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将同步虚拟小组健康干预措施付诸实践并进行评估:在一家三级护理学术医院的广泛实施。

Operationalizing and Evaluating Synchronous Virtual Group Health Interventions: Wide-Scale Implementation at a Tertiary Care Academic Hospital.

机构信息

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON, Canada.

出版信息

J Med Internet Res. 2022 Apr 7;24(4):e29841. doi: 10.2196/29841.

Abstract

Group-based health interventions are an important component of health promotion and management. To provide continuity of care throughout the COVID-19 pandemic, our institution undertook a rapid pivot to delivering group-based health interventions via a videoconferencing service which was securely embedded into both the electronic medical record and the patient portal to sustainably address immediate health service delivery needs during the pandemic and beyond. In this paper, we (1) describe the institutionally driven operationalization of a system to provide integrated synchronous video group visits across our hospital and (2) present a proposed strategy to comprehensively evaluate outcomes regarding their implementation, quality, and impact. Lessons for other institutions and the potential future role of synchronous video group visits to enhance how care can be scaled for delivery are discussed.

摘要

基于群组的健康干预措施是健康促进和管理的重要组成部分。为了在 COVID-19 大流行期间提供持续的护理,我们机构迅速转向通过视频会议服务提供基于群组的健康干预措施,该服务安全地嵌入到电子病历和患者门户中,以在大流行期间及以后可持续地满足即时的医疗服务需求。在本文中,我们(1)描述了机构驱动的操作化,以提供我们医院内的综合同步视频小组访问,以及(2)提出了一项全面评估实施、质量和影响的建议策略。讨论了其他机构的经验教训以及同步视频小组访问的未来潜在作用,以增强如何扩大护理规模以进行交付。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f90/9030913/bac48db58dde/jmir_v24i4e29841_fig1.jpg

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