异步远程医疗在获得第二意见方面的好处和挑战:定性采访研究
Dunja Bruch1, Susann May2, Nadja Könsgen3
1Department of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Bernau bei Berlin, Brandenburg, Germany dunja.bruch@mhb-fontane.de.
BMJ open
|July 25, 2025
概括
异步远程医疗第二意见提供远程访问和及时报告,但缺乏个人互动. 成功需要明确的问题,良好的支持和耐心的准备,面对包括数字沟在内的挑战.
科学领域:
- 数字健康数字健康
- 远程医疗远程医疗
- 患者决策支持 患者决策支持
背景情况:
- 异步远程医疗为需要医疗第二意见的患者提供了一个解决方案,特别是当及时的面对面预约不可用时.
- 本研究探讨了这种方法对患者决策的优缺点.
研究的目的:
- 调查异步远程医疗的好处和挑战,以获得医学第二意见.
- 为了确定这种方法对不同患者群体和条件的适用性.
主要方法:
- 在更大的混合方法研究设计中进行定性采访研究.
- 德国40名患者采访的字面转录和定性内容分析.
- 参与者主要通过在线平台寻求骨科问题的第二意见.
主要成果:
- 优点包括对专家的访问,在家进行咨询,减少等待时间和详细的报告.
- 挑战包括缺乏面对面的接触,潜在的非人格性,技术问题,以及在书面表达病史时遇到的困难.
- 还注意到有限的自发相互作用和纠正.
结论:
- 在特定的条件下,远程医疗的第二意见可以在不需要面对面的互动的情况下有效.
- 成功因素包括明确的医疗问题,有组织的流程,强大的客户支持,全面的信息和患者的准备 (技术技能,互联网访问,书面沟通).
- 解决数字沟对于德国医疗保健系统内的公平获取至关重要.
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