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针对执业临床医生的远程医疗公平性与获取沟通技能试点模拟

Telehealth equity and access communication skills pilot simulation for practicing clinicians.

作者信息

Nash Christopher J, Farrell Susan E, Carreras Tartak Jossie A, Wagner Alexei, Brandt Lea C, Hayden Emily M

机构信息

Department of Emergency Medicine, Duke University Hospital, Durham, North Carolina, United States of America.

Harvard Medical School, Boston, Massachusetts, United States of America.

出版信息

PLoS One. 2025 Jan 6;20(1):e0302804. doi: 10.1371/journal.pone.0302804. eCollection 2025.

Abstract

OBJECTIVES

This pilot study evaluated a telehealth training simulation program for practicing clinicians, specifically focused on addressing patient issues of equity and access to healthcare via improving telehealth communication.

METHODS

Participants participated in a one-hour simulation experience with two cases. Performance was assessed pre- and post-intervention using a checklist measuring communication domains related to equity and access in telehealth. Participant satisfaction was secondarily measured via survey.

RESULTS

Results showed measurable gains in clinicians' abilities to effectively incorporate equity and access communication skills. Participants found the session useful and recommended the training experience.

CONCLUSIONS

The findings of this pilot study highlight the potential of simulation-based telehealth training for practicing clinicians, emphasizing clinicians' attention to patients' equitable access to healthcare. Future studies should aim to explore the durability of learning and investigate the generalizability of this training approach to other telehealth competencies and settings.

摘要

目的

这项试点研究评估了一个针对执业临床医生的远程医疗培训模拟项目,特别侧重于通过改善远程医疗沟通来解决患者的公平性和医疗服务可及性问题。

方法

参与者参与了一个包含两个案例的一小时模拟体验。在干预前后,使用一份测量与远程医疗中的公平性和可及性相关沟通领域的清单对表现进行评估。其次,通过调查来衡量参与者的满意度。

结果

结果显示,临床医生有效融入公平性和可及性沟通技巧的能力有了可衡量的提高。参与者认为该课程有用,并推荐了这种培训体验。

结论

这项试点研究的结果凸显了基于模拟的远程医疗培训对执业临床医生的潜力,强调了临床医生对患者公平获得医疗服务的关注。未来的研究应旨在探索学习的持续性,并研究这种培训方法对其他远程医疗能力和环境的可推广性。

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Development and Validation of Telehealth Competency Questionnaire-Provider.远程医疗能力问卷-提供者的开发与验证
Telemed J E Health. 2024 Jun;30(6):e1713-e1718. doi: 10.1089/tmj.2023.0472. Epub 2024 Feb 5.
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Telehealth Competencies: Training Physicians for a New Reality?远程医疗能力:为新现实培训医生?
Healthcare (Basel). 2023 Dec 31;12(1):93. doi: 10.3390/healthcare12010093.

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