3
1Department of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Journal of medical Internet research
|June 5, 2023
概括
虚拟第一计划将患者与急诊医学临床医生连接起来进行虚拟分拣,减少不必要的急诊室访问. 这种创新方法可以在家中提供方便的护理,并将患者引导到适当的设施,从而降低医疗保健成本.
科学领域:
- 紧急医疗 紧急医疗
- 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:
- 随着COVID-19大流行,远程医疗的接受率和急救部门 (ED) 的登机率有所增加.
- 虚拟第一 (VF) 计划是为了通过利用急诊医学临床医生 (EMC) 来解决ED登机率上升的问题而开发的.
- 虚拟基金旨在通过在寻求个人护理之前提供虚拟咨询来减少不必要的ED访问.
研究的目的:
- 评估患者通过虚拟第一计划获得EMC如何影响急性需求的护理行为.
- 评估VF对患者选择急性护理的影响,与传统选择相比.
主要方法:
- 一个由EMC人员组成的同步虚拟视频访问计划 (VF) 在一家三级医疗学术医院实施.
- 患者自行选择VF作为初级保健,紧急护理或ED访问的替代方案.
- 访问后对VF用户进行了横截面调查,以确定寻求替代护理的行为,并收集反.
主要成果:
- 在3097名VF患者中,有176人完成了调查. 其中,49.4%的人会使用紧急护理,15.9%的初级护理,14.8%的ED如果VF无法使用.
- 很大一部分患者 (19.3%) 表示,如果没有VF,他们根本就不会寻求治疗.
- 在VF中最有价值的方面是在家接受护理的便利性 (77.8%).
结论:
- 虚拟第一计划展示了重塑患者护理途径的潜力,使EMC能够在ED到来之前虚拟地对患者进行分拣.
- 如果没有VF,大多数患者 (64.2%) 将在急性护理机构寻求护理,这凸显了VF在转移非紧急病例中的作用.
- 通过确保适当的护理目的地,减少转移和重复ED访问,VF可以降低患者成本.
关键词:
在 COVID-19 疫情中,急性护理设施的急性护理设施.急性疾病急性疾病急性疾病.关心的关心的关心的关心有效性 有效性 有效性.紧急情况部门的急救部门.紧急医疗 紧急医疗疾病 疾病 疾病感染的感染感染.伤害伤害伤害伤害伤害伤害伤害伤害伤害医学 医学 医学 医学 医学病人的病人的病人的病.医生 医生 是一个医生.远程医疗服务是远程医疗服务.远程医疗远程医疗使用利用利用利用利用利用利用利用利用利用虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚, 虚,虚拟护理是指虚拟的护理.虚拟访问 虚拟访问
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