虚拟医疗与面对面医疗一样安全吗？在 COVID-19 大流行期间对安大略省七天和三十天的患者结果进行分析。

Was Virtual Care as Safe as In-Person Care? Analyzing Patient Outcomes at Seven and Thirty Days in Ontario during the COVID-19 Pandemic.

机构信息

Is an associate professor in the Department of Medicine, Division of Emergency Medicine, McMaster University, in Hamilton, ON; an assistant professor at the Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, at the University of Toronto in Toronto, ON; and an emergency physician at St. Joseph's Healthcare Hamilton in Hamilton, ON.

Is a resident physician at the Department of Medicine, Division of Emergency Medicine, McMaster University, in Hamilton, ON.

出版信息

Healthc Q. 2023 Oct;26(3):31-36. doi: 10.12927/hcq.2023.27217.

DOI:10.12927/hcq.2023.27217

PMID:38018786

Abstract

In 2020, almost overnight, the paradigm for healthcare interactions changed in Ontario. To limit person-to-person transmission of COVID-19, the norm of in-person interactions shifted to virtual care. While this shift was part of broader public health measures and an acknowledgment of patient and societal concerns, it also represented a change in care modalities that had the potential to affect the quality of care provided, as well as short- and long-term patient outcomes. While public policy decisions were being made to moderate the use of virtual care at the end of the declared pandemic, a thorough analysis of short-term patient outcomes was needed to quantify the impact of virtual care on the population of Ontario.

摘要

2020 年，安大略省的医疗保健互动模式几乎在一夜之间发生了变化。为了限制 COVID-19 的人际传播，人际互动的规范转向了虚拟护理。虽然这种转变是更广泛的公共卫生措施的一部分，也是对患者和社会关注的认可，但它也代表了护理方式的改变，有可能影响提供的护理质量以及短期和长期的患者预后。在宣布大流行结束时，公共政策决策正在进行以适度使用虚拟护理，需要对短期患者结果进行全面分析，以量化虚拟护理对安大略省人口的影响。