连续安排的远程医疗就诊次数与视频使用之间的关联。
Association between the Number of Consecutively Scheduled Telehealth Visits and Video Usage.
作者信息
Katranji Kenan, Bakare Shruti, Cass Sarah Rose, Mirzoyan Helena, Jackson Hannah B, Zhang Christine, Chen Kevin
机构信息
Office of Ambulatory Care and Population Health, New York City Health + Hospitals, New York, New York, USA.
Division of General Internal Medicine and Clinical Innovation, New York University Grossman School of Medicine, New York, New York, USA.
出版信息
Telemed Rep. 2024 Aug 2;5(1):224-228. doi: 10.1089/tmr.2024.0014. eCollection 2024.
BACKGROUND
Schedule design may contribute to successful completion of synchronous telehealth visits by video (versus audio-only). Clustering telehealth visits on schedules may minimize workflow inefficiencies.
METHODS
We analyzed data from 21 primary care sites in an urban public health care system from March 1 to September 30, 2022. We used linear regression to test for associations between the number of consecutive telehealth visits scheduled per clinicians' half-day sessions (1 to 9+) and the proportion of telehealth visits scheduled and, separately, completed as video (versus audio-only).
RESULTS
For each additional consecutive telehealth visit scheduled, there was a 6.85% [95% confidence interval 4.80 - 8.90%] increase in the absolute percentage of visits scheduled as video visits. For each additional consecutive telehealth visit scheduled, there was a 2.88% [0.59 - 5.18%] increase in the absolute percentage of visits completed as video visits.
CONCLUSIONS
Clustered telehealth visits are positively associated with scheduling and completion of telehealth visits by video.
背景
日程安排设计可能有助于通过视频（相对于仅音频）成功完成同步远程医疗就诊。在日程中安排集中的远程医疗就诊可以最大程度地减少工作流程的低效率。
方法
我们分析了2022年3月1日至9月30日期间一个城市公共卫生保健系统中21个初级保健站点的数据。我们使用线性回归来测试每位临床医生半天时段内安排的连续远程医疗就诊次数（1至9次以上）与安排的远程医疗就诊比例之间的关联，并分别测试以视频形式（相对于仅音频）完成的远程医疗就诊比例。
结果
每额外安排一次连续的远程医疗就诊，安排为视频就诊的绝对百分比就增加6.85%[95%置信区间4.80 - 8.90%]。每额外安排一次连续的远程医疗就诊，以视频就诊形式完成的就诊绝对百分比就增加2.88%[0.59 - 5.18%]。
结论
集中安排的远程医疗就诊与通过视频进行远程医疗就诊的安排和完成呈正相关。
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