远程医疗中的共享决策与亲自的儿科初级保健相比
Ellen A Lipstein1,2, Sandy Lee1,2, Chelsey Anderson1,3
1James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
儿科的远程医疗保持了与面对面访问相当的共享决策 (SDM) 质量. 这一发现支持开发适应远程医疗和亲临儿科护理沟通的培训.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 卫生沟通健康沟通
- 数字健康数字健康
背景情况:
- 远程医疗在儿科的快速扩张需要对其对患者和临床医生沟通的影响进行评估.
- 具体而言,对共享决策 (SDM) 的影响仍未得到充分研究.
研究的目的:
- 为了比较远程医疗和面对面访问之间的儿科初级保健中共享决策 (SDM) 的质量.
- 评估通过知情决策措施 (IDM) 衡量的沟通效率在这些模式中如何不同.
主要方法:
- 记录了88次儿科初级保健访问 (46次远程医疗,42次亲临).
- 使用适应的知情决策措施 (IDM) 评分通信质量.
- 使用混合效应模型分析了远程医疗和面对面访问之间的IDM分数的差异.
主要成果:
- 在远程医疗 (5.43 ± 3.34) 和面对面 (5.19 ± 3.39) 访问之间,在家长IDM得分中没有发现统计学上显著的差异.
- 青少年的IDM分数也显示,远程医疗 (4.00 ± 3.26) 和面对面 (5.43 ± 3.8) 访问之间没有显著差异.
- 总的来说,SDM质量在两种护理方式中都是可比的.
结论:
- 儿科初级保健中的远程医疗证明了与传统的面对面访问相比,共享决策 (SDM) 的质量相当.
- 这种平等性提供了一个机会,为临床医生创建统一的培训计划,以加强SDM在远程医疗和面对面的环境中.
- 未来的研究应该专注于开发和实施这种可适应的培训策略.
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