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在门诊风湿病诊所使用视频咨询。

Use of video consultations in an outpatient rheumatology clinic.

出版信息

Tidsskr Nor Laegeforen. 2021 May 19;141(8). doi: 10.4045/tidsskr.20.0882. Print 2021 May 25.

DOI:10.4045/tidsskr.20.0882
PMID:34047170
Abstract

BACKGROUND

Due to the COVID-19 pandemic, the implementation of video consultations as an alternative to hospital face-to-face consultations was advanced for persons with rheumatic diseases at Diakonhjemmet Hospital. Video consultations were introduced in March 2020, and this article presents the experiences gained by healthcare professionals and patients.

MATERIAL AND METHOD

The data was collected in June 2020 through focus-group interviews with healthcare professionals and through an anonymous online survey of patients who had attended video consultations during a period of three weeks in June 2020.

RESULTS

The data from the focus-group interviews with seven rheumatologists and seven nurses were sorted into main thematic categories: patient, healthcare professional, consultation, and technology. The healthcare professionals felt that video consultations, with some exceptions, were appropriate in the follow-up of patients with rheumatic diseases, and especially for stable patients with no confounding issues. Of the 383 patients who were invited to participate, 139 (36 %) responded to the survey. The patients were largely satisfied with the video consultation, with a median score of 10 (quartiles 8-10) on a numerical rating scale from 0 to 10, however, 32 (27 %) patients considered the lack of clinical examination to be detrimental.

INTERPRETATION

Video consultations are often appropriate in the follow-up of patients with a rheumatic disease.

摘要

背景

由于 COVID-19 大流行,迪科恩赫梅特医院推进了将视频咨询作为风湿疾病患者替代医院面对面咨询的手段。视频咨询于 2020 年 3 月推出,本文介绍了医疗保健专业人员和患者获得的经验。

材料和方法

2020 年 6 月,通过对 7 名风湿病医生和 7 名护士的焦点小组访谈,以及对 2020 年 6 月三周内参加视频咨询的患者进行匿名在线调查,收集了数据。

结果

7 名风湿病医生和 7 名护士的焦点小组访谈数据被分为主要主题类别:患者、医疗保健专业人员、咨询和技术。医疗保健专业人员认为,视频咨询除了一些例外情况外,适用于风湿疾病患者的随访,特别是对没有混杂问题的稳定患者。在邀请参加的 383 名患者中,有 139 名(36%)对调查做出了回应。患者对视频咨询基本满意,数字评分量表上的中位数评分为 10 (四分位间距 8-10),然而,32 名(27%)患者认为缺乏临床检查是不利的。

解释

视频咨询在风湿疾病患者的随访中通常是合适的。

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