Birrell Fraser, Lawson Rob, Sumego Marianne, Lewis Jessica, Harden Angela, Taveira Tracey, Stevens John, Manson Alison, Pepper Linda, Ickovics Jeannette
Medical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing Newcastle University Newcastle upon Tyne UK.
Department of Rheumatology Northumbria Healthcare NHS Foundation Trust Ashington UK.
Lifestyle Med (Hoboken). 2020 Oct;1(2):e17. doi: 10.1002/lim2.17. Epub 2020 Dec 20.
Covid-19 has led to virtual care (mainly telephone consultations) becoming a default worldwide, despite well-documented shortcomings. Published evidence on virtual group consultations is limited, although interest and front-line experience have grown substantially since pandemic onset. Unpublished data are summarised showing feasibility of transitioning care to this model across different countries, care settings and conditions. An international webinar series has supported development and sharing of best practice and representative data on spread and utilisation of virtual groups. This model of care creates time and space for more questions and answers, so once engaged patients become staunch advocates. Group care supports personalised care and lifestyle medicine, which is growing very rapidly. In the current context, even healthcare providers under pressure can implement virtual group consultations. Most virtual group consultations have a facilitator, so this allows roles to be extended and support education of both students and new team members. These can confer greater access, continuity of care, peer support and timely information about Covid-19 and may result in better health outcomes. Given the rapid and widespread implementation of virtual care during this pandemic, data should be shared effectively and methodologically sound observational studies and clinical trials to test safety and effectiveness should be promoted now.
尽管有充分记录的缺点,但新冠疫情已导致虚拟护理(主要是电话咨询)在全球范围内成为默认方式。关于虚拟小组咨询的已发表证据有限,尽管自疫情爆发以来,人们的兴趣和一线经验大幅增加。本文总结了未发表的数据,展示了在不同国家、护理环境和病情下将护理模式转变为此种模式的可行性。一个国际网络研讨会系列支持了关于虚拟小组的传播和利用的最佳实践及代表性数据的开发与分享。这种护理模式为更多的问答创造了时间和空间,因此一旦参与其中,患者就会成为坚定的倡导者。小组护理支持个性化护理和生活方式医学,而后者正在迅速发展。在当前背景下,即使面临压力的医疗保健提供者也可以开展虚拟小组咨询。大多数虚拟小组咨询都有一名协调员,因此这可以扩展职责范围,并支持对学生和新团队成员的培训。这些咨询可以提供更多的医疗服务机会、护理连续性、同伴支持以及关于新冠疫情的及时信息,并可能带来更好的健康结果。鉴于在此次疫情期间虚拟护理的迅速广泛实施,现在应有效共享数据,并推动开展方法合理的观察性研究和临床试验,以测试其安全性和有效性。