虚拟医院护理的开发和部署:对前线临床医生和领导者的快速定性研究
Matthew Sakumoto1, Michelle Knees2, Kendall Rogers3
1Department of Medicine, UCSF, San Francisco, California, USA.
Journal of hospital medicine
|April 26, 2024
概括
虚拟医院医生计划在临床医生短缺的情况下提供灵活的员工解决方案. 然而,不清楚的财务状况和对质量的担忧阻碍了这些创新的护理模式的广泛采用和可扩展性.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 医院运营 医院运营
背景情况:
- 由于临床医生短缺和对灵活工作的需求,虚拟医院医生计划正在扩大.
- 这些计划可以在多个医疗保健设施中创建具有成本效益的,可持续的员工配置模型.
研究的目的:
- 了解学术医院领导者对设计和实施虚拟医院计划的看法.
- 探索虚拟医院医疗服务的当前挑战和未来机遇.
主要方法:
- 进行了四个重点小组,与来自九个卫生系统的13名学术医院领导人进行了讨论.
- 使用半结构面试和快速定性分析 (模板摘要,矩阵分析) 的录音.
主要成果:
- 确定了各种各样的虚拟护理交付模式.
- 观察到,采用跟随了创新阶段的传播.
- 发现不清楚的财务结构影响了计划的可持续性和可扩展性.
结论:
- 医院领导人认为影响虚拟护理采用的复杂因素.
- 解决质量,融资和培训方面的问题对于加速采用至关重要.
- 需要进一步的研究来确定可持续的最佳实践,优化虚拟医院主义模型.
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