加利福尼亚大学协作远程眼科倡议 (CUTI) 的实施映射:使用探索,准备,实施和维持 (EPIS) 框架进行定性研究
Niloofar Radgoudarzi1, Chhavi Gregg2, Quinn Quackenbush3
1Ophthalmology, University of California San Diego Health, San Diego, USA.
在初级保健中实施用于糖尿病视网膜病变 (DR) 查的远程视网膜摄像头面临挑战. 优化IT集成和患者外展是改善获得护理和计划可持续性的关键.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 糖尿病视网膜病变 (DR) 查对于预防糖尿病患者视力丧失至关重要.
- 远程视频摄像机为扩大DR查在初级保健机构的访问提供了一个潜在的解决方案.
- 探索,准备,实施和维持 (EPIS) 框架为分析实施提供了一个模型.
研究的目的:
- 调查用于DR查的远程终端摄像头实施的理由,障碍和促进者.
- 用EPIS框架分析加州大学 (UC) 卫生系统中的实施过程.
- 确定方案优化和跨机构学习的领域.
主要方法:
- 聚焦小组会议与来自四个UC卫生系统的机构代表.
- 调查评估DR查,工作流程,IT和患者外展 (2022年数据) 的项目绩效.
- 将焦点组和调查数据映射到EPIS框架中.
主要成果:
- 四个UC校园使用了20个摄像头位置,查了7,450名患者,平均DR查率为55%.
- 确定了支付,交付时间,图像分级,IT基础设施和患者推广方面的变化.
- 关键的挑战包括IT集成,财务可持续性和患者外展优化.
结论:
- 尽管有潜在的好处,但广泛实施远程连接式DR查仍面临重大障碍.
- 实施科学方法对于应对挑战和优化远视科学计划至关重要.
- 跨机构学习对于提高DR查计划的有效性和可持续性至关重要.
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