探索农村县社区成员对采用慢性阻塞性肺疾病远程项目的看法。
Exploring community members' perceptions to adopt a Tele-COPD program in rural counties.
作者信息
Alexander Dayna S, Kiser Stephanie, North Steve, Roberts Courtney A, Carpenter Delesha M
机构信息
Concordia University, Chicago, IL, United States.
UNC Eshelman School of Pharmacy, Chapel Hill, NC, United States.
出版信息
Explor Res Clin Soc Pharm. 2021 May 6;2:100023. doi: 10.1016/j.rcsop.2021.100023. eCollection 2021 Jun.
BACKGROUND
Patients diagnosed with COPD residing in rural areas report a lower quality of life. Telehealth addresses geographic barriers by offering routine, technology-based visits, and remote patient monitoring.
OBJECTIVE
The study objective was to explore adoption perceptions of a tele-COPD program among community members in rural Western North Carolina (WNC) counties.
METHODS
A convenience sample of 17 community members were recruited to participate in one of five 45-min focus groups. Before the focus group, all participants completed a brief demographic survey. Focus groups were digitally recorded, transcribed verbatim, imported into MAXQDA v10, and analyzed thematically using established qualitative coding procedures. SPSS v22 was used to calculate descriptive statistics.
RESULTS
Participants were primarily Non-Hispanic White (100%), male (59%), insured (100%), and had at least a high school education (80%). Only 25% of participants had any prior knowledge of telehealth programs. The majority (94%) of participants expressed interest in receiving a tele-COPD program due to convenience factors. Yet, most participants expressed a lack of interest and comfort in using Internet-capable devices (e.g., mobile devices, tablets, computers). Participants noted that to be successful, telehealth visits must be described and shown to them by their own provider or other trusted individual(s), such as a pharmacist. Privacy and cost were also expressed as telehealth concerns.
CONCLUSION
Interest in a tele-COPD program was high among community residents in rural WNC. However, to increase patient willingness to adopt a tele-COPD program, patients' providers must overcome challenges, such as patients' awareness and knowledge of telehealth, privacy and cost concerns, and access to and comfort with using new technologies. Pharmacists may mitigate these challenges by increasing patients' trust and comfort with telehealth programs.
背景
居住在农村地区的慢性阻塞性肺疾病（COPD）患者报告生活质量较低。远程医疗通过提供基于技术的常规就诊和远程患者监测来消除地理障碍。
目的
本研究的目的是探讨北卡罗来纳州西部（WNC）农村社区成员对远程慢性阻塞性肺疾病（tele-COPD）项目的接受观念。
方法
招募了17名社区成员作为便利样本，参加五个45分钟的焦点小组之一。在焦点小组之前，所有参与者都完成了一份简短的人口统计学调查。焦点小组进行了数字录音，逐字转录，导入MAXQDA v10，并使用既定的定性编码程序进行主题分析。使用SPSS v22计算描述性统计数据。
结果
参与者主要为非西班牙裔白人（100%）、男性（59%）、有保险（100%），且至少有高中教育程度（80%）。只有25%的参与者对远程医疗项目有任何先前的了解。由于便利因素，大多数（94%）参与者表示有兴趣接受远程慢性阻塞性肺疾病项目。然而，大多数参与者表示对使用具备上网功能的设备（如移动设备、平板电脑、电脑）缺乏兴趣且不自在。参与者指出，要使远程医疗就诊取得成功，必须由他们自己的医疗服务提供者或其他受信任的人（如药剂师）向他们描述并展示。隐私和成本也被提及为对远程医疗的担忧。
结论
WNC农村地区的社区居民对远程慢性阻塞性肺疾病项目兴趣较高。然而，为了提高患者采用远程慢性阻塞性肺疾病项目的意愿，患者的医疗服务提供者必须克服一些挑战，如患者对远程医疗的认知和了解、隐私和成本担忧，以及获取和使用新技术的便利性和自在感。药剂师可以通过增强患者对远程医疗项目的信任和自在感来缓解这些挑战。
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