新加坡的混合医院在家计划:民族学研究
Stephanie Ko1,2, Daphne Cheong2, Shi Yun Low2
1Division of Advanced Internal Medicine, Department of Medicine, National University Hospital, Singapore, Singapore.
Journal of medical Internet research
|June 2, 2025
概括
混合家庭医院 (HaH) 护理提供舒适和便利,但需要亲自访问以实现最佳的患者-提供者动态. 解决家庭设置挑战和护理人员支持是成功混合 HaH 计划的关键.
科学领域:
- 医疗保健 医疗保健 提供 科学 科学
- 数字健康数字健康
- 质量健康研究 质量健康研究
背景情况:
- 家庭医院 (HaH) 模式传统上依赖于人身护理,但已经发展到包括数字技术.
- 结合远程和亲自护理的混合 HaH 模型正在出现,但患者/护理人员的经验仍未得到充分研究,特别是在不同的亚洲医疗保健环境中.
研究的目的:
- 探索新加坡混合医院在家 (HaH) 急性护理的患者和护理人员的经验.
- 调查在混合 HaH 计划中的远程咨询和面对面访问的整合.
主要方法:
- 民族学定性研究设计.民族学定性研究设计.
- 通过参与者观察和半结构面试 (2022年11月 - 2023年5月) 收集的数据.
- 使用感应方法进行主题分析.
主要成果:
- 患者报告说,通过混合型医疗护理获得了舒适,方便,安全和赋权.
- 面对面的访问对于关系至关重要,尽管技术的可用性和沟通带来了挑战.
- 确定了家庭环境的局限性,财务负担,安排需求,安全问题和护理人员角色的混乱.
结论:
- 混合 HaH 模型需要远程和亲自护理的平衡,医生家庭访问至关重要.
- 需要为脆弱的患者群体提供量身定制的支持,包括更频繁的面对面访问.
- 公共教育,公平的融资以及对数字素养和文化规范的考虑对于有效的混合 HaH 计划设计至关重要.
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