在COVID-19大流行期间,综合行为健康适应
Melissa K Filippi1, Andrea Nederveld2, Mark D Williams2
1From the American Academy of Family Physicians National Research Network, American Academy of Family Physicians, Leawood, KS (MKF, ER, CMH); Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC (MKF); University of Colorado Anschutz, Aurora, CO (AN); Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MI (MDW); Department of Family and Community Medicine, The Ohio State University Wexner Medical Center, Columbus, OH (CD); Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (JAW). mfilippi@aafp.org).
由于COVID-19大流行,需要在综合环境中快速采用远程行为健康 (BH),克服维持患者访问的挑战. 实践创新了工作流程,在危机期间展示了在提供必不可少的BH服务方面的弹性.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 行为健康整合行为健康整合
- 远程医学的采用 远程医学的采用
背景情况:
- 随着COVID-19大流行的封锁,基本的综合行为健康 (IBH) 服务受到干扰,包括面对面的沟通,查和评估.
- 以前存在的行为健康 (BH) 访问障碍被与大流行相关的限制放大了.
研究的目的:
- 调查COVID-19大流行对家庭医疗住院计划内综合行为健康 (IBH) 护理的影响.
- 确定护理团队所做的适应措施,以减轻在疫情期间IBH服务中出现的中断.
主要方法:
- 与41名临床医生进行了半结构化采访,涉及14个家庭医学实习计划.
- 探索了临床医生的经验与流行病相关的挑战,并实施了IBH护理的适应.
主要成果:
- 临床医生报告说,快速转向虚拟护理,面临IBH交付的挑战和对BH服务的需求增加.
- 虚拟的热情交接和增强的沟通变得至关重要;查和转诊变得更加困难.
- 虽然Tele-BH允许持续访问,但存在后勤障碍;适应的重点是保持患者和团队的联系.
结论:
- 实践成功地修改了工作流程,在不断增加的COVID-19病例中整合了tele-BH.
- 从Tele-BH实施中获得的关键教训为未来的医疗保健危机提供了有价值的策略,并在人身护理有限时保持获得.
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