在20个国家的初级保健中提供虚拟咨询的相关因素:跨部门研究
Gabriele Kerr1,2, Geva Greenfield1,2, Edmond Li1,3
1Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.
Journal of medical Internet research
|March 19, 2025
概括
随着COVID-19的流行,虚拟咨询显著增加,电话和视频也变得越来越多. 数字健康培训和实践成熟度影响了各国的可用性.
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
- 远程医疗远程医疗
背景情况:
- 随着COVID-19的流行,虚拟咨询的采用加速了,突出了了解医疗保健系统弹性方面的动态的必要性.
- 评估大流行对虚拟咨询可用性的影响对于未来的医疗保健适应性至关重要.
研究的目的:
- 描述COVID-19大流行之前和期间的电话,视频和人类聊天咨询的可用性和使用情况.
- 确定与不同虚拟咨询模式的可用性相关的因素.
主要方法:
- 2020年,在20个中高收入国家的1370名初级保健医生 (PCP) 中进行了一项基于网络的横截面调查.
- 奇平方测试和克莱默V测试用于分析与虚拟咨询可用性相关的因素.
主要成果:
- 电话咨询是最容易获得的 (73.1%的流行前,在流行期间90.4%). 所有虚拟咨询类型的可用性和使用量都显著增加.
- 视频咨询显示了可用性的最大增加 (39.5%),而电话咨询显示了使用量的最大增加 (+11小时/周).
- 数字成熟度和数字健康培训与视频和聊天咨询的可用性增加有关. 观察到可用性和使用量在国家一级存在显著差异.
结论:
- 随着COVID-19的流行,虚拟咨询的全球可用性发生了深刻的变化.
- 实践层面的因素,如数字成熟度,数字健康培训和国家,显著影响了虚拟咨询的可用性.
- 进一步研究国家层面的驱动因素对于持续和有效的虚拟咨询实施至关重要.
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