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远程医疗作为“安心之选”:身体体现、情感以及家庭作为慢性阻塞性肺疾病患者的主要健康空间。

Telehealth as 'peace of mind': embodiment, emotions and the home as the primary health space for people with chronic obstructive pulmonary disorder.

机构信息

Health Services Management Centre, School of Social Policy, University of Birmingham, Park House, 40 Park Road, Birmingham, B15 2TT, UK.

出版信息

Health Place. 2013 May;21:140-7. doi: 10.1016/j.healthplace.2013.01.006. Epub 2013 Feb 7.

Abstract

A theoretical understanding of why some people with chronic obstructive pulmonary disorder (COPD) experienced 'peace of mind' when a new telehealth service was introduced into a community respiratory service (CRS) is presented in this article. This is based on analysis of in-depth, qualitative, situated interviews with COPD patients who were receiving the service. Telehealth brought peace of mind through two mechanisms: legitimising contact with health professionals and increased patient confidence in the management of their condition. When the home is the primary health space, the introduction of telehealth can modify emotional and bodily experiences to an extent that is significant for people with COPD. The process by which technology can provide 'peace of mind' to people with long term conditions should be taken into account when designing or commissioning a service.

摘要

本文提出了一种理论理解,即为什么一些患有慢性阻塞性肺疾病(COPD)的人在社区呼吸服务(CRS)引入新的远程医疗服务时会感到“安心”。这是基于对正在接受该服务的 COPD 患者进行的深入、定性、情境访谈的分析。远程医疗通过两种机制带来了安心感:使与健康专业人员的接触合法化,以及增加患者对自身病情管理的信心。当家庭成为主要的健康空间时,远程医疗的引入可以在一定程度上改变情感和身体体验,这对 COPD 患者来说意义重大。在设计或委托服务时,应该考虑到技术为长期患病者提供“安心”的过程。

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