在安全网初级保健中实施以团队为基础的远程医疗工作流.
Marianna Kong1, Rachel Willard-Grace, Elaine Khoong
1University of California, San Francisco, Box 1315, 2540 23rd St, Floor 5, San Francisco, CA 94143.
The American journal of managed care
|May 31, 2024
概括
实施以团队为基础的工作流程是安全网设置中成功远程医疗的关键. 专注的患者准备和标准化的流程改善了护理提供和临床医生的经验.
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 公平数字健康 公平
背景情况:
- 远程医疗的实施在安全网设置中面临着独特的挑战.
- 有限的研究存在于实用,以团队为基础的远程医疗战略在初级保健服务不足的人口.
研究的目的:
- 探索在安全网初级保健系统中实施同步远程医疗 (仅视频和音频) 的基于团队的工作流程的促进者和挑战.
- 了解这些工作流对患者护理和临床医生的经验的影响.
主要方法:
- 与初级保健医生和工作人员进行了深入的,半结构化的定性访谈.
- 分析采访数据,使用修改的接地理论和多阶段编码.
- 使用实用,强大的实施可持续性模型框架组织调查结果.
主要成果:
- 对于数字素养有限的患者来说,专门的患者准备角色至关重要.
- 标准化的工作流程和沟通可以在远程医疗访问期间加强医疗保健维护.
- 远程医疗在灵活性和可访问性方面提供了感知上的好处,尽管存在一些患者障碍.
- 临床医生和工作人员报告说,由于效率提高,对工作经验产生了积极的影响,尽管仅有音频访问的吸引力较低.
结论:
- 基于团队的战略工作流可以扩大远程医疗的访问,并确保在安全网设置中提供高质量的护理.
- 优化远程医疗实施需要解决数字素养和标准化流程,以最大限度地提高弱势患者群体的利益.
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