Moore Miranda A, Jetty Anuradha, Coffman Megan
Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, Georgia.
Robert Graham Center, American Academy of Family Physicians, Washington, District of Columbia.
Telemed J E Health. 2019 Oct;25(10):933-939. doi: 10.1089/tmj.2018.0134. Epub 2018 Nov 28.
Background:Little is known about the adoption of telehealth services among family medicine residency programs.
Introduction:Using the 2015 Council of Academic Family Medicine Educational Research Alliance Program Directors Fall Survey section on telehealth, the authors investigated how residency programs used telehealth services during calendar year 2015.
Materials and Methods:The authors used bivariate analyses to examine how family medicine residency program characteristics vary by telehealth usage. Services provided through telehealth (live interactive video or e-visits and store-and-forward services), clinical purpose of use, frequency of use, and number of patients served were characterized.
Results:Surveys reached 461 Family Medicine Residency program directors, and 207 surveys were eligible for analysis (44.9% response rate). Fifty-seven percent of family medicine residency director survey respondents reported that their residents used telehealth services in calendar year 2015. Most of the telehealth users reported providing only e-visits or store-and-forward services (70.6%), with 78% of the 106 programs indicating that they served as the sending site for these services. Altogether 29% of users reported providing visits using live interactive video, with ∼63% indicating that they served as the originating site for these services (i.e., where the patient is located).
Discussion:Increasing and enhancing the use of telehealth services in residency programs might help increase telehealth use in other settings.
Conclusions:Although the majority of family medicine residency programs indicated that they used telehealth services, the reported use was limited, with those who did use telehealth services doing so infrequently.
关于家庭医学住院医师培训项目中远程医疗服务的采用情况，人们了解甚少。
作者利用2015年学术家庭医学理事会教育研究联盟项目主任秋季调查中关于远程医疗的部分内容，调查了住院医师培训项目在2015日历年期间如何使用远程医疗服务。
作者采用双变量分析来研究家庭医学住院医师培训项目的特征如何因远程医疗使用情况而异。对通过远程医疗提供的服务（实时交互式视频或电子问诊以及存储转发服务）、临床使用目的、使用频率和服务患者数量进行了描述。
共向461名家庭医学住院医师培训项目主任发放了调查问卷，其中207份调查问卷符合分析条件（回复率为44.9%）。57%的家庭医学住院医师培训项目主任调查受访者报告称，他们的住院医师在2015日历年使用了远程医疗服务。大多数远程医疗用户报告仅提供电子问诊或存储转发服务（70.6%），在106个项目中，有78%表示他们是这些服务的发送方。共有29%的用户报告使用实时交互式视频进行问诊，约63%表示他们是这些服务的发起方（即患者所在地点）。
增加和加强住院医师培训项目中远程医疗服务的使用可能有助于提高其他环境中的远程医疗使用。
尽管大多数家庭医学住院医师培训项目表示他们使用了远程医疗服务，但报告的使用情况有限，那些确实使用远程医疗服务的项目使用频率也不高。
