远程医疗和在肺部诊所的资源利用
Rose M Puthumana1, Claire A Grosgogeat2, Jenna K Davis2
1Department of Internal Medicine, University of Miami and Jackson Health Systems, 1611 NW 12th Ave, 1569 NW 17th Ave, Apt 1005, Miami, FL, 33136, 33125, United States of America. rxp1022@miami.edu.
BMC pulmonary medicine
|June 5, 2024
概括
在肺部诊所使用远程医疗增加了CT扫描的订单,但减少了胸部X射线. 这次轮班可能会增加临床医生的工作负担,因为更多的患者接触.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 随着COVID-19大流行,远程医疗的普及显著加快.
- 远程医疗对肺部诊所资源利用的影响在很大程度上仍未被描述.
研究的目的:
- 调查远程医疗访问与肺部诊所资源利用之间的关联.
- 为了分析诊断成像订单和医疗保健系统联系的模式,在远程医疗和面对面访问之后进行远程医疗.
主要方法:
- 一项回顾性队列研究分析了2018年1月至2021年12月的成人肺部诊所访问情况.
- 资源利用率,包括计算机断层扫描 (CT) 扫描和胸部X射线,在访问后7天内进行评估.
- 采用多变量后勤回归模型来评估远程医疗对资源使用和患者接触的影响.
主要成果:
- 远程医疗访问与订购CT扫描的几率增加了34% (aOR1.34),胸部X射线订单减少了63% (aOR0.37).
- 远程医疗在30至90天内增加了医疗保健系统的整体联系,电话和电子健康记录信息的可能性更高.
- 尽管接触增加了,但远程医疗访问显示急诊室访问和住院的几率下降.
结论:
- 肺部诊所的远程医疗与CT扫描的转变以及远离胸部X射线的转变有关.
- 与远程医疗相关的患者接触增加可能会给门诊医生带来更大的时间负担.
- 需要进一步的研究来优化远程医疗资源分配,并减轻潜在的临床医生工作量增加.
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