通过远程医疗改善了对麻醉的坚持:回顾性分析
Danny Q Le1, Brittany N Burton1, Christian J Tejeda2
1Anesthesiology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Cureus
|June 24, 2024
概括
远程医疗改善了手术前麻醉预约完成和减少取消. 然而,老年患者,需要口译服务的人或非私人保险的个人可能会面临进入障碍.
科学领域:
- 麻醉学 麻醉学
- 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:
- COVID-19大流行加速了医疗领域的远程医疗采用.
- 关于远程医疗对在手术前麻醉评估中遵守预约的影响的研究有限.
- 这项研究通过检查远程医疗对麻醉预约完成的影响来弥补这一差距.
研究的目的:
- 确定远程医疗对手术前麻醉评估预约完成的影响.
- 分析远程医疗对预约未出现和取消的影响.
- 确定与远程医疗和面对面评估相关的患者人口统计数据.
主要方法:
- 追溯的,非随机的队列研究.
- 成年患者在2021年1月至9月期间接受手术前麻醉评估.
- 远程医疗和面对面组之间的预约完成,不出现和取消情况的比较.
主要成果:
- 远程医疗组的预约完成率更高 (81.38%) 与面对面 (76.60%).
- 远程医疗显著减少了取消预约 (12.55%) 与亲自 (19.41%) 相比.
- 远程医疗和面对面的评估之间没有预约没有显示的统计差异.
结论:
- 远程医疗提高了手术前麻醉预约的完成率,减少了取消预约.
- 针对老年患者,需要口译服务的患者和非私人保险的个人,发现了潜在的远程医疗缺陷.
- 解决这些不平等问题可以改善远程医疗的获取和公平.
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