对门诊研究机构远程医疗计划的评估
Adrienne Barrett1, Susan Alexander, Jeffery Sano
1Author Affiliations: The National Institutes of Health Clinical Center, Bethesda, MD (Dr Barrett); College of Nursing, University of Alabama in Huntsville (Dr Alexander); and the Department of Veterans Administration, Washington, DC (Dr Sano).
Computers, informatics, nursing : CIN
|March 14, 2025
概括
远程医疗改善了慢性疾病管理,增加了完成的访问,减少了废弃的访问. 建议进一步提高可靠性和接口质量,以获得最佳的患者和提供者体验.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病是全球疾病和死亡的主要原因.
- 远程医疗为治疗慢性疾病提供了一个有希望的解决方案,特别是在研究环境中.
- 随着COVID-19的流行,人们加速采用远程医疗,以保持研究的连续性.
研究的目的:
- 评估从2020年4月到2023年6月的研究设施中远程医疗的实施情况.
- 评估远程医疗对护理获取,效率和提供者经验的影响.
- 确定远程医疗计划的优势和需要改进的领域.
主要方法:
- 使用疾病预防控制中心的程序评估框架.
- 对患有慢性病的成年患者 (ICD-10代码) 分析了访问数据 (错过,取消,持续时间,等待时间).
- 使用远程医疗可用性问卷评估提供者的经验.
主要成果:
- 远程医疗的实施导致了更好的完成访问和减少了患者放弃的访问.
- 医生错过的访问比患者错过的访问少;取消的访问和持续时间的百分比不同.
- 提供者的经验总体上是有利的,并指出对远程医疗的可靠性和接口质量的担忧.
结论:
- 远程医疗可以加强慢性疾病管理和研究活动.
- 建议包括持续的用户培训,患者体验评估和制定标准化评估政策.
- 进一步的研究应该探索远程医疗对参与者招聘的影响,并优化平台的可用性.
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