在远程医疗中重新评估基于价值的护理:在后疫情时代的临床机会
Denise Soltow Hershey1, David Buzanoski2, Supratik Rayamajhi2
1Michigan State University College of Nursing, East Lansing, Michigan, USA.
概括
在COVID-19大流行期间,远程医疗扩展,为患者提供获得医疗保健的新途径. 这篇文章探讨了虚拟护理如何通过改善患者体验,获取和公平来增强基于价值的护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 医疗保健政策 医疗保健政策
背景情况:
- 在COVID-19大流行期间,由于放松的法规和报销政策,远程医疗的采用激增.
- 虚拟护理模式在流行后继续扩大,需要对其在现代医疗保健中的作用进行评估.
- 转向以价值为基础的护理需要理解远程医疗的潜力,以改善结果和减少健康差异.
研究的目的:
- 在基于价值的护理框架内探索远程医疗的利用.
- 分析远程医疗如何影响基于价值的护理的关键组成部分:患者体验,质量,提供者实践和财务方面.
- 为优化远程医疗提供建议,以确保基于价值的医疗服务.
主要方法:
- 文献综述和现有关于远程医疗和基于价值的护理研究的综合.
- 分析远程医疗对患者体验,护理质量 (包括获得和健康公平),提供者/临床实践以及卫生系统/金融领域的影响.
- 基于远程医疗与基于价值观的护理之间的探索关系,制定建议.
主要成果:
- 远程医疗已经显示出增加医疗保健提供价值的潜力.
- 虚拟护理可以增强患者的访问,改善患者的体验,并有助于更好的健康结果.
- 远程医疗的战略实施可以帮助减少健康不平等,并支持基于价值的护理目标.
结论:
- 远程医疗是推进基于价值的护理模式的关键工具.
- 建议进一步整合和加强远程医疗的战略,以最大限度地为患者和医疗保健系统带来益处.
- 通过远程医疗确保公平的获取和质量,对于实现真正的基于价值的护理至关重要.
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