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一个原型区域灾害电话咨询系统的可接受性和可行性,用于COVID-19流行病应对:试点现场测试
Stephanie Ludy1,2, Mari-Lynn Drainoni3,4,5, Lauren Schmidt6
1Department of Emergency Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, United States.
JMIR formative research
|August 19, 2025
概括
灾难远程医疗平台有望将压倒的临床医生与远程专家联系起来. 然而,原型系统需要修改工作流程,以提高可靠性和可行性,以便广泛采用.
科学领域:
- 医疗信息学 医疗信息学
- 灾难医学 灾难医学
- 远程医疗远程医疗
背景情况:
- 灾难远程医疗在紧急情况下为当地临床医生提供快速访问远程专业知识和虚拟激增能力.
- 区域灾害卫生响应系统 (RDHRS) 正在开发一个灾难远程咨询系统,用于美国跨司法管辖区的护理.
- 2020年,1区RDHRS在COVID-19大流行期间为马萨诸塞州医院提供了进入州外重症监护专家的机会.
研究的目的:
- 为了实地测试原型的可接受性和可行性,基于Web的灾难远程咨询平台需要最小的用户培训.
- 评估部署国家志愿者专家库的可行性,以便在灾难期间获得州外专业知识.
主要方法:
- 一项前性,混合方法的观察性研究,涉及现场临床医生和州外重症监护医生.
- 招募参与者参加2020年6月为期2周的试点项目,使用远程咨询 (临床和模拟) 的原型平台.
- 收集了有关人口统计,通话表现,远程医疗可用性问卷 (TUQ) 评级的数据,并对参与者进行了采访.
主要成果:
- 来自6个州的10名专家和来自4个医院的17名实地临床医生参与了试验;74%的人完成了试验后的问卷.
- 只有22%的电话成功连接,平均连接时间为1.6分钟;常见的故障包括平台路由错误和技术问题.
- 该平台在可用性方面得分为5.6/7,在实用性和易用性方面得分高,但可靠性得分低 (2.4/7).
结论:
- 灾难远程咨询平台的原型被临床医生认为是可以接受的,但需要修改工作流程以提高可行性和可靠性.
- 未来的代应该专注于减少通话失败和提高可靠性,可能是通过使用熟悉的临床工作流程和具有摄像头/麦克风功能的移动设备.
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