远程医疗转型:关于私人医疗实践中组织变革过程和结果的混合方法研究
Masab A Mansoor1, Rashid Siddiqi2
1Internal Medicine, Edward Via College of Osteopathic Medicine, Monroe, USA.
在儿科诊所实施远程医疗增加了收入和访问量,但对员工造成了工作流程中断. 为了成功实现虚拟护理集成,需要进一步优化.
科学领域:
- 儿科医疗保健创新 儿科医疗保健创新
- 医疗保健服务研究 医疗服务研究
- 数字健康实施方案
背景情况:
- 在一个私人儿科诊所系统中调查了远程医疗的实施.
- 对提供商参与和财务业绩的影响进行了审查.
研究的目的:
- 评估采用远程医疗的财务和运营影响.
- 识别远程医疗实施中的障碍和促进者.
主要方法:
- 混合方法案例研究,采访和财务记录分析.
- 23名临床医生,管理人员和工作人员的实施前后数据.
- 收入,成本和访问利用率的统计分析;定性数据的归纳编码.
主要成果:
- 远程医疗的扩张与44%的成本增加和47%的收入增加有关.
- 每个提供者每月的远程医疗访问量增长了超过450%.
- 83%的提供商重视安排灵活性,而68%的员工报告工作流程中断.
结论:
- 远程医疗催化了财务和生产率的增长,以及感知到的干扰.
- 建议包括改善护理协调,培训,激励和适应性实施策略.
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