临床状态的患者和医生评估:一种混合方法研究间歇性肺部疾病
Amanda Grant-Orser1, Nicola A Adderley1, Katelyn Stuart1
1Division of Respirology, Department of Medicine, University of Calgary, Calgary, AB, Canada.
CHEST pulmonary
|November 28, 2023
概括
患者和医生对间歇性肺病 (ILD) 临床状况的评估显示,预约前的协议很差,但预约后的协议中等. 患者通常更喜欢面对面的医疗比远程医疗更好,尽管它有潜在的好处.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健提供 医疗保健提供
- 远程医疗远程医疗
背景情况:
- 随着COVID-19大流行,医疗保健转向了针对间歇性肺病 (ILD) 患者的远程医疗.
- 减少了面对面的访问,需要依赖患者的自我评估.
- 在ILD中,患者自我评估与医生评估的准确性仍然不清楚.
研究的目的:
- 将患者的自我评估与医生对ILD患者临床状况的评估进行比较.
- 为了评估患者和医生对远程医疗的偏好与面对面的访问.
- 确定影响医生评估的临床因素.
主要方法:
- 从一个专门的诊所招收50名ILD患者.
- 患者在面对面预约前后通过电话评价了他们的临床状况.
- 医生在预约后对患者的状态进行了评分,对患者的评分是盲目的.
- 调查评估了人们对远程医疗和亲临医疗的偏好.
主要成果:
- 临床前患者自我评估和医生预约后评估之间没有相关性 (κ=0.28).
- 预约后患者和医生评估之间的中度一致 (κ=0.49).
- 医生认为远程医疗在58%的访问中是可以接受的,而只有12%的患者更喜欢它.
结论:
- 患者和医生对ILD临床状况的同意是有限的,特别是在面对面评估之前.
- 患者通常更喜欢面对面的互动,而不是远程医疗.
- 远程医疗提供了潜在的获取益处,但不能完全取代对ILD管理的面对面评估.
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