优化远程医疗服务:混合方法需要在社区卫生中心患者中进行评估
Allison P Pack1, Paula Rusca2, Josephine Llaneza2
1Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Medical care
|October 5, 2023
概括
大多数社区卫生中心的患者有远程医疗的资源,并欣赏其方便性. 然而,一些人,尤其是说西班牙语的人,遇到了障碍,表明需要进一步的支持,以确保平等地获得虚拟护理.
科学领域:
- 公共卫生 公共卫生
- 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
背景情况:
- 随着COVID-19大流行,联邦政府资助的社区卫生中心 (CHC) 显著推动了远程医疗的采用.
- 对于影响CHC患者群体中远程医疗利用的因素的了解有限.
- 这项研究旨在解决贫困社区关于远程医疗使用决定因素的知识差距.
研究的目的:
- 调查中西部城市和郊区服务不足人口的大型CHC网络中患者的远程医疗利用模式和相关决定因素.
- 确定远程医疗采用和在现实世界社区卫生环境中一致使用的障碍物和促进者.
主要方法:
- 采用了一种连续的解释混合方法设计,将定量调查与定性访谈相结合.
- 在12个月内,在多个实践地点对500名成年患者进行了结构化的电话调查.
- 目的性抽样被用来招募远程医疗用户和非用户进行深入的定性电话采访.
主要成果:
- 大多数受访患者拥有必要的资源,如智能手机 (90.4%) 和家庭互联网 (83.0%),许多患者报告可靠的互联网接入 (50.8%).
- 对患者门户的认识 (81.1%) 和使用视频访问 (59.8%) 是相当大的.
- 具有有限英语能力的西班牙语患者遇到了重大挑战,定性数据显示非用户往往缺乏意识或需要技术援助.
结论:
- 虽然大多数CHC患者拥有远程医疗的资源和意识,但特定人群面临着障碍.
- 远程医疗用户重视其方便和效率,但在访问和利用方面存在差异.
- 有针对性的支持和干预对于防止远程医疗扩大现有的健康不平等至关重要.
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