在新冠疫情期间调整社区卫生诊所的预防性医疗服务提供方式
: Adjusting preventive care service delivery in community health clinics during COVID-19.
作者信息
Papajorgji-Taylor Dea, Sheppler Christina R, McMullen Carmit, O'Connor Patrick J, Gold Rachel
机构信息
Center for Health Research, Kaiser Permanente Northwest, Portland, OR, US.
HealthPartners Institute, Bloomington, MN, United States.
出版信息
J Family Med Prim Care. 2024 Sep;13(9):3792-3797. doi: 10.4103/jfmpc.jfmpc_1971_23. Epub 2024 Sep 11.
PURPOSE
Qualitatively examine how community health clinics delivered cardiovascular disease (CVD) preventive care during COVID-19 using virtual care and related adaptations.
METHODS
Semi-structured interviews were conducted in 2021-2022 with nine clinician leaders from four clinics across the country that share an electronic health record. Interviews covered: (1) the pandemic's impact on preventive care delivery, (2) the adaptation and role of virtual care, and (3) management of CVD risk in this context. Collected data were analyzed using a thematic analysis approach.
RESULTS
Staff reported substantial pros and cons to virtual care for CVD risk management. It was seen as useful for general check-ins with patients. However, without current laboratory results and vital measurements, providers found it challenging to assess patient CVD risk and direct care accordingly.
CONCLUSION
Findings add to the evolving evidence base that the necessary pivot to virtual care during the pandemic spurred innovations but also created limitations and delays in delivering appropriate preventive care.
目的
定性研究社区卫生诊所在2019年冠状病毒病（COVID-19）期间如何利用虚拟医疗及相关调整措施提供心血管疾病（CVD）预防护理。
方法
2021年至2022年，对来自全国四家共享电子健康记录的诊所的九名临床医生负责人进行了半结构化访谈。访谈内容包括：（1）疫情对预防护理服务的影响，（2）虚拟医疗的调整及作用，以及（3）在此背景下的心血管疾病风险管理。使用主题分析法对收集到的数据进行分析。
结果
工作人员报告称，虚拟医疗用于心血管疾病风险管理有诸多利弊。它被认为对与患者进行常规检查很有用。然而，由于没有当前的实验室检查结果和生命体征测量数据，医疗服务提供者发现评估患者的心血管疾病风险并据此提供直接护理具有挑战性。
结论
研究结果进一步丰富了不断发展的证据基础，即在疫情期间向虚拟医疗的必要转变激发了创新，但也在提供适当的预防护理方面造成了限制和延误。
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