初级保健医生对视频和在线聊天咨询的经验:一个定性描述性研究
Kaisa Kujansivu1,2,3, Elina Tolvanen1,3, Mervi Kautto1,2
1Department of General Practice, Tampere University, Tampere, Finland.
Scandinavian journal of primary health care
|August 19, 2024
概括
初级保健医生 (PCP) 发现远程咨询改变了他们的工作并影响了患者的护理. 数字工具可以改善获取,但谨慎的患者选择和保持临床能力是有效的远程初级保健的关键.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 主要护理医学 医疗保健
背景情况:
- 远程咨询越来越多地融入到初级保健中.
- 了解医生的观点对于优化数字卫生服务至关重要.
研究的目的:
- 探索初级保健医生 (PCP) 对远程咨询和患者护理的看法.
- 确定远程工作对医生和医疗保健系统的影响.
主要方法:
- 使用主题分析进行定性研究.
- 进行了四个在线焦点小组,与17名PCP进行了超过六个月的远程咨询 (视频/聊天).
主要成果:
- 医生认为远程工作是一种新的运作方式,影响健康,沟通和能力.
- 远程咨询影响服务系统和患者,突出了服务流性,患者适应性和解决技术问题的需要.
结论:
- 远程咨询为PCP提供了更好的工作与生活平衡,但需要多功能的工作来保持临床能力.
- 数字咨询提高了患者的医疗保健可访问性,当患者的选择是谨慎的,在线聊天适合简单的问题和视频咨询为护理的连续性.
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