远程咨询期间医生与患者沟通的动态:挪威合同全科医生之间的定性研究
Børge Lønnebakke Norberg1,2, Bjarne Austad1, Eli Kristiansen2
1General Practice Research Unit, Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Journal of medical Internet research
|March 27, 2025
概括
远程咨询在一般实践中提供了效率,但有可能损害通信质量和信息检索. 保持护理的连续性是缓解这些挑战的关键,以获得更好的患者结果.
科学领域:
- 数字健康数字健康
- 医学沟通 医学沟通
- 一般实践一般实践
背景情况:
- 一般医疗咨询越来越数字化,使用视频,文本和电话.
- 沟通质量对于成功的医疗结果至关重要.
- 数字化转型对医生与患者互动需求的影响评估.
研究的目的:
- 探索全科医生 (GPs) 对远程咨询影响的看法.
- 了解挪威GP与COVID-19流行病后患者之间的沟通变化.
主要方法:
- 在挪威进行了5个重点小组,与18名专门招募的全科医生进行了讨论.
- 使用布朗和克拉克框架指导的主题分析.
- 在2022年收集的数据.
主要成果:
- 远程通信的适用性取决于上下文,优先考虑患者和关系知识.
- 一个"一个问题方法"提高了效率,但有风险的交易沟通和错过的信息.
- 远程治疗方式可以吸引犹不决的患者,但一般医生为了连续性而做出妥协.
- 基于文本的咨询提供了好处 (多媒体表达) 与风险 (选错误,非正式语言) 一起.
结论:
- 远程咨询显著影响临床互动和沟通.
- 虽然它们很高效,但它们有可能损害信息检索和解决复杂问题.
- 保持护理的连续性对于减轻挑战和确保质量至关重要.
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