在门诊护理环境中监测虚拟护理的平衡质量指标的开发:修改的Delphi面板过程
Samuel Petrie1,2, Oluwatoni Makanjuola3,4, Celia Laur3,4
1Implementation Science Team, Research, Innovation, and Discovery, Nova Scotia Health, Halifax, NS, Canada.
Journal of medical Internet research
|June 16, 2025
概括
开发了一个新的25个质量指标的得分表来评估门诊虚拟护理,重点关注患者体验,提供者体验,人口健康,健康公平性和成本. 该工具有助于评估虚拟护理质量,并确定需要改进的领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 提高质量 提高质量
背景情况:
- 虽然COVID-19大流行加速了虚拟访问的采用,但质量评估仍未得到充分探索.
- 对于评估虚拟护理计划的指导意见有限.
研究的目的:
- 开发出一套平衡的门诊虚拟护理质量指标.
- 整合五重目标框架和国家医学院质量领域,包括可持续性.
- 建立一个监测虚拟护理质量的框架.
主要方法:
- 使用了经过修改的Delphi小组程序,其中包括19名加拿大专家 (临床医生,患者,决策者,学者,管理人员).
- 质量指标是从文献和用户反中挑选出来的,然后在三个轮进行评分和排名.
- 这些指标与五重目标和国家医学院的质量领域进行了评估,使用9点的利克尔特等级.
主要成果:
- 140个初始指标通过Delphi过程得到了完善,其中89%的小组参与.
- 最终的得分卡包括25个门诊虚拟护理的质量指标.
- 这些指标涵盖患者体验 (13),提供者体验 (6),人口健康 (2),健康公平 (2) 和卫生系统成本 (2).
结论:
- 已经建立了一套基于共识的25个门诊虚拟护理质量指标.
- 这个得分卡可以进行全面的虚拟护理评估和跨司法管辖区的比较.
- 它支持确定优先领域,并确保提供高质量的虚拟护理.
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