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虚拟紧急部门的实施:由RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架指导的多方法研究
Jennifer Shuldiner1, Diya Srinivasan1, Laura Desveaux2
1Women's College Hospital Institute for Health System Solutions and Virtual Care, Women's College Hospital, Toronto, ON, Canada.
JMIR formative research
|December 5, 2023
概括
一个试点虚拟急诊室 (VED) 为低急性病例提供了高质量,及时的护理. 这个模型显示了提高医疗保健效率的潜力,只在必要时将患者引导到人身护理.
科学领域:
- 数字健康数字健康
- 紧急医疗 紧急医疗
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 在COVID-19大流行期间,虚拟护理的采用激增,但在紧急护理环境中仍未得到充分利用.
- 该研究通过评估试点虚拟急诊室 (VED) 来解决紧急情况下虚拟护理的不足.
研究的目的:
- 评估安大略省实施一项VED试点项目,通过网络门户将患者与急诊医生联系起来.
- 评估VED模型的可接受性,实施忠实性,以及对护理质量,获取和连续性的影响.
主要方法:
- 采用由RE-AIM框架指导的多方法方法.
- 通过与患者和医生进行半结构化访谈以及访问后的患者调查收集数据.
- 用描述性统计数据对面试数据进行主题分析和调查数据进行分析.
主要成果:
- 该车辆每月平均为153名患者提供服务,其中67%是女性,75%有家庭医生.
- 患者报告了虚拟预约的高质量,及时访问,方便和满意度.
- 医生们表现出广泛的接受和满意度,尽管有些人认为他们的专业知识未得到充分利用;随着时间的推移,VED的能力得到了扩展.
结论:
- 该VED模型得到医生的支持,并有利于低敏度需求的患者.
- 虚拟电子设备可以通过虚拟管理患者并促进必要的面对面护理来提高医疗保健系统的效率.
- 长期的VED可持续性取决于解决数字公平问题,并改善快速测试和调查的准入.
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