住院患者的提供者印象 电脑神经病理咨询
Justin G James1, Lawrence R Wechsler1, Christina A Blum1
1Department of Neurology, University of Pennsylvania.
Neurology. Clinical practice
|May 13, 2024
概括
住院电脑神经病学咨询得到了评估,大多数神经病学家发现这种体验类似于面对面的访问. 然而,特定的首席投诉,如发作,显示出比神经肌肉问题更积极的结果.
科学领域:
- 神经学 神经学
- 远程医疗远程医疗
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在COVID-19大流行期间,电脑神经病学的使用急剧增加.
- 有限的研究评估了医生对住院患者电神经病学的看法.
- 一项质量改善计划评估了神经科医生对卫星医院远程咨询的印象.
研究的目的:
- 评估神经病学家对住院患者电神经病学咨询的印象.
- 确定影响远程神经病学的经验和结果的因素.
- 为在住院患者环境中实施远程神经神经病的最佳实践提供信息.
主要方法:
- 在咨询模板中嵌入了一个REDCap调查,以便在遭遇后立即完成.
- 分析了宾夕法尼亚大学卫生系统卫星医院 (2021年5月至2022年8月) 电脑神经病例的数据.
- 包括来自19位神经病学家完成的341次咨询的调查.
主要成果:
- 大多数神经病学家 (86%) 评价历史与面对面的情况相同;没有人认为它更好.
- 在75%的接触中,医生与患者的关系是良好的/优秀的.
- 总体体验被评为与现场体验相同的66%,较差的32%.
- 51%的人认为远程检查的要素可能会影响评估和护理计划.
- 周围/神经肌肉的投诉有较差的经验;发作的投诉有更多的积极印象.
结论:
- 在大多数方面,住院电神经病体验与亲临诊所相似,但在远程检查方面存在局限性.
- 首席投诉至关重要;电神经学可能最适合特定场景,如评估.
- 需要进一步改进患者体验和远程检查技术,以扩大电神经病学的适用性.
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