在COVID-19期间在专业门诊护理中的远程医疗:一种定性研究
Agnivo Sengupta1, Simone Pettigrew2,3, Christine R Jenkins1,3,4
1Respiratory Program, The George Institute for Global Health, Sydney, New South Wales, Australia.
Internal medicine journal
|November 6, 2023
概括
在疫情期间,患者发现远程医疗方便且安全,但错过了体检. 医疗服务提供者有不同的看法,理由是诊断问题和工作量,并强调需要培训和更好的基础设施,以实现混合护理模式.
科学领域:
- 提供医疗保健服务.
- 数字健康数字健康
- 患者和提供者体验患者和提供者的体验.
背景情况:
- 随着COVID-19大流行,医疗保健中远程医疗服务的采用迅速加速.
- 需要评估远程医疗在流行病后的医疗保健环境中的长期适用性和有效性.
- 了解患者和提供者的观点对于优化远程医疗整合至关重要.
研究的目的:
- 探索患者和医疗保健提供者对远程医疗的看法和经验.
- 调查2020年至2022年间在医院门诊中使用远程医疗的情况.
- 确定影响远程医疗成功实施的因素.
主要方法:
- 采用了定性研究设计.
- 与37名参与者 (16名患者,21名提供者) 进行了半结构面试.
- 参与者来自新南威尔士州当地卫生区内的专业门诊诊所.
主要成果:
- 患者报告说,由于便利性和减少COVID-19暴露风险,他们对远程医疗的满意度很高,但指出缺乏体检是缺点.
- 医疗服务提供者表达了矛盾的观点,担心由于缺乏体检而导致潜在的错误诊断,并发现工作量增加.
- 两个小组都强调了需要教育,培训和改进远程医疗平台的整合,以实现最佳的混合护理模式,并提供可持续的资金.
结论:
- 患者重视远程医疗,因为在疫情期间,尽管有局限性,但方便和满足需求.
- 临床医生承认患者的好处,但对潜在的错过诊断,不确定的临床结果和不足的基础设施表示担忧.
- 远程医疗的长期成功将取决于它对临床结果的影响,而不是传统的面对面护理.
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