"他们觉得在安全环境中是安全的问题":一项定性研究检查了土著虚拟初级保健患者体验工具的实施
Pamela Roach1,2, Lisa Zaretsky1, Meagan Ody1
1Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Health informatics journal
|March 2, 2026
概括
这项研究探讨了在虚拟初级保健中实施土著患者体验工具的障碍和促进因素. 原住民患者和提供者都发现,访问,关系,质量和安全 (ARQS) 工具对于改善护理是有用和相关的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 数字健康数字健康
背景情况:
- 原住民在获得初级保健服务方面经历了严重的不平等.
- 集中土著人民的生活经验对于有效的初级保健改进至关重要.
- 虚拟护理为公平的医疗保健提供提供了机会和挑战.
研究的目的:
- 确定在虚拟初级保健机构内实施土著患者体验工具的障碍和促进者.
- 了解土著患者和医疗保健提供者对使用这种工具的看法.
- 为文化安全虚拟初级保健的开发和实施提供信息.
主要方法:
- 利用理论领域框架 (TDF) 来指导调查.
- 对12名土著患者和7名医生进行了19次半结构面试.
- 采用反射主题分析来解释定性数据.
主要成果:
- 在四个TDF领域中确定了实施障碍和促进者:关于后果的信念,环境背景和资源,技能和知识.
- 原住民患者和医疗保健提供者都报告说,访问,关系,质量和安全 (ARQS) 工具是有用和相关的.
- 该研究强调了将患者反纳入虚拟护理工具的重要性.
结论:
- 该ARQS工具显示了增强原住民虚拟初级保健体验的希望.
- 需要进一步的研究来评估持续使用ARQS工具对治疗关系和医疗保健服务的影响.
- 调查结果可以为优化虚拟初级保健提供信息,以解决土著健康不平等问题.
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