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基于网络的门诊异步咨询服务的实施:混合方法研究研究

Magdalena Rzewuska Díaz1, Louise Locock1, Andrew Keen2

  • 1Health Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.

Journal of medical Internet research
|June 4, 2024
PubMed
概括

英国医疗保健中的异步咨询是可行的和可以接受的,从皮肤病学扩展到胃肠病学和疼痛管理. 实施需要解决行政挑战,并确保患者的数字化包容.

关键词:
异步通信是一种非同步的通信.医院数据 医院数据 医院数据实施实施实施实施实施.混合方法研究研究方法研究.门诊护理 门诊护理 门诊护理定性研究是指质量研究.电话咨询服务 电话咨询服务

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科学领域:

  • 医疗保健服务研究 医疗服务研究
  • 数字健康数字健康
  • 患者沟通 患者沟通

背景情况:

  • 英国国家卫生服务 (NHS) 正在扩大异步门诊通信,以改善患者与提供者之间的互动.
  • 在COVID-19大流行期间,阿伯丁皇家医院扩展了从皮肤病学到胃肠病学和疼痛管理的异步咨询服务.

研究的目的:

  • 用混合方法方法评估异步门诊咨询的实施和影响.
  • 收集医疗保健工作人员,患者和公众对新服务的观点.
  • 分析国家卫生服务 (NHS) 数据,以了解服务利用率和结果.

主要方法:

  • 混合方法研究包括重点小组 (n=22) 和与公众和工作人员的采访 (n=14).
  • 对NHS Grampian服务使用数据,患者满意度调查 (n=66) 和后续患者访谈 (n=6) 的分析.
  • 对不同级别的社会经济贫困和医疗专业的用户人口统计,接受度和结果的比较分析.

主要成果:

  • 尽管有组织支持,但实施面临挑战,包括技术整合的延迟和行政调整不当.
  • 在疼痛管理 (2021年12月) 和胃肠病学 (2022年2月) 中成功启动了异步咨询.
  • 该服务减少了约44,712英里的旅行,用户人口统计学反映了普通人口,社会经济贫困对接受治疗没有负面影响. 患者满意度很高 (82%),原因是改善了访问和便利性.

结论:

  • 胃肠病学和疼痛管理方面的异步咨询是可行的,并且受到患者的良好接受.
  • 成功实施是通过对现有行政流程的最小干扰来促进的,并且需要持续的员工支持.
  • 通过明确的患者解释,技术支持和灵活的咨询选项来确保数字化包容对于广泛采用至关重要.