虚拟诊所的诞生:欢迎来到Mediverse
Robert Paul1,2, David Rojas3,4, Maria Athina Martimianakis3,5
1The Wilson Centre, University of Toronto & University Health Network, Toronto, ON, Canada. Robert.Paul@mail.utoronto.ca.
Advances in health sciences education : theory and practice
|January 13, 2025
概括
随着COVID-19的流行,虚拟护理 (VC) 的发展加速,创造了一个新的"Mediverse". 这种复杂的虚拟空间对患者体验和专业身份产生了意想不到的后果,需要新的评估框架.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 卫生社会学 卫生社会学
背景情况:
- 由于COVID-19大流行,全球需要快速采用虚拟护理 (VC) 技术.
- 现有的研究主要集中在虚拟货币的实施上,对其更广泛的影响和潜在的理由进行了有限的探索.
- 本研究探讨了VC转向对患者护理,专业身份和卫生专业教育的影响.
研究的目的:
- 调查转向虚拟护理的影响和意外后果.
- 分析采用虚拟货币背后的管理理性.
- 探索临床实践的转变,专业身份,以及新虚拟临床空间的出现.
主要方法:
- 在三年内采用混合方法方法,从134个评估调查,59次采访,240份公开可用的文件和217篇学术文章中收集数据.
- 数据来自多伦多学术健康科学网络 (TAHSN) 和欧洲学术医疗中心.
- 分析以福柯的理论为指导,包括批判性话语分析和空间概念.
主要成果:
- 患者,临床医生和领导者报告对VC的赞赏,并引用了护理物流,患者体验和效率的改善.
- 两种主导性话语将VC视为"服务"和"管理主义"的工具.
- 分析显示,出现了一个新的虚拟临床空间,称为"Mediverse",与传统诊所相比,其规则和经验不同,具有物质和意想不到的后果.
结论:
- 虚拟护理的广泛采用已经创造了一个新的临床环境",Mediverse",具有复杂而往往意想不到的后果.
- 这种"Mediverse"显著影响用户体验,专业身份,以及卫生专业教育的要求.
- 提出了一个新的框架来研究和评估这个不断发展的虚拟临床空间及其影响.
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