对初级保健中常见症状的视频访问适宜性的评估:一项回顾性队列研究
Doris Chen1, Elyse Gonzales2, Marcy Winget1
1Department of Medicine, Primary Care and Population Health, Stanford University School of Medicine, Stanford, California, USA.
Journal of telemedicine and telecare
|January 23, 2024
概括
视频访问适用于头痛和腹痛. 然而,胸痛和头可能需要亲自评估,因为初始视频咨询后的随访率较高.
科学领域:
- 主要护理医学 医疗保健
- 远程医疗服务是远程医疗服务.
- 数字健康数字健康
背景情况:
- 对于各种初级保健条件的视频访问的适当性仍然在很大程度上是未知的.
- 这项研究调查了视频访问与面对面的办公室访问对六种常见条件的适用性.
研究的目的:
- 为了比较视频访问和办公室访问的结果,患者呈现腹痛,关节痛,背痛,头痛,胸痛和头.
- 确定哪些条件最适合初始视频咨询在初级保健.
主要方法:
- 一个回顾性审查600名成年患者的病历从同一天的门诊诊所.
- 视频访问图表 (2020年8月至10月) 与办公室访问图表 (2019年8月至9月) 的比较.
- 测量结果包括3周的后续访问,急诊室访问,成像和转诊.
主要成果:
- 对于胸痛 (52%对18%) 和关节疼痛 (24%对8%) 的视频访问后,观察到更高的3周的个人随访率.
- 在视频访问后, (38%vs28%) 和腰部疼痛 (24%vs14%) 的随访率增加,尽管在统计学上并不显著.
- 在视频和办公室访问之间,没有发现头痛和腹痛的随访率有显著差异.
结论:
- 视频访问似乎足够用于头痛和腹痛的初步评估.
- 胸痛和头等情况可能不太适合初次视频检查,因为随后面对面和急诊室的随访率更高.
- 结果可以指导医疗机构优化患者安排和访问类型建议.
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