初级保健医生应该咨询他们入院的患者吗? 一个单一中心的调查研究研究调查
Basil George Verghese1, Mohamed Salah Mohamed1, Anas Hashem1
1Department of Medicine, Rochester General Hospital, Rochester, New York, USA.
概括
初级保健医生 (PCP) 和医院医生认为PCP远程医疗咨询对入院患者有价值. 然而,对重要性和努力的不同看法可能会阻碍实施,而时间承诺对两组人来说都是一个关键的挑战.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 由于医院医学的兴起,住院和门诊之间的护理分散.
- 通过初级保健医生 (PCP) 对入院患者的电视访问,改善患者和医院结果的潜力.
- 缺乏对PCP和医院医师对成人医院医学的综合护理模式的理解.
研究的目的:
- 为了比较PCP和医院医生对PCP远程医疗咨询的态度.
- 从两个医生组的角度来看,识别与此模型相关的感知益处,重要性和挑战.
主要方法:
- 在美国一家大型学术医院对医院医生和PCP进行了单中心的横截面调查.
- 该调查评估了关于PCP远程医疗咨询对入院患者的重要性,所需的努力和所感知的挑战的态度.
主要成果:
- 120名参与者 (52名医院医生,68名PCP) 获得了反应.
- 两组一致认为,在特定情况下,PCP商是有益的.
- 与医院医生相比,PCP更倾向于咨询,并愿意付出更多的努力.
- 时间承诺是医院医生 (78.8%) 和PCP (75.0%) 最常提到的挑战.
结论:
- 医院医生和PCP认识到PCP咨询对患者护理的潜在好处.
- 在PCP远程医疗咨询的感知重要性和参与PCP远程医疗咨询的意愿方面,PCP和医院医生之间存在显著的差异.
- 解决时间限制对于成功采用这种综合护理模式至关重要.
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