对操作部队高级虚拟支持 (ADVISOR) 计划的全面审查:使用和用户反 2017年6月1日至2022年12月31日
Caryn A Stern1, Michael Kile2, Gary Legault3
1Joint Trauma System, DoD Center of Excellence for Trauma, Fort Sam Houston, TX, United States.
Military medicine
|June 13, 2025
概括
对作战部队的高级虚拟支持 (ADVISOR) 计划为军事人员在严酷的环境中提供了至关重要的远程医疗支持. 这项研究突出了该计划的重点.
科学领域:
- 军事医学 军事医学
- 远程医疗服务是远程医疗服务.
- 运营性卫生支持
背景情况:
- 操作部队高级虚拟支持 (ADVISOR) 计划为美国军事伤亡人员在严格和操作环境中提供24 / 7电话咨询.
- 它为当地护理人员提供远程专家指导,旨在确保在资源有限的环境中为伤亡者提供最佳护理.
研究的目的:
- 通过分析现实世界和培训电话,全面评估ADVISOR计划的影响.
- 对调查数据进行定性分析,以完善前线军事团队远程医疗支持的能力要求.
主要方法:
- 从2017年6月到2022年12月的操作虚拟健康报告和评估数据的回顾性分析.
- 数据按患者人口统计,病例描述,顾问建议和结果进行分组.
- 对患者病史和病例细节进行叙事分析,以确定诊断和护理人员查询;排除非临床呼叫.
主要成果:
- 2017年至2022年期间记录了1,719个电话 (568个现实世界,904个培训).
- 在171个与报告的现实世界电话中,有30.1%的电话被完成,主要的专业是传染病,兽医,重症监护和骨科.
- 当地护理人员对系统访问,专家建议和实施的积极反,所有人都表示愿意再次使用ADVISOR.
结论:
- 远程医疗在军事环境中的价值被低估了,需要更好地理解和完善能力以改善结果.
- 加强像ADVISOR这样的程序的文档和编码对于持续的资金和未来的战场支持至关重要.
- 调查结果可以为提供者提供部署前培训,强调远程医疗在行动伤亡护理中的关键作用.
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