提高虚拟护理使用的可访问性和公平性:虚拟护理@您的图书馆试点项目
Gail Tomblin Murphy1, Tara Sampalli1, Krista Anderson1
1Nova Scotia Health (NSH), Halifax, NS, Canada.
BMC health services research
|April 9, 2025
概括
虚拟护理@您的图书馆倡议成功扩大了虚拟医疗保健的访问,特别是面临技术障碍的老年人. 这种以社区为基础的模式为改善医疗保健覆盖率提供了一个可扩展和具有成本效益的解决方案.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 在新斯科舍省,疫情后的虚拟护理扩张旨在改善无保险患者的机会.
- 虚拟护理@你的图书馆 (VC@YL) 倡议通过公共图书馆提供虚拟医疗服务来解决公平覆盖问题的问题.
研究的目的:
- 评估VC@YL倡议的覆盖范围,有效性,采用,实施和维护.
- 评估基于社区的虚拟护理对医疗保健获取和成本效益的影响.
主要方法:
- 使用RE-AIM框架进行描述性观察研究.
- 评估覆盖范围 (参与者),有效性 (利用,满意度),采用 (人员负担),实施 (忠实性,障碍) 和维护 (成本分析,潜在节省).
主要成果:
- VC@YL吸引了518个独特的用户,主要是65岁以上的个人 (64.2%),他们提到技术障碍 (75.4%) 和支持需求 (77.6%).
- 所有用户完成了预约,98%的人报告了积极的体验;83%的图书馆工作人员感到得到了充分的支持.
- 该计划的成本为93,061美元,每次利用成本为87美元,通过避免急诊室访问,净节省了15,708美元至61,541美元.
结论:
- 像VC@YL这样的社区计划有效地增强了虚拟护理的访问,特别是对于那些有技术障碍的人来说.
- 该试点项目展示了通过实际支持和现有社区基础设施改善医疗保健准入的巨大潜力.
- VC@YL提供了一个可扩展和具有成本效益的模型,用于在类似环境中更广泛地实施.
相关概念视频
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:13Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K