在虚拟医院-在家模式中设计以患者为中心的护理和公平:使用基于经验的共同设计的质量改善倡议
Mahabhir Kandola1, Emma Wong1, Robert Paquin2
1Department of Virtual Health and Department of EDI and Language Services, Fraser Health, 13450 102 Ave, Surrey, V3T0H1, Canada, 1 6045616605.
JMIR human factors
|November 5, 2025
概括
基于经验的共同设计 (EBCD) 让各种利益相关者参与开发公平的虚拟医院在家战略. 共同设计的解决方案解决了数字素养和信任等障碍,促进了服务不足社区的包容性虚拟护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 在COVID-19期间,虚拟医院在家模式迅速扩展,远程提供医院级护理.
- 存在实施挑战,特别是对于文化多元的人群,如面临慢性疾病和进入障碍的南亚人.
- 公平的设计和采用策略对于虚拟医院在家服务至关重要.
研究的目的:
- 让患者,护理人员,临床医生和社区组织参与开发虚拟医院在家战略.
- 确定虚拟医院在家实施的障碍,促进者和以公平为中心的解决方案.
- 为公平设计和采用虚拟医院在家模式提供信息.
主要方法:
- 使用了基于经验的共设计 (EBCD) 质量改进过程的五个阶段.
- 方法包括组建一个指导委员会,审查提供者的经验,并采访南亚患者和护理人员.
- 为了开发解决方案,举行了联合设计研讨会,随后分享了发现.
主要成果:
- 确定的主要障碍包括数字素养,语言和对虚拟护理的信任.
- 共同设计的解决方案强调了文化定制的教育和混合数字培训.
- 战略还侧重于护理人员的包容性和社区驱动的参与.
结论:
- EBCD促进了虚拟医院在家服务的包容性和可行的策略的创建.
- 持续的社区合作对于确保虚拟护理创新的公平性至关重要.
- 这种方法可以在虚拟健康模型中改善以患者为中心的护理和健康公平.
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