在COVID-19期间的远程医疗:美国医生对可用性的观点
Hari Dandapani1, Natalie Davoodi2, Peter Serina3
1Alpert Medical School Brown University.
Journal of Brown hospital medicine
|March 3, 2025
概括
医生发现,在COVID-19期间,远程医疗对于老年人来说是可用的,但技术问题和缺乏培训阻碍了采用. 更简单的平台,护理人员参与和远程设备改善了远程医疗的可用性.
科学领域:
- 医疗信息学 医疗信息学
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19大流行,需要迅速采用远程医疗来照顾患者.
- 了解医生对远程医疗的可用性,特别是对于老年人来说,对于有效的远程医疗保健提供至关重要.
研究的目的:
- 评估在COVID-19大流行期间照顾老年人的医生中远程医疗平台的可用性.
- 确定影响远程医疗可用性的障碍和促进者.
主要方法:
- 对48名美国医生 (紧急医疗,老年医疗,初级保健) 进行了定性访谈.
- 采访探讨了医生与远程医疗的经验,以技术接受和使用统一理论 (UTAUT) 为指导.
- 使用框架分析来确定与远程医疗可用性相关的关键主题.
主要成果:
- 医生报告了一些挑战,包括缺乏先前的远程医疗经验,技术平台的缺陷,以及诊断异常表现的老年人的困难.
- 远程医疗的自我有效性在已建立的患者中更高,具有先前培训和技术熟练程度.
- 促进者包括用户友好的平台,护理人员或护士的参与,以及使用家庭诊断设备.
结论:
- 远程医疗平台通常被认为是可用的,但最初的实施面临技术和培训障碍.
- 远程医疗可用性的改善与更简单的平台,护理人员协助,远程医疗培训和远程诊断工具的集成有关.
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