行为健康提供者使用远程医疗的假设,感知和经验:定性研究
Marcy Ainslie1, Marguerite Corvini2, Jennifer Chadbourne3
1Department of Nursing, University of New Hampshire, Durham, NH, United States.
行为健康提供者发现远程医疗效率高,节省时间,增加患者的访问和护理连续性. 优化远程医疗需要明确的目标,培训和支持可持续整合的政策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 行为健康 行为健康
背景情况:
- 疫情驱动的远程医疗的实施是反应性的,而不是战略性的.
- 提供者经验是优化长期远程医疗战略的关键.
- 可持续的远程医疗可以减少因服务中断而导致的高成本护理.
研究的目的:
- 识别行为健康临床医生对远程医疗的假设,观点和经验.
- 为开发优化和可持续的远程医疗实施策略提供信息.
主要方法:
- 使用实施研究综合框架 (CFIR) 进行的定性研究.
- 采访了新英格兰的12名行为健康提供者.
- 使用演和体内编码,主题分析和情绪分析分析的数据.
主要成果:
- 提供者认为远程医疗是有效的,节省时间,增加护理的接入和连续性.
- 对于远程医疗的使用报告了积极的提供者影响和高的自我有效性.
- 缺少已知的最佳实践和明确的远程医疗目标.
结论:
- 支持州际许可,支付平价和增强远程医疗培训.
- 建议动态的工作流程,紧急协议和社区伙伴关系,以实现可持续的远程医疗.
- 强调需要进行患者体验研究,以确保利益相关方的代表性.
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