Modic Mary Beth, Neuendorf Katie, Windover Amy K
Office of Advanced Practice, Cleveland Clinic, Cleveland, OH, USA.
Department of Palliative and Supportive Care, Cleveland Clinic, Cleveland, OH, USA.
J Patient Exp. 2020 Dec;7(6):869-877. doi: 10.1177/2374373520968975. Epub 2021 Jan 3.
In the pandemic of coronavirus disease 2019, virtual visits have become the primary means of delivering efficient, high-quality, and safe health care while Americans are instructed to stay at home until the rapid transmission of the virus abates. An important variable in the quality of any patient-clinician interaction, including virtual visits, is how adroit the clinician is at forming a relationship. This article offers a review of the research that exists on forming a relationship in a virtual visit and the outcomes of a quality improvement project which resulted in the refinement of a "Communication Tip Sheet" that can be used with virtual visits. It also offers several communication strategies predicated on the R.E.D.E. to Communicate model that can be used when providing care virtually.
在2019年冠状病毒病大流行期间,虚拟问诊已成为提供高效、高质量和安全医疗服务的主要方式,在此期间,美国人被要求居家,直至病毒的快速传播得到缓解。在包括虚拟问诊在内的任何医患互动中,一个影响质量的重要变量是临床医生建立关系的熟练程度。本文回顾了关于在虚拟问诊中建立关系的现有研究,以及一个质量改进项目的成果,该项目最终完善了一份可用于虚拟问诊的“沟通提示单”。本文还提供了几种基于R.E.D.E.沟通模型的沟通策略,可在进行虚拟医疗服务时使用。