Vicente Veronica, Johansson Anders, Ivarsson Bodil, Todorova Lizbet, Möller Sebastian
The Ambulance Medical Service (AISAB), 12118 Stockholm, Sweden.
Academic EMS, 12118 Stockholm, Sweden.
Healthcare (Basel). 2020 Apr 23;8(2):106. doi: 10.3390/healthcare8020106.
In order to facilitate more effective patient assessment and diagnostic support by improving the flow of information between ambulance nurses (AN) and physicians in the role of regional medical support (RMS), an application was developed for transmitting real-time video images. The objective of this study was to elucidate the physicians' experiences using a video application to support the assessment and triage procedure in ambulance care, when patients are deemed to not have an urgent need for emergency care. The design for this research was a qualitative interview study. Ten physicians, working as RMS in ambulance care, were purposively selected to participate. The telemedicine concept studied consisted of a real-time video image application, in addition to the currently used mobile phone. When a patient was deemed eligible for inclusion in the study, the ambulance nurse (AN) contacted the RMS via telephone to initiate a video consultation. To elucidate the RMS experience of using the application, a conventional content analysis was performed. The main theme "a feeling of being satisfied through a sense of increased patient safety" emerged from the following two categories: adds value in diagnosing situations (three subcategories, i.e., support in diagnosing, usability, and technical weakness) and increase communication opportunities (four subcategories, i.e., assessing the level of care, patient dialogue, professional communication, and team learning). Physicians in the role of RMS experienced a positive impact using video image transmission in addition to the currently used mobile phone. This evaluation was derived from a sense of increased patient safety in the assessment situation when patients were considered to be triaged to self-care.
为了通过改善救护护士（AN）与担任区域医疗支持（RMS）角色的医生之间的信息流，促进更有效的患者评估和诊断支持，开发了一种用于传输实时视频图像的应用程序。本研究的目的是阐明医生在患者被认为不需要紧急护理时，使用视频应用程序支持救护护理中的评估和分诊程序的经验。本研究的设计是一项定性访谈研究。有目的地选择了10名在救护护理中担任RMS的医生参与。所研究的远程医疗概念除了目前使用的手机外，还包括一个实时视频图像应用程序。当患者被认为符合纳入研究的条件时，救护护士（AN）通过电话联系RMS发起视频会诊。为了阐明RMS使用该应用程序的经验，进行了传统的内容分析。“通过增强患者安全感而产生的满足感”这一主题主要来自以下两类：在诊断情况中增加价值（三个子类别，即诊断支持、可用性和技术弱点）和增加沟通机会（四个子类别，即评估护理水平、患者对话、专业沟通和团队学习）。担任RMS角色的医生在使用目前使用的手机之外，还体验到了视频图像传输带来的积极影响。这种评价源于在评估患者被分诊为自我护理的情况下，患者安全感的增强。
