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虚拟诊所中的问题:通过同理心和支持应对远程医疗的挑战。

Bugs in the Virtual Clinic: Confronting Telemedicine's Challenges Through Empathy and Support.

作者信息

Crotty Bradley H, Somai Melek

机构信息

Inception Labs, Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, WI, United States.

出版信息

J Particip Med. 2022 Apr 22;14(1):e25688. doi: 10.2196/25688.

DOI:10.2196/25688
PMID:35452399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9077509/
Abstract

Although telemedicine has been an important conduit for clinical care during the COVID-19 pandemic, not all patients have been able to meaningfully participate in this mode of health care provision. Challenges with accessing telemedicine using consumer technology can interfere with the ability of patients and clinicians to meaningfully connect and lead to significant investments in time by clinicians and their staff. In this narrative case, we identify issues related to patients' use of technology, make comparisons between telehealth adoption and the deployment of electronic health records, and propose that building intuitive and supported digital care experiences for patients is required to make virtual care sustainable.

摘要

尽管远程医疗在新冠疫情期间一直是临床护理的重要渠道,但并非所有患者都能切实参与到这种医疗服务模式中。使用消费技术接入远程医疗所面临的挑战,可能会干扰患者与临床医生进行有效沟通的能力,并导致临床医生及其工作人员投入大量时间。在本病例报告中,我们识别了与患者技术使用相关的问题,比较了远程医疗的采用情况与电子健康记录的部署情况,并提出需要为患者构建直观且得到支持的数字护理体验,以使虚拟护理可持续发展。

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引用本文的文献

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Artificial intelligence technologies and compassion in healthcare: A systematic scoping review.医疗保健中的人工智能技术与人文关怀:一项系统综述。
Front Psychol. 2023 Jan 17;13:971044. doi: 10.3389/fpsyg.2022.971044. eCollection 2022.

本文引用的文献

1
Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care.评估新冠疫情后医疗保健中患者对远程医疗的偏好。
JAMA Netw Open. 2021 Dec 1;4(12):e2136405. doi: 10.1001/jamanetworkopen.2021.36405.
2
Analysis of Clinician and Patient Factors and Completion of Telemedicine Appointments Using Video.视频使用的远程医疗预约临床医生和患者因素分析。
JAMA Netw Open. 2021 Nov 1;4(11):e2132917. doi: 10.1001/jamanetworkopen.2021.32917.
3
Telemedicine Adoption during the COVID-19 Pandemic: Gaps and Inequalities.远程医疗在 COVID-19 大流行期间的采用:差距与不平等。
Appl Clin Inform. 2021 Aug;12(4):836-844. doi: 10.1055/s-0041-1733848. Epub 2021 Sep 8.
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Assessment of Disparities in Digital Access Among Medicare Beneficiaries and Implications for Telemedicine.评估医疗保险受益人的数字接入差距及其对远程医疗的影响。
JAMA Intern Med. 2020 Oct 1;180(10):1386-1389. doi: 10.1001/jamainternmed.2020.2666.
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Assessing Telemedicine Unreadiness Among Older Adults in the United States During the COVID-19 Pandemic.评估 COVID-19 大流行期间美国老年人的远程医疗准备情况。
JAMA Intern Med. 2020 Oct 1;180(10):1389-1391. doi: 10.1001/jamainternmed.2020.2671.
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The emerging world of digital therapeutics.数字疗法的新兴领域。
Nature. 2019 Sep;573(7775):S106-S109. doi: 10.1038/d41586-019-02873-1.
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Six habits of highly successful health information technology: powerful strategies for design and implementation.六种习惯成就高效的健康信息技术:设计与实现的强大策略。
J Am Med Inform Assoc. 2019 Oct 1;26(10):1109-1114. doi: 10.1093/jamia/ocz098.
8
The complex case of EHRs: examining the factors impacting the EHR user experience.电子健康档案的复杂案例:考察影响电子健康档案用户体验的因素。
J Am Med Inform Assoc. 2019 Jul 1;26(7):673-677. doi: 10.1093/jamia/ocz021.
9
Hospital adoption of interoperability functions.医院采用互操作性功能。
Healthc (Amst). 2019 Sep;7(3):100347. doi: 10.1016/j.hjdsi.2018.12.001. Epub 2018 Dec 27.
10
Tethered to the EHR: Primary Care Physician Workload Assessment Using EHR Event Log Data and Time-Motion Observations.受制于电子健康记录:使用电子健康记录事件日志数据和时间动作观察法评估基层医疗医生的工作量
Ann Fam Med. 2017 Sep;15(5):419-426. doi: 10.1370/afm.2121.