虚拟护理中的公平:医生观点的混合方法研究
Timothy C Guetterman1, Emily Koptyra2, Olivia Ritchie1
1Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Journal of telemedicine and telecare
|August 29, 2023
概括
疫情期间虚拟护理的扩张引起了人们对医疗保健差异的担忧. 初级保健医生观察到,英语水平有限的患者在获得虚拟护理方面面临重大障碍,这凸显了改善卫生系统干预的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 主要护理医学 医疗保健
背景情况:
- 随着COVID-19大流行,虚拟护理的普及加速,人们对其对医疗保健差异的影响产生了担忧.
- 诸如种族和民族少数群体,老年人和低收入家庭等子群体,由于技术获取和采用方面的差异,面临着访问虚拟护理的挑战.
- 初级保健提供者的观点对于理解和解决虚拟护理实施中的不平等至关重要.
研究的目的:
- 探索初级保健医生的经验和对公平虚拟护理障碍和促进者的看法.
- 确定虚拟护理如何影响各种患者群体获得医疗保健.
主要方法:
- 一个解释性的顺序混合方法研究,涉及调查和半结构面试与初级保健医生.
- 收集了关于虚拟访问频率,偏好和技术充足性的定量调查数据.
- 定性访谈侧重于医生对特定患者亚群的虚拟护理公平的经验.
主要成果:
- 医生报告说,他们观察到与各种患者群体虚拟护理访问有关的公平问题.
- 发现虚拟护理既增加又减少了不同人群的医疗保健准入.
- 英语水平有限的患者在虚拟护理获取方面经历了特别严重的不平等.
结论:
- 进一步的研究和有针对性的干预措施是必要的,以提高患者门户网站的访问,为个人有有限的英语水平.
- 卫生系统的干预措施应该旨在扩大虚拟护理的可用性,而不会增加患者的负担.
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