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初级卫生保健远程会诊中以患者为中心的护理:一项探索性研究。

Patient centered care in primary health care teleconsultations: an exploratory study.

作者信息

Reis Mariana, Crispim José, Rego Nazaré

机构信息

Escola de Economia e Gestão, Universidade do Minho, Campus de Gualtar, 4710-057 Braga, Portugal.

NIPE, Universidade do Minho, Campus de Gualtar, 4710-057 Braga, Portugal.

出版信息

Procedia Comput Sci. 2023;219:1349-1356. doi: 10.1016/j.procs.2023.01.420. Epub 2023 Mar 22.

Abstract

With the current evolution of health digitalization driven by the COVID-19 pandemic, it is expected that teleconsultations - specifically, synchronous audio consultations (by telephone) or video-based (video calls) between health professionals (Doctors and Nurses) and patients - will be more used in Primary Health Care. The provision of health care through teleconsultations must be evaluated by the quality management of health organizations to ensure that the needs of patients are met. For this reason, this study was carried out under the objective of identifying indicators to create a culture of Patient-Centered Care (PCC) in teleconsultations in Primary Health Care. The methodology followed was based on the Delphi method. The research aimed to analyze the suitability of 48 indicators (organized in Donabedian's quality dimensions) to assess the implementation of PCC in Primary Health Care. Despite all indicators were viewed as very important, the disparity in responses was significant. Future research should extend this study by involving other groups of experts (like academics who study the subject and members of patient associations).

摘要

在新冠疫情推动下,当前医疗数字化不断发展,预计远程会诊,特别是医疗专业人员(医生和护士)与患者之间的同步音频会诊(通过电话)或基于视频的会诊(视频通话),将在初级卫生保健中得到更广泛应用。通过远程会诊提供医疗服务必须由卫生组织的质量管理部门进行评估,以确保满足患者需求。因此,本研究旨在确定相关指标,以在初级卫生保健的远程会诊中营造以患者为中心的护理(PCC)文化。所采用的方法基于德尔菲法。该研究旨在分析48项指标(按照唐纳贝迪安的质量维度进行组织)对评估初级卫生保健中PCC实施情况的适用性。尽管所有指标都被视为非常重要,但回答的差异很大。未来的研究应通过纳入其他专家群体(如研究该主题的学者和患者协会成员)来扩展本研究。

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本文引用的文献

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Best Practice During Teleconsultations With Adolescents: A Scoping Review.与青少年进行远程会诊时的最佳实践:一项范围综述
J Adolesc Health. 2022 May;70(5):714-728. doi: 10.1016/j.jadohealth.2021.11.012. Epub 2022 Jan 23.
2
Defining and implementing patient-centered care: An umbrella review.定义并实施以患者为中心的护理:一项综合综述。
Patient Educ Couns. 2022 Jul;105(7):1679-1688. doi: 10.1016/j.pec.2021.11.004. Epub 2021 Nov 16.
6
Delphi Technique in Health Sciences: A Map.健康科学中的德尔菲技术:一幅图谱。
Front Public Health. 2020 Sep 22;8:457. doi: 10.3389/fpubh.2020.00457. eCollection 2020.
10
Patient-Centered Care in Primary Care Scale: Pilot Development and Psychometric Assessment.
J Nurs Care Qual. 2019 Jan/Mar;34(1):34-39. doi: 10.1097/NCQ.0000000000000341.

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