COVID-19及其对COPD患者提供的医疗保健服务的影响:一种定性研究
Abdullah Aljahan1, Rachel E Jordan2, James Hodgkinson3
1College of Pharmacy, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia.
BMJ open respiratory research
|December 25, 2025
概括
由于COVID-19大流行,慢性阻塞性肺病 (COPD) 患者的医疗保健受到干扰. 远程咨询显示出潜力,但需要更好的提供者培训和灵活的访问来保持危机期间的护理连续性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- COVID-19大流行严重影响了慢性阻塞性肺病 (COPD) 患者的初级保健.
- 关于COPD虚拟或远程咨询的有效性和患者接受度的数据有限.
- 电子咨询和电话分拣成为提供护理的主要方式.
研究的目的:
- 探索患者和提供者对大流行病对COPD护理的影响的观点.
- 确定COPD患者远程咨询的障碍和推动因素.
主要方法:
- 通过电话/Zoom与英国西米德兰兹的COPD患者和医疗保健专业人员 (HCP) 进行了12次半结构化采访.
- 使用布劳恩和克拉克的六步方法进行了主题分析.
- 参与者从伯明翰肺部改善研究 (BLISS) 队列和专业网络中招募.
主要成果:
- 出现了三个关键主题:患者应对和生活调整,NHS服务的可访问性和与电子健康素养相关的医疗保健不平等.
- 调查结果突出了适应远程护理的挑战和数字健康准入方面的差异.
- 电子健康素养被确定为影响医疗保健不平等的重要因素.
结论:
- 未来的优先事项包括为提供者加强远程咨询培训,重点是建立关系和提供有效的护理.
- 确保灵活的医疗保健接入,护理的连续性,以及针对脆弱的COPD患者的有针对性的支持,对于危机准备至关重要.
- 解决电子健康素养差距对于缓解远程护理环境中的医疗保健不平等至关重要.
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