Rising Kristin L, Kemp Mackenzie, Leader Amy E, Chang Anna Marie, Monick Andrew J, Guth Amanda, Esteves Camacho Tracy, Laynor Gregory, Worster Brooke
Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Jefferson Center for Connected Care, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Telemed Rep. 2023 Dec 29;4(1):387-395. doi: 10.1089/tmr.2023.0051. eCollection 2023.
We hosted a national consensus conference with a diverse group of stakeholders to develop a patient-centered research agenda focused on reducing disparities in telehealth use.
Attendees were purposively invited to participate in a 2-day virtual conference. The group developed a prioritized research agenda focused on reducing disparities in telehealth uptake, with discussion informed by findings from a scoping review. All work was conducted in partnership with a Steering Committee of national experts in telehealth and patient-centered care ( = 5) and a community-based Telehealth Advisory Board with experience with telehealth use and barriers ( = 8).
Sixty individuals participated in the conference and discussion resulted in a final list of 20 questions. Fifty-two attendees voted on the final prioritization of these questions. Results were aggregated for all voters ( = 52) and patient-only voters ( = 8). The top question identified by both groups focused on patient and family perspectives on important barriers to telehealth use. The entire group voting identified telehealth's impact on patient outcomes as the next most important questions, while the patient-only group identified trust-related considerations and cultural factors impacting telehealth use as next priorities.
This project involved extensive patient and stakeholder engagement. While voting varied between patients only and the entire group of conference attendees, top identified priorities included patient and family perspectives on important barriers to telehealth, trust and cultural barriers and facilitators to telehealth, and assessment of telehealth's impact on patient outcomes. This research agenda can inform design of future research focused on addressing disparities in telehealth use.
我们举办了一次全国性共识会议，邀请了不同的利益相关者群体，以制定一个以患者为中心的研究议程，重点是减少远程医疗使用方面的差距。
有目的地邀请与会者参加为期两天的虚拟会议。该小组制定了一个优先研究议程，重点是减少远程医疗采用方面的差距，并参考了范围综述的结果进行讨论。所有工作均与远程医疗和以患者为中心的护理方面的国家专家指导委员会（n = 5）以及具有远程医疗使用经验和障碍的社区远程医疗咨询委员会（n = 8）合作开展。
60人参加了会议，讨论产生了一份包含20个问题的最终清单。52名与会者对这些问题的最终优先级进行了投票。汇总了所有选民（n = 52）和仅患者选民（n = 8）的投票结果。两组确定的首要问题都集中在患者和家庭对远程医疗使用重要障碍的看法上。全体投票者确定远程医疗对患者结局的影响是其次重要的问题，而仅患者组则将与信任相关的考虑因素以及影响远程医疗使用的文化因素列为其次的优先事项。
该项目广泛地让患者和利益相关者参与进来。虽然仅患者组和全体会议与会者之间的投票存在差异，但确定的首要优先事项包括患者和家庭对远程医疗重要障碍的看法、远程医疗的信任和文化障碍及促进因素，以及对远程医疗对患者结局影响的评估。该研究议程可为未来旨在解决远程医疗使用差距的研究设计提供参考依据。
