英国康沃尔的虚拟病房的服务评估
Helen Lyndon1,2, Tracey Viney3, Vicki Slade2
1University of Plymouth, South West Clinical School, Drake Circus, Plymouth, Devon, PL4 8AA, UK.
Oxford open digital health
|May 7, 2025
概括
虚拟病房在家中提供医院级护理,改善患者体验并支持以人为中心的护理. 尽管存在实施方面的挑战,但患者非常重视这种安全的替代住院治疗方案.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康实施方案
- 患者在医疗保健中的经验
背景情况:
- 虚拟病房在患者的家中提供医院级的护理,作为入院的替代方案或促进提前出院.
- 实施虚拟病房模型需要仔细考虑现有医疗服务和临床医生/患者的采用.
研究的目的:
- 评估在英国康沃尔郡实施虚拟病房模型的实施情况,使用实施研究综合框架 (CFIR).
- 探索患者和临床医生与虚拟病房的经验,识别促进者和采用障碍.
主要方法:
- 使用与虚拟病房患者和临床医生的半结构面试进行的定性研究.
- 根据CFIR的指导,使用专题分析来分析采访数据.
主要成果:
- 确定的主要主题包括准备变革,临床医生的信心和信任问题由于系统不兼容性,患者对工作人员的信任,以及一些患者的数字排斥挑战.
- 尽管存在技术和系统障碍,但患者报告虚拟病房的价值很高,他们欣赏以人为本的护理,并感到安全和支持在家里.
结论:
- 虚拟病房是入院的有价值和可行的替代方案,提供安全,以人为中心的护理.
- 快速实施需要解决系统集成,数字化包容和建立临床医生的信心,以成功地采用虚拟病房.
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