心脏病学中的虚拟诊所:它们是否提供同等的护理并减少旅行?
Matthew Farrier1, Brian Wood1, Zoubaida Yahia1
1Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan WN1 2NN, UK.
Journal of clinical medicine
|October 29, 2025
概括
虚拟心脏病诊所提供公平的护理相比于面对面的访问,在调查中没有差异. 虽然整体旅行减少是最小的,但虚拟选择提供了患者旅行和相关碳排放的轻微减少.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 虚拟诊所预约在心脏病学中的整合正在扩大.
- 评估虚拟与面对面预约的等价性对于医疗保健提供至关重要.
- 评估对患者调查和旅行的影响对于全面的护理评估至关重要.
研究的目的:
- 为了确定虚拟心脏病预约是否相当于传统的面对面访问.
- 为了比较虚拟与实体心脏病预约的调查数量.
- 评估患者在整个护理阶段的旅行距离的缩短.
主要方法:
- 一项追溯观察队列研究涉及9445名患者,他们被转诊到新的心脏病学预约.
- 从电子记录和测试订单系统中提取数据,并对准确性进行验证.
- 使用原理组件分析和威尔士t测试进行统计分析,以比较虚拟和面对面的群体.
主要成果:
- 在虚拟心脏病预约和面对面心脏病预约之间的调查或随访次数中没有观察到统计学上显著的差异.
- 在虚拟和面对面的预约类型中,临床有效性和护理质量是可比的.
- 旅行距离总共减少了5002公里,碳排放减少了784千克CO2eq,主要来自最初的虚拟咨询.
结论:
- 心脏病学中的虚拟诊所提供了与传统面对面预约相比的公平服务.
- 该研究表明,虚拟预约不会对调查数量或护理质量产生负面影响.
- 虽然提供了一些好处,但整个护理过程中患者旅行的总体减少是适度的.
相关概念视频
Coronary Artery Disease V: Interprofessional Care
210
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
210
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Cardiomyopathy V: Interprofessional Care
331
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
331
Peripheral Artery Disease III: Interprofessional Care
236
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
236
Varicose Veins II: Diagnostic Studies and Interprofessional Care
179
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
179
Acute Coronary Syndrome IV: Interprofessional Care
214
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
214


