National Coagulation Centre, St James's Hospital, Dublin, Ireland.
School of Medicine, Trinity College Dublin, Dublin, Ireland.
Haemophilia. 2020 Nov;26(6):984-990. doi: 10.1111/hae.14156. Epub 2020 Sep 30.
The COVID-19 pandemic caused an unprecedented impact to haemophilia healthcare delivery. In particular, rapid implementation of telehealth solutions was required to ensure continued access to comprehensive care.
To explore patient and healthcare provider (HCP) experience of telehealth in a European Haemophilia Comprehensive Care Centre.
A systematic evaluation was performed to survey patient and HCP experience and compare clinical activity levels with telehealth to in-person attendances.
Public health measures implemented in March 2020 to reduce COVID-19 spread resulted in a 63% decrease in medical/nursing clinic consultation activity compared to the same period in 2019. Implementation of digital care pathways resulted in marked increase in activity (52% greater than 2019). Importantly, enhanced patient engagement was noted, with a 60% reduction in non-attendance rates. Survey of patients who had participated in medical/nursing teleconsultations demonstrated that teleconsultations improved access (79%), reduced inconvenience (82%), was easy to use (94%) and facilitated good communication with the HCP (97%). A survey exploring the telemedicine experience of HCPs, illustrated that HCPs were satisfied with teleconsultation and the majority (79%) would like to continue to offer teleconsultation as part of routine patient care. In addition to medical/nursing reviews, continued access to physiotherapy with virtual exercise classes for people with haemophilia and teleconsultation for acute dental issues was equally successful.
During an unprecedented public health emergency, telehealth has enabled continued access to specialized haemophilia comprehensive care. Our novel findings show that this alternative is acceptable to both patients and HCPs and offers future novel opportunities.
COVID-19 大流行对血友病的医疗保健服务产生了前所未有的影响。特别是,需要迅速实施远程医疗解决方案,以确保能够持续获得全面的护理。
探讨欧洲血友病综合护理中心患者和医疗保健提供者(HCP)对远程医疗的体验。
系统评价旨在调查患者和 HCP 的体验,并将远程医疗与面对面就诊的临床活动水平进行比较。
2020 年 3 月为减少 COVID-19 传播而实施的公共卫生措施导致医疗/护理诊所咨询活动与 2019 年同期相比减少了 63%。实施数字护理途径导致活动显著增加(比 2019 年增加 52%)。重要的是,注意到患者参与度提高,未就诊率降低了 60%。对参与医疗/护理远程咨询的患者进行调查表明,远程咨询改善了可及性(79%),减少了不便(82%),易于使用(94%),并促进了与 HCP 的良好沟通(97%)。一项调查 HCP 远程医疗体验的研究表明,HCP 对远程咨询感到满意,大多数(79%)希望继续将远程咨询作为常规患者护理的一部分。除了医疗/护理评估外,继续为血友病患者提供虚拟运动课的物理治疗和急性牙科问题的远程咨询同样成功。
在前所未有的公共卫生紧急情况下,远程医疗使患者能够继续获得专业的血友病综合护理。我们的新发现表明,这种替代方案既被患者又被 HCP 接受,并为未来提供了新的机会。