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虚拟医院与患者体验:一项混合方法观察性研究方案。

Virtual Hospitals and Patient Experience: Protocol for a Mixed Methods Observational Study.

机构信息

Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

RPA Virtual Hospital (rpavirtual), Sydney Local Health District, Sydney, Australia.

出版信息

JMIR Res Protoc. 2024 Oct 29;13:e58683. doi: 10.2196/58683.

DOI:10.2196/58683
PMID:39471375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11558216/
Abstract

BACKGROUND

Virtual care is increasingly incorporated within routine health care settings to improve patient experience and access to care. A patient's experience encompasses all the interactions an individual has with the health care system. This includes a greater emphasis on actively involving carers in the decisions and activities surrounding a patient's health care.

OBJECTIVE

This study aimed to investigate the variety of health care delivery challenges encountered in a virtual hospital and explore potential ways to improve the patient experience.

METHODS

Focusing on acute respiratory, this protocol outlines a mixed methods study exploring the patient experience of a virtual hospital in Australia, Royal Prince Alfred Virtual Hospital (rpavirtual). We will use an exploratory mixed methods approach comprising of secondary data analysis, observations, interviews, and co-design focus groups. Participants will include patients, their carers, and health care workers who are involved in the acute respiratory virtual hospital model of care. Together, the data will be triangulated to explore views and experiences of using this model of care, as well as co-designing recommendations for further improvement.

RESULTS

Findings from this study will identify current barriers and facilitators to implementing virtual care, such as work-as-done versus work-as-imagined, equity of care, the role of carers, and patient safety during virtual care. As of August 2024, a total of 25 participants have been interviewed.

CONCLUSIONS

This protocol outlines a mixed methods case study on the acute respiratory model of care from Australia's first virtual hospital, rpavirtual. This study will collect the experiences of patients, carers, and health care workers to co-design a series of recommendations to improve the patient experience.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/58683.

摘要

背景

虚拟护理越来越多地融入常规医疗保健环境中,以改善患者体验和获得医疗服务的机会。患者体验涵盖了个人与医疗保健系统的所有互动。这包括更加注重让护理人员积极参与患者医疗保健相关决策和活动。

目的

本研究旨在调查虚拟医院中遇到的各种医疗服务提供挑战,并探讨改善患者体验的潜在方法。

方法

本研究采用混合方法,重点关注急性呼吸,旨在探索澳大利亚皇家阿尔弗雷德王子虚拟医院(rpavirtual)中虚拟医院的患者体验。我们将使用探索性混合方法,包括二次数据分析、观察、访谈和共同设计焦点小组。参与者将包括患者、他们的护理人员以及参与急性呼吸虚拟医院护理模式的医疗保健工作者。这些数据将进行三角测量,以探索使用这种护理模式的观点和体验,并共同设计进一步改进的建议。

结果

这项研究的结果将确定实施虚拟护理的当前障碍和促进因素,例如实际工作与想象工作、护理公平性、护理人员的角色以及虚拟护理期间的患者安全。截至 2024 年 8 月,共访谈了 25 名参与者。

结论

本方案概述了澳大利亚第一家虚拟医院 rpavirtual 的急性呼吸护理模式的混合方法案例研究。这项研究将收集患者、护理人员和医疗保健工作者的经验,共同设计一系列建议,以改善患者体验。

国际注册报告标识符(IRRID):DERR1-10.2196/58683.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7819/11558216/6986cfac13cd/resprot_v13i1e58683_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7819/11558216/6986cfac13cd/resprot_v13i1e58683_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7819/11558216/6986cfac13cd/resprot_v13i1e58683_fig1.jpg

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