利益相关者对护士领导的远程医疗病例管理干预措施在初级保健中对具有复杂护理需求的患者的看法:一种定性描述性研究
Alannah Delahunty-Pike1, Mireille Lambert2, Charlotte Schwarz3
1Primary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
BMJ open
|October 16, 2023
概括
远程医疗病例管理 (TCM) 改善了复杂需求患者的患者访问和舒适性. 这种由护士主导的方法在建立信任时,是面对面的护理的可行替代方案.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 主要护理是指初级护理.
背景情况:
- 随着COVID-19大流行,远程医疗病例管理 (TCM) 在初级保健中得到了加快的应用.
- 信息和通信技术为治疗慢性病患者提供了潜在的潜力.
- 对利益相关者对TCM感知的定性见解是有限的.
研究的目的:
- 探索患者,初级保健提供者和诊所经理对护士主导的TCM干预的看法.
- 了解利益相关者对复杂护理患者的TCM的经验.
主要方法:
- 在加拿大三个初级保健诊所进行的定性描述性研究.
- 与30名患者,11名初级保健提供者和2名诊所经理进行个人访谈和重点小组.
- 一个为期6个月的护士主导的TCM干预,用于复杂护理需求的患者.
主要成果:
- 传统医疗改善了患者的准入,舒适和放心.
- 与熟练的护士病例经理建立信任关系至关重要.
- TCM非常适合不需要身体评估或治疗的活动.
结论:
- 远程医疗病例管理是一种普遍接受和有益的初级保健提供方式.
- 成功的TCM依赖于发展信任的患者护士关系.
- 应将TCM视为对复杂患者的面对面护理的有价值补充.
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