改善远程医疗的普及 (电话/视频咨询):方法和经验教训
Michael Chu1, Bochao Jiang1, Huanghuan Li1
1Gastroenterology, Changi General Hospital, Singapore.
在胃肠病学中,远程医疗的采用在质量改进项目解决工作流和培训等障碍后显著增加. 这一举措改善了患者护理,减少了碳排放.
科学领域:
- 医疗保健管理的管理
- 数字健康数字健康
- 胃肠病学 胃肠病学
背景情况:
- 远程医疗提供了诸如减少等待时间和改善获得专业护理等好处.
- 胃肠道病学远程医疗的低采用 (4次咨询/6个月) 需要一个质量改进计划.
研究的目的:
- 在3个月内将胃肠病学部门的远程医疗利用率提高20%.
- 识别和克服远程医疗采用的障碍.
主要方法:
- 一个质量改进项目涉及调查,以确定采用障碍.
- 干预措施包括简化工作流程,临床医师培训和患者教育.
- 多利益相关者团队的参与是至关重要的.
主要成果:
- 远程医疗咨询从每月8次的中位数增加到每月31次 (p<0.01).
- 84%的患者报告了与远程医疗的积极经验.
- 该项目减少了3446公斤的二氧化碳排放.
结论:
- 结构化的工作流程和利益相关者的参与是克服远程医疗采用障碍的关键.
- 远程医疗改善了医疗保健的提供,并促进了环境的可持续性.
- 未来的努力应集中在定价模型和部门间扩张上.
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