医生现在会"看到"你吗? 为初级保健提供有针对性的远程医疗系统的开发和实施
Jeremy A Epstein1, Zoljargal Lkhagvajav2, Tempest Young1
1Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
ACI open
|October 30, 2023
概括
一个简化的平板电脑有效地为服务不足的人群提供了视频访问,与仅使用手机的远程医疗相比,提高了患者满意度. 这项技术可以为那些面临数字障碍的人提供更好的医疗服务.
科学领域:
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
- 数字健康 公平数字健康 公平
背景情况:
- 虽然COVID-19大流行加速了远程医疗的普及,但由于互联网接入有限,服务不足的人群往往只依赖音频服务.
- 音频视频远程医疗被认为是一种优越的模式,非常接近面对面的访问.
- 数字接入障碍不成比例地影响弱势患者群体.
研究的目的:
- 开发和评估一个简化的远程医疗平台,以便为服务不足的人群提供视频访问.
- 为了比较只有音频和视频远程医疗模式之间的患者和提供者的满意度.
主要方法:
- 设计了一个简化的平板电脑解决方案,具有始终在线的LTE连接,并且没有复杂的注册.
- 患者被随机分配到只听电话访问或使用提供的平板电脑进行视频访问.
- 调查评估了患者和提供者之间的沟通和满意度.
主要成果:
- 使用视频支持平板电脑的患者报告说,与仅使用音频通话 (3.75/5) 的患者相比,他们对访问的满意度显著更高 (4.75/5).
- 简化的平板电脑设计消除了对外部设备和数字门户注册的需求.
- 总共有18名患者被纳入试点研究.
结论:
- 简化的平板电脑解决方案在弥合远程医疗接入的数字沟方面表现有前途.
- 需要进一步的战略来鼓励患者采用并最大限度地发挥这些技术的影响.
- 提高视频访问的可访问性对于提高医疗保健公平性至关重要.
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