患者对亲自与远程治疗长期疾病的偏好
Tiphaine Lenfant1,2, Elodie Perrodeau1,3, Philippe Ravaud1,3,4
1Center for Research in Epidemiology and Statistics, Université Paris Cité and Université Sorbonne Paris Nord, Institut National de la Santé et de la Recherche Médicale, Institut National de la Recherche pour l'Agriculture, l'Alimentation et l'Environnement, Paris, France.
JAMA network open
|February 10, 2026
概括
患有长期疾病 (LTC) 的患者在与医生沟通的远程护理选择有限. 许多人愿意使用远程咨询,甚至与不同的医生,以更快地获得护理.
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
- 患者护理 患者护理
背景情况:
- 医疗保健系统面临的长期条件 (LTC) 和劳动力短缺的日益增长的压力.
- 优化远程护理对于及时跟进和减轻面对面服务压力的关键.
研究的目的:
- 评估远程模式的可用性和LTC患者的使用,以便与医生互动.
- 在各种场景中确定患者对面或远程咨询的偏好.
- 评估患者愿意以现场预约代替以往与不同医生进行远程咨询的意愿.
主要方法:
- 一项调查研究于2024年4月至8月在法国进行.
- 从全国电子队列中招募了至少一个LTC的成年患者.
- 使用加权数据集,对国家调查数据进行校准,以获得代表性估计.
主要成果:
- 47%的患者报告说,与他们的转诊医生没有可用的远程通信方式.
- 高达55%的人更喜欢远程咨询,特别是药物更新 (55%) 和结果讨论 (43%).
- 高达51%的人愿意用20天的面对面预约换取5天的远程咨询与另一名医生.
结论:
- 患有LTC的患者对与其主治医生的远程通信道的访问有限.
- 患者愿意采用远程咨询,即使与非推医生,也因情况和预约延迟而异.
- 进一步的研究对于有效地整合远程护理至关重要,以保持以患者为中心并改善结果.
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