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远程医疗在老年人的初级保健:一个定性研究
Vladimir Khanassov1, Marwa Ilali2, Ana Saavedra Ruiz2
1Department of Family Medicine, McGill University, 5858 Ch. de la Côte des Neiges, Montréal, QC, H3S 1Z1, Canada. vladimir.khanassov@mcgill.ca.
BMC primary care
|July 17, 2024
概括
远程医疗 (TM) 提供方便的初级保健服务,特别是对于有流动性问题的老年人. 然而,像缺乏视觉接触和沟通挑战这样的障碍仍然存在,需要一种混合方法,将虚拟和面对面的护理结合起来.
科学领域:
- 老年学是一门学科.
- 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大流行加速了医疗保健中远程医疗 (TM) 的采用.
- 远程医疗可以提高初级保健的质量和可访问性.
- 由于与年龄相关的变化,老年人可能会面临TM的独特挑战.
研究的目的:
- 确定老年人初级保健中TM使用的促进者和障碍.
- 制定可行的建议,以优化对这一群体的TM.
主要方法:
- 定性研究涉及29名老年人的采访和16名医疗保健专业人员 (HCP) 的焦点小组.
- 混合代码书以实施研究综合框架 (CFIR) 为指导的主题分析.
- 与八个利益相关者进行审议对话,以验证调查结果并完善建议.
主要成果:
- TM促进了护理的连续性和方便性,特别是在小问题和有限流动性的情况下.
- 担忧包括缺少视觉接触,潜在的错误沟通 (语言/听力障碍),以及医务人员将电话咨询视为非医疗咨询.
- 喜欢采用混合方法,将面对面和虚拟护理结合起来,根据个人健康需求量身定制.
结论:
- 老年人和医疗保健工作者认为TM是一种有价值的医疗保健获取替代方案.
- 有效的TM实施需要倡导混合模式,整合面对面和虚拟护理.
- 支持个人熟悉技术工具对于成功采用TM至关重要.
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