对于内分泌保健的远程医疗使用的变化:在"新常态"下的模式和预测因素
Varsha G Vimalananda1,2, Kevin Arao1,2, Shirley Qian1
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA.
Journal of telemedicine and telecare
|October 13, 2023
概括
在内分泌学中使用远程医疗的差异很大,面对面的访问最常见. 患者,临床医生和设施因素影响远程医疗模式的选择,突出优化虚拟护理交付的领域.
科学领域:
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 在COVID-19大流行期间,远程医疗的采用在门诊内分泌护理中激增.
- 远程医疗使用的背景已经发展,需要了解当前的使用模式.
研究的目的:
- 描述在疫情后的"新常态"中,对门诊内分泌检查的远程医疗使用的变化.
- 检查患者,临床医生和组织因素,预测远程医疗模式 (面对面,电话,视频).
主要方法:
- 在2021年3月至2022年3月期间,美国退伍军人事务部 (VA) 进行了167,017次内分泌检查的回顾性横截面研究.
- 混合效应物流回归模型被用来分析影响远程医疗与面对面护理以及电话与视频使用的因素.
主要成果:
- 58%的访问是面对面,29%是通过电话,13%是通过视频.
- 在患者 (56%),临床医生 (24%) 和设施 (18%) 层面观察到远程医疗使用的显著变化.
- 访问类型,临床医生和设施特征是关键预测因素;患者年龄和农村地区影响了电话与视频偏好.
结论:
- 在当前条件下,对内分泌学服务的远程医疗利用存在很大差异.
- 建议对临床医生和设施级司机进行进一步的研究,以加强适当患者公平的远程医疗接入.
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
An Overview of the Endocrine System
8.5K
The endocrine system, a complex network of glands, orchestrates physiological balance within the body through the production and secretion of hormones. These hormones are chemical messengers in intercellular communication, acting as conduits between the secretory cells and distant target sites. They traverse the circulatory system by being released into the extracellular fluid, and their impact is specific to cells possessing receptors for a particular hormone.
The endocrine system collaborates...
The endocrine system collaborates...
8.5K
Specialized Care Centers and Settings-II
738
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
738
The Endocrine System
310
The endocrine system is an extensive network of glands – organs or tissues in the body that create chemicals that control many bodily functions, that secrete hormones, which are chemical messengers that play essential roles in regulating various bodily functions. These hormones are secreted into the bloodstream and travel throughout the body. They require specific receptors to convey signals to cells possessing these corresponding receptors. This complex signaling mechanism ensures that...
310


