通过一种新的社区-学术伙伴关系改善老年人远程医疗:初步数据
Alicia V Neumann1, Andrea Gonzalez1, Louise C Walter1,2
1School of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, California, USA.
Journal of the American Geriatrics Society
|August 22, 2023
概括
一个远程医疗培训计划改善了老年人的技术技能和对使用在线医疗服务的信心. 这项干预措施有助于克服老年人获得数字健康服务的障碍.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
背景情况:
- COVID-19大流行加速了远程医疗的采用,突出了老年人技术获取方面的差异.
- 老年人面临着使用数字健康工具的重大障碍,影响他们远程接受护理的能力.
- 美国加州大学旧金山市老年医院劳动力增强计划 (UCSF-GWEP) 和旧金山市老年人的小兄弟朋友 (LBFE-SF) 合作应对这些挑战.
研究的目的:
- 为老年人开发和评估一个模型远程医疗培训干预方案.
- 增强老年人的在线健康相关能力和对使用数字健康服务的信心.
- 为这一群体确定成功的远程医疗培训计划的关键组成部分.
主要方法:
- 一组老年人接受了包括新设备和志愿者支持在内的培训干预.
- 培训涵盖了必要的远程医疗任务:发送电子邮件给提供者,视频访问,访问健康信息和使用患者门户.
- 参与者完成了培训前和培训后的技能水平和信心调查,采访了一小部分人,以获得定性见解.
主要成果:
- 在43名参与者中,31人完成了培训,平均年龄为75岁.
- 在培训后,超过50%的受访者表示,他们对所有四个关键的远程医疗任务都需要最低限度的帮助.
- 在视频访问,在线搜索和患者门户网站中观察到信心的显著改善.
结论:
- 结构化的远程医疗培训干预可以促进在线独立,提高老年人的信心,即使有技术障碍.
- 关键的成功因素包括提供平板电脑,个性化的志愿者支持,可访问的学习材料,以及社区与学术伙伴关系.
- 该计划对参与者的健康和社会福祉产生了积极影响.
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