新冠疫情大流行教会了我们哪些有关在初级保健中使用虚拟咨询的知识？

What has the COVID-19 pandemic taught us about the use of virtual consultations in primary care?

机构信息

RN, RM, MPH, PhD, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, ACT; Senior Research Fellow, Research School of Population Health, Australian National University, ACT.

RN, Grad Cert Clin Man, PhD Scholar, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, ACT; Research Manager, Rural Clinical School, ANU Medical School, College of Health and Medicine, Australian National University, ACT.

出版信息

Aust J Gen Pract. 2022 Mar;51(3):179-183. doi: 10.31128/AJGP-09-21-6184.

DOI:10.31128/AJGP-09-21-6184

PMID:35224583

Abstract

BACKGROUND

Telehealth has been a very useful resource in primary care consultations during the COVID-19 pandemic.

OBJECTIVE

The aim of this article is to examine primary care providers' (PCPs') and patients' experiences of using video and telephone modalities and their perceptions of the quality of telehealth.

DISCUSSION

Video consultations offer the advantage of enabling visualisation of a patient's visual affect and physical appearance, and they are helpful in building therapeutic relationships. However, many PCPs and patients find telephone consultations of equal value, and this has been the preferred telehealth modality internationally. This may be due to challenges experienced by PCPs and patients with the set-up and use of video consultation technologies, and the quality of these experiences. Some members of a number of at-risk groups have experienced greater challenges with this. The future of telehealth in primary care requires its coherent integration into clinical infrastructure and substantial bolstering of community access and capacity to use both video and telephone modalities.

摘要

背景

在 COVID-19 大流行期间，远程医疗在初级保健咨询中是一项非常有用的资源。

目的

本文旨在探讨初级保健提供者（PCP）和患者使用视频和电话模式的体验，以及他们对远程医疗质量的看法。

讨论

视频咨询具有使患者的视觉情感和身体外观可视化的优势，并且有助于建立治疗关系。然而，许多 PCP 和患者认为电话咨询同样有价值，这在国际上也是首选的远程医疗模式。这可能是由于 PCP 和患者在设置和使用视频咨询技术方面遇到了挑战，以及这些体验的质量。一些高危人群的成员在这方面遇到了更大的挑战。远程医疗在初级保健中的未来需要将其连贯地整合到临床基础设施中，并大力增强社区对视频和电话模式的访问和使用能力。