初级保健医生使用远程医疗技术进行沟通的边界工作
Ariela Popper-Giveon1, Yael Keshet2, Tamar Adar3
1David Yellin Academic College of Education, Israel.
Health (London, England : 1997)
|December 3, 2024
概括
使用远程医疗技术 (TT) 的初级保健医生 (PCP) 经历了边界工作,平衡合作与维持权威. 医疗机构必须调整TT政策,以支持最佳的患者护理和医生角色.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
- 数字健康数字健康
背景情况:
- 远程医疗技术 (TT) 越来越多地用于患者与医生的沟通.
- 实行TT引入了职业界限的新动态.
- 边界工作理论为理解这些变化提供了一个框架.
研究的目的:
- 检查初级保健医生 (PCP) 在使用TT进行患者沟通方面的经验.
- 为了确定PCP在使用TT时所从事的边界工作类型.
主要方法:
- 在2023年,与20名以色列PCP (家庭医生和儿科医生) 进行了深入采访.
- 定性分析的重点是TT使用的背景下边界工作的概念.
主要成果:
- 确定了三种边界工作形式:协作式,竞争式和配置式.
- 医务人员报告说,远程患者和行政任务的合作有所改善.
- 医生们经历了权力斗争来维持权威,并对治疗失败表示担忧.
结论:
- 在初级保健中实施TT需要注意与医生权威相关的边界工作.
- 医疗机构应重新配置TT系统,并为最佳使用提供指导.
- 政策和实践必须解决TT的挑战和优势,以提供有效的初级保健.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
1.6K
05:57A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
2.2K
相关概念视频
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
