SARS-CoV-2大流行期间远程会诊的患者及临床医生体验：一项服务评估
Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation.
作者信息
Schutz Sue, Walthall Helen, Snowball Joanna, Vagner Raluca, Fernandez Nicola, Bartram Emilia, Merriman Clair
机构信息
Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK.
Nursing and Midwifery Research and Innovation, Oxford University Hospitals NHS Foundation Trust and Oxford Biomedical Research Centre, Oxford, UK.
出版信息
Digit Health. 2022 Aug 4;8:20552076221115022. doi: 10.1177/20552076221115022. eCollection 2022 Jan-Dec.
OBJECTIVES
During the SARS-CoV-2 pandemic, clinicians were instructed to move all but emergency consultations to remote means to reduce the spread of the virus. The aim of this study was to evaluate patients' and clinicians' experiences of moving to remote means of consultation with their health care professionals during the SARS-CoV-2 pandemic.
METHODS
The study design was a qualitative service evaluation. Twenty-six clinicians and forty-eight patients who met the inclusion criteria consented to be interviewed. Clinician participants were from either medical, nursing, or allied health professional backgrounds. Patients were recruited from diabetes, acute care, and haematology and cancer areas. Data analysis was conducted using a thematic analysis framework.
RESULTS
Following coding and thematic analysis of the data collected from clinicians, five themes were identified: personal and professional well-being; providing a safe and high-quality experience; adapting to a new way of working; making remote consultations fit for purpose and an awareness of altered dynamics during consultation. Patient data was coded into 3 themes: remote consultation adds value; remote consultation brings challenges and concerns about remote consultation.
CONCLUSIONS
Clinician and patient experiences reported here are reflected in the literature. The study indicates that remote consultation is not suitable for all patients and in all contexts. Whilst maintaining the benefits to patients, remote means of consultation needs organisational support and preparation. A way forward that maintains the benefits whilst addressing concerns seems urgent.
目的
在新型冠状病毒肺炎大流行期间，临床医生接到指示，除紧急会诊外，将所有会诊转移到远程方式，以减少病毒传播。本研究的目的是评估在新型冠状病毒肺炎大流行期间，患者和临床医生转向与医疗保健专业人员进行远程会诊的体验。
方法
本研究设计为定性服务评估。26名临床医生和48名符合纳入标准的患者同意接受访谈。临床医生参与者来自医学、护理或专职医疗专业背景。患者从糖尿病、急性护理以及血液学和癌症领域招募。使用主题分析框架进行数据分析。
结果
对从临床医生收集的数据进行编码和主题分析后，确定了五个主题：个人和职业幸福感；提供安全和高质量的体验；适应新的工作方式；使远程会诊符合目的以及对会诊期间动态变化的认识。患者数据被编码为三个主题：远程会诊增加价值；远程会诊带来挑战以及对远程会诊的担忧。
结论
此处报告的临床医生和患者的体验在文献中有所体现。该研究表明，远程会诊并非适用于所有患者和所有情况。在保持对患者益处的同时，远程会诊方式需要组织支持和准备。在维持益处的同时解决担忧的前进方向似乎十分紧迫。
Zotero 插件