Rush Kathy L, Burton Lindsay, Smith Mindy A, Singh Sarah, Schaab Kira, Görges Matthias, Janke Robert, Currie Leanne M
School of Nursing, University of British Columbia-Okanagan, Kelowna, British Columbia, Canada.
Patient Voices Network, Kootenay-Boundary Collaborative Services Committee, Vancouver, British Columbia, Canada.
Telemed Rep. 2021 Mar 23;2(1):108-117. doi: 10.1089/tmr.2020.0033. eCollection 2021.
The onset of the 2020 coronavirus pandemic resulted in rapid implementation of virtual care solutions at an unprecedented pace. The news media, as a trusted source for many Canadians, plays a vital role during emergencies by reporting on changes in health care protocols, policies, and technologies. This article presents the results of a qualitative analysis of Canadian news articles between February and August of 2020 to identify critical themes with respect to virtual care.
A full-text search of the database Canadian Newsstream resulted in 1542 articles (708 duplicates), of which 294 articles were included in the final analysis. Inductive analysis was used to generate themes and identify voices, contradictions, and tensions in the articles.
Analysis generated four themes: coronavirus disease (COVID-19) as a catalyst for virtual care, safety and protection, economic impacts, and telehealth as a model of care. Media portrayals represented some voices (e.g., physicians) while limiting others (e.g., patients), reflected some contradictory messaging with respect to safety and protection, and raised key issues and concerns about virtual health care delivery during the first 7 months of COVID-19.
Our findings of successful and rapid uptake, uses and concerns around funding, and privacy and virtual care adoption reported in the news media can be used to inform longer term implementation and sustainability. Policy makers could benefit from crafting messages that balance information and reassurance. Public/patient perspectives, which were largely missing from news media, are needed to gauge receptivity and sustainability.
2020年冠状病毒大流行的爆发导致虚拟护理解决方案以前所未有的速度迅速实施。新闻媒体作为许多加拿大人信赖的信息来源，在紧急情况下通过报道医疗保健协议、政策和技术的变化发挥着至关重要的作用。本文呈现了对2020年2月至8月期间加拿大新闻文章的定性分析结果，以确定与虚拟护理相关的关键主题。
对加拿大新闻数据库进行全文搜索，得到1542篇文章（其中708篇重复），最终分析纳入了294篇文章。采用归纳分析法生成主题，并识别文章中的观点、矛盾和紧张关系。
分析产生了四个主题：冠状病毒病（COVID-19）作为虚拟护理的催化剂、安全与保护、经济影响以及远程医疗作为一种护理模式。媒体报道呈现了一些声音（如医生），同时限制了其他声音（如患者），反映了在安全与保护方面的一些矛盾信息，并提出了在COVID-19爆发的前7个月期间关于虚拟医疗服务提供的关键问题和担忧。
我们在新闻媒体中发现的关于虚拟护理的成功快速采用、资金使用和担忧以及隐私和采用情况等结果，可用于为长期实施和可持续性提供参考。政策制定者可以从制定平衡信息和安抚的信息中受益。需要公众/患者的观点（新闻媒体中基本缺失）来评估接受度和可持续性。
