定制沟通实践,以支持在一般实践中有效提供远程医疗
Sarah J White1,2, Amy D Nguyen3,4, Peter Roger5
1Centre for Social Impact, UNSW Sydney, 704, Level 7, Science Engineering Building (E8), Kensington, NSW, 2052, Australia. sarah.white@unsw.edu.au.
BMC primary care
|June 27, 2024
概括
有效的远程医疗通信依赖于建立关系和顺的对话. 这项研究为全科医生和患者制定了五项基于证据的原则,以加强虚拟医疗互动.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 沟通研究 沟通研究
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了远程医疗的采用,改变了全科医生和患者的参与.
- 对于远程医疗环境中有效的沟通策略的指导是有限的.
- 了解远程医疗互动对于开发基于证据的沟通实践至关重要.
研究的目的:
- 开发基于证据的资源,支持在远程医疗中一般医生和患者之间的有效,以人为中心的沟通.
- 分析关于远程医疗传播的互动实践和观点.
- 共同设计最佳远程医疗咨询的实用指南.
主要方法:
- 记录了42次远程医疗咨询,用于互动分析.
- 进行了患者调查 (n=153) 和与患者 (n=9) 和全科医生 (n=15) 的采访.
- 采用混合方法分析 (互动,定量,专题) 和与利益相关方共同设计.
主要成果:
- 确定了三个关键的沟通主题:建立关系,对话流和安全网.
- 根据这些主题,制定了最佳实践原则草案.
- 通过共同设计反来改进原则,成为使用远程医疗的全科医生和患者之间沟通的五个最佳实践原则.
结论:
- 有效的远程医疗通信取决于建立关系和对话流,使安全网成为可能.
- 一般医生和患者在直觉和战略上适应远程医疗的非同时存在性.
- 共同设计的原则已经准备好实施,以加强远程医疗通信.
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