在虚拟和面对面的家庭医生护理之间做出选择:一种定性研究
Bridget L Ryan1,2,3, Judith Belle Brown1,2, Thomas R Freeman1,2
1Centre for Studies in Family Medicine, Western University, London, Ontario, Canada N6A 3K7.
Family practice
|January 9, 2026
概括
对于患有多种慢性疾病的患者,在虚拟和面对面的初级保健之间做出选择需要考虑访问,技术和患者偏好. 家庭医生 (FP) 和患者更喜欢一个尊重患者选择和FP专业知识的过程.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 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:
- COVID-19大流行加速了家庭医生 (FP) 实践中虚拟护理的采用.
- 在虚拟和面对面的初级保健之间进行选择,需要对患者环境的敏感性,特别是在多病症患者中.
研究的目的:
- 探索如何使虚拟FP护理和面对面FP护理之间的选择对患者和FP对于多病症患者来说都可接受.
主要方法:
- 使用了一个构造主义的基于理论的方法.
- 与患者 (2+慢性疾病) 和FP进行了个别采访,以了解护理交付模式的决策过程.
主要成果:
- 出现了两个主要主题:选择交付方式的考虑 (访问原因,访问,技术,报销) 和选择过程 (支持患者选择,安排).
- 确定了患者和FP的决策偏好,强调了尊重患者选择和FP临床判断的重要性.
结论:
- 整合患者和FP的经验可以为FP的未来提供多样化的护理方式提供信息.
- 技术障碍仍然存在,目前的临床安排系统可能无法完全支持首选的决策流程,以平衡患者偏好和FP专业知识.
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