结果比较:面对面和远程医疗瘤诊所的访问
Ilona Fridman1, Christine Neslund-Dudas2,3, Lauren Jordan Barrow4,5
1University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
JCO oncology practice
|January 28, 2026
概括
远程医疗在瘤学中是一个可行的选择,与面对面访问相比,它显示了类似的医疗保健使用和患者满意度. 然而,与远程医疗有关的隐私问题需要在未来的政策制定中加以关注.
科学领域:
- 在瘤学瘤学.
- 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:
- 远程医疗在医疗保健提供中具有优势,但关于其在瘤学中的质量仍然存在疑问.
- 了解患者的结果和护理质量对于制定有效的远程医疗政策至关重要.
研究的目的:
- 为了比较医疗保健利用率,患者报告的护理质量,以及远程医疗和亲临瘤诊所之间的沟通结果.
- 提供证据,为未来的瘤远程医疗政策提供信息.
主要方法:
- 一项观察性队列研究分析了2022年4月至2023年10月的数据.
- 包括21岁以上的患有恶性瘤的患者接受瘤治疗.
- 使用倾向分数加权的通用线性模型来比较结果,并根据患者和社区特征进行调整.
主要成果:
- 在远程医疗访问后,随访的个人访问更频繁 (64%与30天后的46%相比).
- 在远程医疗和面对面的访问之间,在急性护理利用方面没有观察到显著的差异.
- 患者报告的质量和沟通评级相似,除了在远程医疗访问中感知到的隐私程度较低 (67%vs80%).
结论:
- 远程医疗似乎是瘤医疗的可行选择,医疗保健的使用和患者的看法与面对面的访问相比较.
- 鉴定到的差异,特别是隐私感,需要仔细考虑远程医疗的实施.
- 需要进一步评估,以确定远程医疗在瘤学中的最佳用例.
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