围产期远程医疗:在患者所在地与患者会面
Katherine Kissler1, E Brie Thumm1, Denise C Smith1
1College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
围产期护理中的远程医疗提供了方便,并减少了患者错过的预约. 然而,提供者担心不同人群的公平接入,强调需要包容性战略.
科学领域:
- 围产期健康 围产期健康
- 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:
- 之前的远程医疗研究排除了多样化,经济不利或非英语人口.
- 随着COVID-19大流行,围产期护理的远程医疗采用加速了.
研究的目的:
- 在COVID-19大流行期间和之后,描述患者和提供者对围产期远程医疗的体验.
- 为各种社区提供公平和可访问的未来远程医疗利用信息.
主要方法:
- 描述性的定性研究.描述性的定性研究.
- 针对14名患者和17名医疗服务提供者的有目的和最大变异抽样.
- 半结构面试探索社会和地理背景.
主要成果:
- 患者重视远程医疗的易用性和降低成本,导致更少的错过预约.
- 医疗服务提供者认识到远程医疗的潜力,但对语言障碍或资源有限的患者获得公平的机会表示担忧.
- 确定的主题包括意想不到的优势,患者赋权,提供者的担忧,公平的护理以及增强和获取策略.
结论:
- 远程医疗创新可以创造更有效,更公平,更以患者为中心的围产期护理.
- 远程医疗利用的优先事项应侧重于确保所有多样化的社区均获取.
- 鼓励利用快速的远程医疗创新,而不是回归大流行前的做法.
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