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对于多向性肩关节不稳定的随访咨询,临床医生与患者之间进行实时一对一视频会议的可接受性如何?

What is the acceptability of real time 1:1 videoconferencing between clinicians and patients for a follow-up consultation for multi-directional shoulder instability?

作者信息

Gilbert Anthony W, Jaggi Anju, May Carl R

机构信息

Therapies Department, Royal National Orthopaedic Hospital, Stanmore, UK.

Faculty of Health Sciences, University of Southampton, Southampton, UK.

出版信息

Shoulder Elbow. 2019 Feb;11(1):53-59. doi: 10.1177/1758573218796815. Epub 2018 Sep 11.

Abstract

BACKGROUND

The use of real time 1:1 videoconferencing is growing in popularity in clinical practice. Authors have explored the effectiveness and acceptability of videoconferencing for patients; however, little research exists on the viewpoints of clinicians.

METHODS

Patients with atraumatic shoulder instability attending a tertiary treatment centre were offered the choice of videoconferencing or a face-to-face consultation for their follow-up session. Immediately after the consultation a semi-structured interview was conducted to explore the underlying reasons behind its use and acceptability.

RESULTS

All clinicians found the use of videoconferencing acceptable provided the patients were aware of its benefits and limitations. Of the 13 patients included in this study, seven chose to undergo a videoconferencing consultation. It was acceptable provided the clinical practice could be modified to achieve the objectives of the consultation. The use of videoconferencing required access to a quiet room with the appropriate technology.

CONCLUSION

Videoconferencing is not acceptable to all. Benefits included not having to travel and the opportunity to assess and treat patients in their home environment. The use of videoconferencing did not allow for 'hands-on' assessment which was important for less experienced clinicians.

摘要

背景

实时一对一视频会议在临床实践中的应用越来越普遍。作者们探讨了视频会议对患者的有效性和可接受性;然而,关于临床医生观点的研究却很少。

方法

在一家三级治疗中心就诊的非创伤性肩关节不稳定患者可选择视频会议或面对面咨询进行随访。咨询结束后立即进行半结构化访谈,以探讨使用视频会议的潜在原因及其可接受性。

结果

所有临床医生都认为,如果患者了解视频会议的益处和局限性,那么使用视频会议是可以接受的。在本研究纳入的13名患者中,有7名选择进行视频会议咨询。只要能调整临床实践以实现咨询目标,视频会议就是可以接受的。使用视频会议需要有一个配备适当技术的安静房间。

结论

并非所有人都能接受视频会议。其益处包括无需出行,以及有机会在患者家中对其进行评估和治疗。视频会议的使用不允许进行“动手”评估,而这对经验不足的临床医生来说很重要。

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