虚拟医疗的系统级评估框架

A Systems-Level Evaluation Framework for Virtual Care.

机构信息

A senior consultant with Primary Health Care at Alberta Health Services (AHS) and a senior research associate at the University of Calgary in Calgary, AB. Her areas of interest include virtual care and health services research.

A scientist with Primary Health Care at AHS in Edmonton, AB. Her areas of focus include population health, epidemiology, integration of care and equity.

出版信息

Healthc Q. 2023 Jul;26(2):43-50. doi: 10.12927/hcq.2023.27147.

DOI:10.12927/hcq.2023.27147

PMID:37572071

Abstract

The virtual care landscape is significantly changing, largely due to an increased demand initiated by the COVID-19 pandemic and the evolution of technology. Complex questions about how to best leverage virtual care and its impact remain unanswered. Our team developed a systems-level evaluation framework to inform virtual care service design and evaluation to take a more comprehensive approach to planning and implementing virtual care. We designed the framework for application in Alberta Health Services (AHS) by engaging virtual care users (patients, families and healthcare providers), implementation staff and decision makers across the organization. Here we report our design process and key lessons learned. The framework received endorsement by AHS senior leadership for application across the system. Our next step is to test the framework. By sharing our design process and experiences, we aim to help inform other national and international jurisdictions plan virtual care evaluations within their context.

摘要

虚拟医疗领域正在发生重大变化，这主要是由于 COVID-19 大流行引发的需求增加和技术的发展。关于如何最好地利用虚拟医疗及其影响的复杂问题仍未得到解答。我们的团队开发了一个系统级评估框架，以指导虚拟医疗服务的设计和评估，从而更全面地规划和实施虚拟医疗。我们通过让虚拟医疗使用者（患者、家属和医疗保健提供者）、实施人员和决策者参与整个组织，设计了该框架在艾伯塔省卫生服务（AHS）中的应用。在这里，我们报告我们的设计过程和主要经验教训。该框架得到了 AHS 高级领导层的认可，将在整个系统中应用。我们的下一步是测试该框架。通过分享我们的设计过程和经验，我们旨在帮助其他国家和国际司法管辖区在其背景下规划虚拟医疗评估。