实时虚拟支持作为一个紧急部门战略的农村,偏远和土著社区在不列颠哥伦比亚省:描述性的案例研究
Helen Novak Lauscher1, Brydon Blacklaws2, Erika Pritchard2
1Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Journal of medical Internet research
|December 22, 2023
概括
通过RUDi通道实时虚拟支持 (RTVS) 防止了不列颠哥伦比亚省农村地区的急救部门关闭. 这种数字健康解决方案缓解了医生短缺和提供者倦怠,为偏远社区提供了一个重要的安全网.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 英国哥伦比亚省的农村和偏远社区面临着重大的医疗保健挑战,包括医生隔离和有限的资源.
- COVID-19 流行病加剧了现有的医疗保健差异,突出了创新解决方案的需要.
- 实时虚拟支持 (RTVS) 为农村环境中的医疗保健提供提供了一个便携式解决方案.
研究的目的:
- 描述农村紧急医生救援 (RUDi) 途径的快速实施,这是RTVS的一个组成部分.
- 确定促进者和障碍物,以成功实施这个虚拟支持模型.
主要方法:
- 采用一个案例研究方法,利用四重目标和社会责任框架.
- 在实施后大约一周,与医生,医院工作人员和卫生当局领导进行了采访.
- 内容分析用于从定性数据中识别新出现的主题.
主要成果:
- 该RUDi途径支持39个夜班,作为Dawson Creek地区医院急诊室245名患者最负责任的提供者.
- 关键的促进者包括强有力的领导力,建立的关系和有效的跨专业合作.
- 发现的障碍与需要广泛的IT支持以及远程医生覆盖的经验有关.
结论:
- 该RUDi途径成功地防止了急诊室关闭和患者转移,证明了RTVS的价值.
- 基于信任的数字健康解决方案的快速实施可以缓解农村地区的医生短缺和提供者倦怠.
- 这种模式为农村患者和提供者提供了安全网,为未来在服务不足的社区实施提供了宝贵的学习经验.
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