The University of British Columbia, Vancouver, British Columbia, Canada.
Rural Coordination Centre of British Columbia, Vancouver, British Columbia, Canada.
Healthc Manage Forum. 2023 Sep;36(5):285-292. doi: 10.1177/08404704231183177. Epub 2023 Jun 20.
In British Columbia (BC) and across the territories of over 200 First Nations and 39 Métis Nation Chartered communities, the COVID-19 pandemic catalyzed a group of partner organizations to rapidly establish seven virtual care pathways under the Real-Time Virtual Support (RTVS) network. They aimed to address inequitable access and multiple barriers to healthcare faced by rural, remote, and Indigenous communities, and provide pan-provincial services. Mixed-method evaluation assessed implementation, patient and provider experience, quality improvement, cultural safety, and sustainability. Pathways supported 38,905 patient encounters and offered 29,544 hours of peer-to-peer support from April 2020 to March 2021. Mean monthly encounter growth was 178.0% (standard deviation = 252.1%). Ninety percent of patients were satisfied with the care experience; 94% of providers enjoyed delivering virtual care. Consistent growth suggests that the virtual pathways met the needs of providers and patients in rural, remote, and Indigenous communities, and supported virtual access to care in BC.
在不列颠哥伦比亚省（BC）和 200 多个第一民族和 39 个梅蒂斯民族宪章社区的领土上，COVID-19 大流行促使一组合作伙伴组织在实时虚拟支持 (RTVS) 网络下迅速建立了七条虚拟护理途径。他们旨在解决农村、偏远和土著社区面临的医疗保健服务获取不平等和多种障碍，并提供全省范围的服务。混合方法评估评估了实施情况、患者和提供者的体验、质量改进、文化安全和可持续性。这些途径在 2020 年 4 月至 2021 年 3 月期间支持了 38,905 次患者就诊，并提供了 29,544 小时的同行支持。每月就诊人数的平均增长率为 178.0%（标准差=252.1%）。90%的患者对护理体验感到满意；94%的提供者喜欢提供虚拟护理。持续增长表明，虚拟途径满足了农村、偏远和土著社区的提供者和患者的需求，并支持了 BC 虚拟医疗服务的获取。
