医疗服务提供者责任的变化以及远程医疗的肝硬化患者的相关结果:一个单中心的回顾性研究
Lauren Bloomberg1, Paul Hong2, Corrin Hepburn3
1Department of Internal Medicine, Division of Gastroenterology, Loyola University Medical Center, Maywood, IL, USA.
Journal of telemedicine and telecare
|March 13, 2025
概括
在COVID-19期间,肝硬化患者的远程医疗访问导致沟通增加,但死亡风险也更高. 虽然紧急诊所和住院情况保持相似,但提供者面临着更大的沟通需求.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 远程医疗的满意度有记录,但对远程医疗对提供者实践和患者结果的影响数据有限.
- 由于COVID-19大流行加速了远程医疗的采用,因此需要对远程医疗对慢性疾病管理的影响进行评估.
研究的目的:
- 评估远程医疗对患者提供者沟通和肝硬化患者临床结果的影响.
- 在疫情期间比较远程医疗和面对面访问之间的结果.
主要方法:
- 一个单一中心的回顾性研究分析了2019年和2020年肝硬化门诊患者的数据.
- 提供者实践 (药物调整,实验室,沟通) 和临床结果 (ED访问,住院,死亡率) 进行了跨年比较.
主要成果:
- 2020年,37%的访问是远程医疗;药物变化减少,而电话联系和患者信息增加.
- 在临床诊所,实验室,急救诊所,住院或重症监护室逗留期间没有发现显著差异.
- 与2019年相比,2020年的死亡率是2020年的2.6倍.
结论:
- 在大流行期间,在肝硬化护理中采用远程医疗导致了类似的住院和ED访问率,但死亡率更高.
- 通过远程医疗,患者与医疗服务提供者之间的沟通增加,对医疗服务提供者提出更高的要求.
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