当中断成为创新时:在COVID-19期间,初级保健中的综合行为健康如何适应
Brianna M Lombardi1,2,3, Lisa de Saxe Zerden2,3, Danya K Krueger2
1Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill.
综合行为健康 (IBH) 团队通过增加技术使用和采用远程医疗来适应COVID-19. 这些变化改变了团队结构和协作,需要对初级保健机构进行未来的评估和培训.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 行为健康整合行为健康整合
背景情况:
- 综合行为健康 (IBH) 对于解决美国行为健康危机至关重要.
- 随着COVID-19大流行,IBH在初级保健中的治疗方式发生了重大变化.
- 关于IBH团队如何适应以及这些变化的未来影响,存在不确定性.
研究的目的:
- 探索初级保健中的综合行为健康团队如何在COVID-19大流行期间调整他们的模型.
- 了解团队结构,沟通和协作中的具体变化.
- 确定IBH在初级保健中的未来影响.
主要方法:
- 对9个州的20名初级保健临床医生进行了个别采访.
- 采用半结构面试指南来收集数据.
- 采用定性主题分析来确定关键主题.
主要成果:
- 出现了四个主要主题:团队物理结构的永久性变化,对通信技术的依赖增加,转向异步团队协作,以及IBH服务中远程医疗的广泛采用.
- 适应是由物理近距离的干扰驱动的,需要改变工作流程和服务交付.
- 技术和远程医疗成为维持团队功能和患者护理的核心.
结论:
- 随着COVID-19的流行,IBH的传统的基于团队的护理模式被打破了.
- 适应包括改变的工作流程,数字通信,虚拟团队建设,异步协调和远程服务交付.
- 需要进行长期评估,以评估这些调整对IBH模型疗效的影响,需要为临床医生提供最新的培训.
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