Gillett Mia, Hope-Gill Ben
Department of Respiratory Medicine, University Hospital Llandough, Llandough, Penarth, Vale of Glamorgan.
J Patient Exp. 2022 Oct 26;9:23743735221133638. doi: 10.1177/23743735221133638. eCollection 2022.
The COVID-19 pandemic has resulted in a widespread move towards virtual consultations within secondary care due to infection concerns. This service evaluation undertaken in a Welsh Interstitial Lung Disease (ILD) specialist center looks at the experiences of unselected ILD patients and their careers with telephone consultations and aims to identify the role of telephone consultations in future practice for this patient group. A mixed methods approach was used with an initial postal questionnaire followed by a virtual focus group. From the 84 patient and 26 carer questionnaire responses, there was broad support for telephone consultations from both groups. The main perceived benefit was reduced infection risk, although face-to-face consultations were seen as holding more value. Themes identified in the virtual focus group of 6 participants recognized the need to balance quality of care against practical considerations. In conclusion, there was support for future telephone consultations if patients and clinicians have flexibility in determining when this occurs, instead of a face-to-face consultation.
由于对感染的担忧，新冠疫情导致二级医疗保健机构广泛转向虚拟会诊。在威尔士间质性肺病（ILD）专科中心进行的这项服务评估，考察了未经挑选的ILD患者及其护理人员进行电话会诊的体验，旨在确定电话会诊在该患者群体未来医疗实践中的作用。采用了混合方法，首先进行邮寄问卷调查，随后开展虚拟焦点小组讨论。从84份患者问卷和26份护理人员问卷的回复来看，两组对电话会诊都给予了广泛支持。主要的感知益处是感染风险降低，尽管面对面会诊被认为更有价值。在由6名参与者组成的虚拟焦点小组中确定的主题，认识到需要在护理质量与实际考量之间取得平衡。总之，如果患者和临床医生在决定何时进行电话会诊而非面对面会诊方面具有灵活性，那么对未来的电话会诊是有支持的。
