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开发和验证一种措施,以评估患者与视频护理接触的经验
Cindie Slightam1, Sonya SooHoo1, Liberty Greene1,2
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California.
JAMA network open
|April 5, 2024
概括
一项新的措施有效地捕捉了退伍军人与视频访问的经验,显示更高的满意度与未来虚拟护理使用量的增加有关. 这个工具优化了远程医疗质量和患者参与度.
科学领域:
- 数字健康数字健康
- 患者体验研究 研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于视频的护理正在跨临床环境扩展.
- 评估患者体验对于优化医疗保健质量,安全和沟通至关重要.
- 退伍军人医疗管理局 (VHA) 使用虚拟护理,包括视频访问.
研究的目的:
- 开发和评估视频访问用户体验 (VVUE) 测量的心理特征.
- 创建一个患者报告的结果,衡量基于视频技术的体验.
- 评估VVUE测量的有效性和可靠性.
主要方法:
- 在2021年9月至2022年1月期间,对1887名使用VHA虚拟护理的退伍军人进行了调查研究.
- 基于网络,邮件或电话的调查评估了视频访问的经验,使用4点的利克特类型尺度.
- 用探索性和确认性因子分析,可靠性测试 (麦当劳欧米茄) 和相关性有效性分析来评估心理测量属性.
主要成果:
- 确定了一项10项,单一因素的VVUE测量,解释了96%的差异,内部一致性高 (ω=0.95).
- 该测量表明结构有效性 (SRMR=0.04) 和并发有效性,与VHA医疗保健参与度 (ρ=0.47) 有正相关性.
- 较高的VVUE分数预测了未来的视频访问使用,其中1分的增加与随后使用的可能性增加了4% (aOR=1.04).
结论:
- 简短的VVUE措施是评估退伍军人与VHA虚拟护理的经验的有效工具.
- 这些发现支持使用VVUE措施来优化远程医疗服务和患者参与.
- 这项研究强调了患者报告结果在评估和改进基于视频的医疗保健服务中的重要性.
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