远程医疗护理在离岸环境中的质量经验 - - 定性研究
Michael Stefan Hellfritz1, Alexander Waschkau2, Jost Steinhäuser2
1Universität zu Lübeck, Institute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany. michael.hellfritz@student.uni-luebeck.de.
BMC health services research
|June 20, 2023
概括
经验丰富的离岸护理人员发现,远程医疗护理质量受到护理人员个性,沟通风格和病例复杂性的影响. 由于时间限制和技术问题,紧急情况不适合远程医疗.
科学领域:
- 医疗信息学 医疗信息学
- 远程医疗保健提供服务
- 紧急医疗 紧急医疗
背景情况:
- 随着远程医疗保健的使用范围的扩大,远程医疗保健质量评估至关重要.
- 离岸设置有数十年的远程医疗经验.
- 分析离岸护理人员的经验可以确定质量决定因素.
研究的目的:
- 探索远程医疗护理质量的决定因素.
- 利用经验丰富的离岸护理人员的经验.
主要方法:
- 对22个半结构面试的定性分析.
- 使用梅林的层次类别系统进行内容分析.
主要成果:
- 远程医疗互动的感知与面对面的互动类似.
- 护理人员的个性和沟通方式会影响远程医疗护理的质量.
- 远程医疗不适合紧急情况,因为时间,复杂性和认知负载.
结论:
- 成功的远程医疗咨询的关键决定因素包括低案例复杂性和特定培训.
- 咨询医生和代表的沟通培训至关重要.
- 解决人格影响和适当的迹象对于提高远程医疗护理质量至关重要.
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