实施虚拟初级保健:在学术初级保健环境中的经验,观点和改进机会的识别
Sakina Walji1, Patricia O'Brien2, Anna Loi2
1Department of Family & Community Medicine, University of Toronto, Toronto, Ontario, Canada sakina.walji@sinaihealth.ca.
BMJ open quality
|August 8, 2024
概括
虚拟护理 (VC) 提供了诸如灵活性和护理连续性的好处,但在初级保健环境中面临着挑战. 优化VC需要解决患者的期望和改善行政流程.
科学领域:
- 主要护理是指初级护理.
- 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的流行,初级保健中加快了虚拟护理 (VC) 的采用.
- 虽然提供了好处,但VC实施给医疗保健系统带来了重大挑战.
研究的目的:
- 了解虚拟护理 (VC) 在初级保健环境中的当前和未来使用情况.
- 识别推动和阻碍虚拟货币实施的因素.
主要方法:
- 2021年质量改善 (QI) 环境扫描的二次分析.
- 通过调查和1:1采访收集数据,通过14个站点与QI领导进行1:1采访.
主要成果:
- 虚拟护理 (VC) 被认为是方便,灵活和有利于患者护理的连续性.
- 促成因素包括领导力支持,共同理解和技术准备.
- 挑战包括分拣需求,错误的期望,技术问题,行政负担和医疗教育影响.
结论:
- 虚拟护理 (VC) 的整合影响了临床例程和行政工作流程,创造了新的工作需求.
- 患者教育对于将期望与提供者能力相协调至关重要.
- 进一步的研究和QI计划是必要的,以优化初级保健中的VC.
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