患者与视频和仅有音频的虚拟护理体验的差异
Gideon Loevinsohn1,2, Yizhou Cui1, Lee H Schwamm3,4
1Department of Emergency Medicine, Mass General Brigham, Boston, MA, USA.
Journal of telemedicine and telecare
|September 8, 2025
概括
与视频访问相比,只有音频的虚拟访问会导致较低的患者建议和较差的技术体验. 黑人患者在虚拟护理体验中面临着更大的差异.
科学领域:
- 医疗保健提供 医疗保健提供
- 远程医学研究 远程医学研究
- 患者体验研究 患者体验研究
背景情况:
- 虚拟门诊护理的扩展包括视频和仅音频的选项.
- 访问方式对患者体验的影响,特别是关于社会决定因素和技术因素的影响,尚不清楚.
研究的目的:
- 为了比较患者报告的视频和音频单纯虚拟护理模式之间的体验.
- 识别导致虚拟护理模式患者体验差异的因素.
主要方法:
- 分析了一年的门诊虚拟访问与来自美国卫生系统的患者体验数据.
- 使用嵌套后勤模型来评估推提供商作为主要结果的可能性.
- 探讨根据访问方式和人口群体的差异,包括技术方面.
主要成果:
- 在90,670次虚拟接触中,只有16%是纯音频.
- 只有音频访问与更低的推可能性 (OR 0.75) 和更糟糕的技术体验有关.
- 黑人患者有更多的纯音频接触和更糟糕的体验,部分原因是沟通和人际护理差异.
结论:
- 只有音频的虚拟护理对访问至关重要,但也带来了患者体验的挑战.
- 为了公平的虚拟护理,技术方面和提供者沟通方面需要改进.
- 解决虚拟护理体验中的种族差异需要有针对性的干预措施.
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