协议:远程护理作为"新常态"? 英国通用实践中的多站点案例研究
Trisha Greenhalgh1, Sara E Shaw1, Anica Alvarez Nishio2
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, OX2 6GG, UK.
NIHR open research
|October 26, 2023
概括
英国的全科医院正在探索疫情后的远程护理选择. 本研究检查了他们与电话,视频和在线咨询的各种经验,以了解不同的实施成功.
科学领域:
- 初级护理研究初级护理研究
- 医疗服务研究 医疗服务研究
- 数字健康实施数字健康实施.
背景情况:
- 英国的一般实践采用了远程服务提供 (电话,视频,在线) 与面对面的咨询随着大流行后.
- 实践在建立和提供远程护理访问和服务方面的各种经验中进行导航.
- 了解这些不断变化的实践对于优化未来的医疗保健提供模式至关重要.
研究的目的:
- 探索和理解英国在建立远程咨询服务方面普遍实践的多样化,纵向经验.
- 在不同实践环境中识别影响数字健康解决方案成功或失败的因素.
- 通过深入的案例研究分析和利益相关方参与,为政策和服务开发提供信息.
主要方法:
- 混合方法,多个地点的案例研究设计,涉及两年来11个不同的一般实践.
- 使用住院研究员,采访,文档分析,民族学,在线学习活动和患者参与小组.
- 纳入国家利益相关者参与和一个多元化的独立咨询小组,负责治理和政策宣传.
主要成果:
- 预测了随着时间的推移对访问,分类,容量和数字股权的变化的丰富叙述.
- 预计将详细说明对护理质量,安全,劳动力福利和技术基础设施的影响.
- 将探索患者的观点和远程护理模型的可持续性,包括环境影响.
结论:
- 案例研究方法将阐明为什么数字解决方案在一般实践中表现不同.
- 结果旨在解释影响远程护理策略采用和有效性的上下文因素.
- 该研究计划通过建立网络,研讨会和政策简报来影响政策和服务的发展.
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