检查经验和公共资助的插曲性虚拟护理的系统影响:跨省混合方法研究协议
M Ruth Lavergne1, Julie Easley2,3, Ted McDonald4
1Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada ruth.lavergne@dal.ca.
BMJ open
|March 4, 2025
概括
插曲性虚拟护理 (EVC) 提供了即时访问,但缺乏连续性. 本研究研究了新斯科舍省和新不伦瑞克省的患者体验和EVC的系统影响,以告知初级保健计划.
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
- 初级保健创新初级保健的创新
背景情况:
- 加拿大卫生系统面临着获得初级保健的挑战,等待时间长,旅行费用繁重.
- 情节性虚拟护理 (EVC) 提供了即时的,随时的入住方式,但往往缺乏连续性和护理协调.
- 在新斯科舍省和新不伦瑞克州获得公共资助的EVC为研究其实施提供了独特的研究机会.
研究的目的:
- 了解患者对EVC的看法和经验,分析人口统计和护理需求的差异.
- 描述使用EVC的患者和提供这些服务的临床医生.
- 评估EVC对初级保健使用,急诊室访问和医疗保健转诊的系统级影响.
主要方法:
- 一个横截面的在线调查将捕捉患者的经验和对EVC的看法.
- 相关的行政数据和准实验分析将评估EVC对医疗保健服务利用的影响.
- 分析将考虑患者的特征 (年龄,性别,位置等). 和护理类型.
主要成果:
- (研究结果待发表) 预期的研究结果将详细介绍患者满意度,使用模式和EVC使用人口统计学变化.
- 预期结果包括EVC对社区初级保健,急诊室访问和专家转诊的影响的数据.
- (研究结果待发表) 该研究将量化立即获得和护理连续性之间的权衡.
结论:
- 调查结果将揭示与EVC实施相关的影响和权衡.
- 这项研究将为医疗系统整合的初级保健规划和决策提供信息.
- 该研究旨在指导满足患者立即需求的策略,同时加强整体系统协调.
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