在北美实施虚拟学术详细化:一个定性研究研究
Jonathan L Nazari1, Victoria Kulbokas1, Mary H Smart1
1Department of Pharmacy Systems, Outcomes, and Policy, University of Illinois Chicago, Chicago, Illinois, USA.
Journal of evaluation in clinical practice
|April 23, 2024
概括
随着COVID-19的流行,虚拟学术详细化 (AD) 的速度加快了. 研究了影响虚拟AD参与和交付的因素,揭示了技术和培训等挑战,但也揭示了扩大覆盖范围和灵活安排等好处.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 由于COVID-19大流行,需要迅速转向虚拟学术详细信息 (AD) 交付.
- 这种转变影响了医疗保健提供者的参与和AD计划的整体有效性.
研究的目的:
- 调查影响医疗保健提供者 (HCP) 之间虚拟AD参与的外部,上下文和内在因素.
- 了解AD小组在实施虚拟AD程序时采用的策略.
主要方法:
- 质量研究涉及半结构面试与北美15个AD群体.
- 调整实施研究综合框架 (CFIR) 以指导面试过程.
- 独立编码人员使用框架方法进行定性分析.
主要成果:
- 关键的挑战包括技术问题以及对详细人员和医疗保健人员的培训需求.
- 对亲自活动的限制限制限制了医疗保健人员的参与,并减少了AD访问的数量.
- 促进者包括已建立的网络,先前的虚拟AD经验,提供继续教育学分,并专注于像阿片类药物教育这样的当代话题.
- 虚拟AD扩大了地理范围,并提供了灵活的日程安排.
结论:
- 学术详细小组已经成功地过渡到虚拟推广和交付模式.
- 虚拟辅助有可能接触到农村社区并改善健康公平.
- 需要进一步的研究才能充分了解虚拟AD的有效性和长期影响.
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