在 SARS-CoV-2 大流行期间在线前分诊工具的效用：卫生保健提供者和卫生当局的观点。
The Utility of an Online Forward Triage Tool During the SARS-CoV-2 Pandemic: Health Care Provider and Health Authority Perspectives.
机构信息
Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland.
出版信息
Front Public Health. 2022 Jul 8;10:845996. doi: 10.3389/fpubh.2022.845996. eCollection 2022.
INTRODUCTION
The SARS CoV-2 pandemic poses major challenges not only to patients but also to health care professionals and policy-makers, with rapidly changing, sometimes complex, recommendations, and guidelines to the population. Online forward triage tools (OFTT) got a major boost from the pandemic as they helped with the implementation and monitoring of recommendations.
METHODS
A multiphase mixed method sequential explanatory study design was employed. Quantitative data were collected first and informed the qualitative interview guides. Video interviews were held with key informants (health care providers and health authorities) between 2 September and 10 December 2020. Audio-recordings were transcribed verbatim, coded thematically and compared with patient perspectives (framework).
OBJECTIVES
To explore the perspectives of health care providers and authorities in Canton Bern on the utility of a COVID-19 OFTT, as well as elicit recommendations for telehealth in future.
RESULTS
The following themes emerged; (i) accessibility (ii) health system burden reduction (iii) utility in preventing onward transmission (iv) utility in allaying fear and anxiety (v) medical decision-making utility (vi) utility as information source (vii) utility in planning and systems thinking. The health care providers and health authorities further provided insights on potential barriers and facilitators of telehealth in future.
CONCLUSION
Similar to patients, health care providers acknowledge the potential and utility of the COVID-19 OFTT particularly as an information source and in reducing the health system burden. Data privacy, doctor-patient relationship, resistance to change, regulatory, and mandate issues, and lack of systems thinking were revealed as barriers to COVID-19 OFTT utility.
简介
SARS-CoV-2 大流行不仅对患者，而且对医疗保健专业人员和决策者都带来了重大挑战，针对人群的建议和指南不断快速变化，有时还很复杂。在线前分诊工具（OFTT）在大流行期间得到了大力推动，因为它们有助于实施和监测建议。
方法
采用多阶段混合方法顺序解释性研究设计。首先收集定量数据，并为定性访谈指南提供信息。2020 年 9 月 2 日至 12 月 10 日期间，与主要利益相关者（医疗保健提供者和卫生当局）进行了视频访谈。逐字转录音频记录，进行主题编码，并与患者观点（框架）进行比较。
目的
探讨伯尔尼州卫生保健提供者和当局对 COVID-19 OFTT 的实用性的看法，并为未来的远程医疗提出建议。
结果
出现了以下主题；（i）可及性（ii）减轻卫生系统负担（iii）预防进一步传播的效用（iv）减轻恐惧和焦虑的效用（v）医疗决策效用（vi）作为信息源的效用（vii）规划和系统思维的效用。医疗保健提供者和卫生当局还就未来远程医疗的潜在障碍和促进因素提供了见解。
结论
与患者一样，医疗保健提供者承认 COVID-19 OFTT 的潜力和实用性，特别是作为信息源和减轻卫生系统负担。数据隐私、医患关系、对变革的抵制、监管和授权问题以及缺乏系统思维被揭示为 COVID-19 OFTT 实用性的障碍。
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