患者对地点的选择与其视频会诊体验之间的相互动态关系：一项定性研究。
Reciprocal dynamics between patients' choice of place and how they experience video consultations: A qualitative study.
作者信息
Lüchau Elle C, Jepsen Carole, Grønning Anette, Hvidt Elisabeth Assing
机构信息
Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Department for the Study of Culture, University of Southern Denmark, Odense, Denmark.
出版信息
Digit Health. 2021 Oct 28;7:20552076211052158. doi: 10.1177/20552076211052158. eCollection 2021 Jan-Dec.
OBJECTIVE
To analyse the reciprocal dynamics between patients' choice of place and how they experience video consultations (VCs) with the general practitioner.
METHODS
Qualitative, semi-structured interviews with 27 Danish patients were conducted over a period of 9 months, from February to October 2020. Interviews were analysed using thematic analysis. The analysis was guided by Nelly Oudshoorn's concept of technogeography of care.
RESULTS
The following three themes were identified in the data: VC-home dynamics: balancing boundaries; VC-workplace dynamics: logistical considerations; and VC-body image dynamics: on-screen exposure.
CONCLUSIONS
Taking human geography and science and technology studies as our analytical point of departure, we used the concept of technogeography of care and demonstrated how the reciprocal dynamics between patients' choice of place and how they experience VC made boundaries fluid and complex between different contexts and places, such as the home, the workplace and the clinic. These boundaries were negotiated differently by the patients depending on their need for privacy, convenience and support. Additionally, VC reconfigured patients' and general practitioners' roles, increasing patients' responsibility in securing an appropriate health care setting.
目的
分析患者对就诊地点的选择与他们对与全科医生进行视频会诊（VC）体验之间的相互动态关系。
方法
在2020年2月至10月的9个月期间，对27名丹麦患者进行了定性的半结构化访谈。采用主题分析法对访谈进行分析。分析以内莉·奥德肖恩的护理技术地理学概念为指导。
结果
数据中确定了以下三个主题：VC-家庭动态：平衡界限；VC-工作场所动态：后勤考虑；以及VC-身体形象动态：屏幕暴露。
结论
以人文地理学和科学技术研究为分析出发点，我们运用护理技术地理学概念，展示了患者对就诊地点的选择与他们对视频会诊的体验之间的相互动态关系如何使不同背景和地点（如家庭、工作场所和诊所）之间的界限变得灵活且复杂。患者根据对隐私、便利和支持的需求，对这些界限进行了不同的协商。此外，视频会诊重新配置了患者和全科医生的角色，增加了患者在确保合适医疗环境方面的责任。
Zotero 插件