来自北克北部偏远社区的土著儿童的远程医疗和外科协调
Sarah Mashal1, Sebastien Lamarre-Tellier1, Lee Hill1
1From the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
来自北克省北部的儿科外科患者面临长时间等待护理和有限的远程医疗使用. 改善接入和文化安全实践对于更好的患者体验至关重要.
科学领域:
- 获得医疗保健的机会.
- 土著健康土著健康
- 儿科外科手术 儿科外科手术
背景情况:
- 北克北部偏远的土著社区面临着手术护理的重大障碍.
- 患者往往需要大量的航空旅行到城市中心接受治疗.
研究的目的:
- 量化儿科患者离家进行手术治疗的时间.
- 探索这个群体在外科手术前期使用远程医疗的可能性.
主要方法:
- 从努纳维克和Teres-Cries-de-la-Baie-James的儿科患者的回顾性图表审查.
- 在蒙特利尔儿童医院 (2011-2021) 的手术护理分析.
- 记录了咨询,手术,随访和接触方式的日期.
主要成果:
- 59.1%的选择性手术患者等待了超过14天的手术.
- 26.1%的患者经历了超过14天的随访预约延迟.
- 远程医疗的使用是最小的,为2.2%的选择性咨询和5.5%的随访.
结论:
- 手术和随访等待时间经常超过两周,需要重复旅行.
- 各部门对远程医疗的有限采用凸显了医疗保健提供方面的差距.
- 建议通过减少等待时间,增加远程医疗和文化安全实践来提高访问.
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