D'Alessandro Lisa N, Brown Stephen C, Campbell Fiona, Ruskin Danielle, Mesaroli Giulia, Makkar Mallika, Stinson Jennifer N
Department of Anesthesia and Pain Medicine, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Can J Pain. 2020 Aug 5;4(1):162-167. doi: 10.1080/24740527.2020.1771688.
Studies have been conducted describing the potential for using virtual care software during disasters and public health emergencies. However, limited data exist on ways in which the Canadian health care system utilizes virtual care during disasters or public health emergencies.
Due to the need for social distancing and reduction of nonessential ambulatory services during the COVID-19 pandemic, the SickKids Chronic Pain Clinic sought to transition care delivery from in person to virtual. The virtual clinic aimed to reduce risks associated with physical contact and environmental exposure without reducing access to care itself.
Harnessing of various digital tools including Ontario Telemedicine Network Guestlink, Zoom, and Microsoft Teams. The Chronic Pain Clinic Team worked together to communicate with patients and families, schedule virtual visits, establish remote access to clinical data collection tools, digitize the after-visit summary, and add resources on pain self-management to the clinic's website.
The Chronic Pain Clinic successfully transitioned all clinic appointments (multidisciplinary and individual; 77 appointments) over a 2-week period to virtual care. Virtual clinics did not surpass the usual time taken pre-COVID-19, suggesting that the clinic workflow was readily adaptable to virtual care.
Access to quality virtual care is essential to prevent chronic pain from taking a toll on the lives of patients and families. Rapid establishment of a virtual clinic without gaps in service delivery to patients is possible given institutional support and a team culture centered around collaboration and flexibility.
已有研究描述了在灾害和突发公共卫生事件期间使用虚拟护理软件的可能性。然而，关于加拿大医疗保健系统在灾害或突发公共卫生事件期间如何利用虚拟护理的数据有限。
由于在2019冠状病毒病大流行期间需要保持社交距离并减少非必要的门诊服务，病童慢性疼痛诊所试图将护理服务从面对面转变为虚拟形式。虚拟诊所旨在降低与身体接触和环境暴露相关的风险，同时又不减少获得护理服务本身的机会。
利用包括安大略省远程医疗网络Guestlink、Zoom和微软团队在内的各种数字工具。慢性疼痛诊所团队共同努力与患者及其家属沟通、安排虚拟就诊、建立对临床数据收集工具的远程访问、将就诊后总结数字化，并在诊所网站上添加疼痛自我管理资源。
慢性疼痛诊所在两周内成功地将所有诊所预约（多学科和个人预约；77次预约）转变为虚拟护理。虚拟诊所的就诊时间没有超过2019冠状病毒病之前的通常时间，这表明诊所的工作流程很容易适应虚拟护理。
获得高质量的虚拟护理对于防止慢性疼痛对患者及其家属的生活造成损害至关重要。在机构支持以及围绕协作和灵活性的团队文化的前提下，快速建立一个不对患者服务造成缺口的虚拟诊所是可行的。
