昆士兰州虚拟综合诊所 (VIP) 合作项目试点研究:澳大利亚首个护理模式,以支持农村普通诊所
Breanna Lepre1,2, Jennifer Job1, Zena Martin3
1Centre for Health System Reform and Integration, University of Queensland-Mater Research Institute (UQ/MRI), Royal Brisbane Hospital, Level 8, Health Sciences Building, Herston, QLD, 4029, Australia.
BMC health services research
|November 1, 2023
概括
一个试点的虚拟综合实践 (VIP) 计划通过远程医疗改善了农村患者通过远程医疗获得全科医生的机会,证明了可行性和可接受性. 这项创新的数字医疗保健计划支持农村实践的可行性,并解决劳动力短缺问题.
科学领域:
- 数字健康数字健康
- 农村卫生 农村卫生
- 主要护理是指初级护理.
背景情况:
- 严重的国际医疗劳动力短缺影响澳大利亚农村和偏远地区.
- 迫切需要创新的战略来解决农村初级保健工作人员的缺口.
- 试点研究实施和评估了一个虚拟综合实践 (VIP) 计划.
研究的目的:
- 在澳大利亚农村的初级保健中实施和评估虚拟综合实践 (VIP) 计划.
- 通过远程医疗评估远程GP护理的可行性和可接受性.
- 改善患者获取和支持农村一般医疗实践的可行性.
主要方法:
- 通过共同创作开发了一个VIP模型,通过安全的远程医疗将城市GP与农村实践集成在一起.
- 在两个昆士兰州西部的一般实践中进行了试点 (2021年10月 - 2022年12月).
- 评估包括服务,计费,成本数据审查和患者在线调查.
主要成果:
- 1468提供服务,包括一般咨询,心理健康和慢性疾病管理.
- 高度的患者满意度 (90.7%非常满意) 和改善的GP接入 (95.5%).
- 超过20%的患者会在没有虚拟护理的情况下使用急诊室,这凸显了它的重要性.
结论:
- 在农村初级保健中,VIP计划是可行的和可以接受的.
- 证明了解决农村GP劳动力下降和提高患者获取机会的潜力.
- 试点数据为扩展昆士兰州的20个额外实践提供了信息.
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