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Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students.COVID-19 大流行期间医学生对在线教学的看法:对 2721 名英国医学生的全国横断面调查。
BMJ Open. 2020 Nov 5;10(11):e042378. doi: 10.1136/bmjopen-2020-042378.
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Effectiveness of Virtual Medical Teaching During the COVID-19 Crisis: Systematic Review.COVID-19疫情期间虚拟医学教学的有效性:系统评价
JMIR Med Educ. 2020 Nov 18;6(2):e20963. doi: 10.2196/20963.
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Group teletherapy for first-episode psychosis: Piloting its integration with coordinated specialty care during the COVID-19 pandemic.新冠肺炎大流行期间首发精神病的团体心理治疗:试行将其与协调的专业护理整合。
Psychol Psychother. 2021 Jun;94(2):382-389. doi: 10.1111/papt.12310. Epub 2020 Oct 20.
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Virtual health care in the era of COVID-19.新冠疫情时代的虚拟医疗保健
Lancet. 2020 Apr 11;395(10231):1180-1181. doi: 10.1016/S0140-6736(20)30818-7.
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Clinicians are leading service reconfiguration to cope with covid-19.临床医生正在引领服务重新配置以应对新冠疫情。
BMJ. 2020 Apr 9;369:m1444. doi: 10.1136/bmj.m1444.
6
Covid-19 and Health Care's Digital Revolution.新冠疫情与医疗保健的数字革命
N Engl J Med. 2020 Jun 4;382(23):e82. doi: 10.1056/NEJMp2005835. Epub 2020 Apr 2.
7
Covid-19: a remote assessment in primary care.新冠肺炎:基层医疗中的远程评估
BMJ. 2020 Mar 25;368:m1182. doi: 10.1136/bmj.m1182.
8
Telemedicine 2020 and the next decade.2020年及未来十年的远程医疗。
Lancet. 2020 Mar 14;395(10227):859. doi: 10.1016/S0140-6736(20)30424-4.
9
Video consultations for covid-19.针对新冠肺炎的视频问诊
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Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomised controlled trial.由卫生工作者提供的可扩展的基于群组的教育和监测计划对改善印度农村地区高血压控制的效果:一项群组随机对照试验。
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在新冠疫情期间,虚拟小组会诊在全球范围内提供持续护理。

Virtual group consultations offer continuity of care globally during Covid-19.

作者信息

Birrell Fraser, Lawson Rob, Sumego Marianne, Lewis Jessica, Harden Angela, Taveira Tracey, Stevens John, Manson Alison, Pepper Linda, Ickovics Jeannette

机构信息

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.

出版信息

Lifestyle Med (Hoboken). 2020 Oct;1(2):e17. doi: 10.1002/lim2.17. Epub 2020 Dec 20.

DOI:10.1002/lim2.17
PMID:38607797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7883187/
Abstract

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.

摘要

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。