家庭息护理中的旅行负担和远程医疗:潜力和局限性-前性分析
Maria Anna Siciliano1, Giulio Ravoni2, Miriam Bertulini2
1"Azienda Ospedaliero Universitaria Dulbecco", Oncology Unit, Catanzaro, Italy maria.anna.siciliano@hotmail.com.
BMJ supportive & palliative care
|February 12, 2026
概括
远程医疗 (TM) 可以降低在家庭临床息护理中的旅行负担,但只适用于特定患者. 确定合适的患者子组是优化资源配置和个性化护理的关键.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 基于家庭的息护理 (PC) 涉及大量的临床医生旅行和时间负担.
- 评估远程医疗 (TM) 的适用性和可行性对于提高效率至关重要.
研究的目的:
- 评估在家庭PC中临床医生的旅行负担.
- 确定影响TM适用性的因素.
- 评估患者和临床医生对TM的可行性.
主要方法:
- 对接受家庭PC的瘤患者进行前性,多中心,现实世界的研究.
- 分析出行时间,探访时间和门诊探访所需的距离.
- 使用统计分析评估患者和临床医生对TM可行性的看法.
主要成果:
- 311次访问显示了大量的旅行 (7071分钟,4411.85公里) 和访问时间 (14,177分钟).
- 对TM可行性的临床医生与患者的共识为76.20% (κ=0.55),潜在的节省时间为1493分钟的旅行时间,2353分钟的访问时间和984.6公里.
- 首次访问/非计划访问,不受控制的症状和显著的治疗改变的访问持续时间更长. 临床复杂性,访问类型和症状预测TM的可行性.
结论:
- 远程医疗有可能减少家庭PC的旅行负担.
- TM的可行性仅限于选定的病例;患者分层是必要的.
- 识别适当的患者子组可以优化资源配置,并指导个性化护理模式.
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