使用基于学校的远程咨询服务,使社区卫生服务在巴基斯坦的半农村环境中更容易获得:顺序解释混合方法研究
Saleema Gulzar1, Shirin Rahim1, Khadija Dossa2
1School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
JMIR formative research
|November 12, 2024
概括
基于学校的远程咨询服务 (TCS) 有效地改善了巴基斯坦学生的医疗健康. 这种创新方法改善了儿童的健康状况,减少了缺学率,证明了它在偏远社区的价值.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 巴基斯坦偏远地区的医疗保健服务有限,缺乏优质的护理和专业人员.
- 远程医疗,特别是远程咨询,为弥合这一差距提供了一个创新的解决方案.
- 学校为在半农村社区提供这些基本卫生服务提供了一个可行的平台.
研究的目的:
- 评估在巴基斯坦卡拉奇的一个半农村地区实施基于学校的远程咨询服务 (TCS) 的可行性.
- 通过将远程医疗整合到学校系统中来加强社区健康.
- 评估TCS对学生医疗服务可访问性的影响.
主要方法:
- 采用了一种混合方法的研究设计.
- 从393名学生收集的定量数据;通过焦点小组讨论,从35名家长,教师和社区利益相关者收集的定性数据.
- 使用SPSS (v24) 进行定量数据的统计分析和定性数据的专题分析.
主要成果:
- 在28个月的时间里,为393名学生提供了1046次成功的电话咨询服务.
- 大多数使用TCS的学生是男性 (59.3%),平均年龄为9.24岁.
- 定性发现揭示了医疗保健体验的转变,对远程咨询的高需求以及护理的心理益处的主题.
结论:
- 在学校整合TCS是有效的改善医疗保健在半城市环境中的可访问性.
- 基于学校的TCS改善了儿童的健康,减少了缺勤,并减轻了家庭的财务负担.
- TCS具有成本效益,时间效率和高质量,有社区支持扩展和持续可用性.
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