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调查澳大利亚农村地区急性病房试行的一项独特远程医疗服务的住院患者接受度。

Investigating Inpatient Acceptance of a Unique Telemedicine Service Trialled in the Acute Ward in Rural Australia.

作者信息

Reid Carol Joy, Church Catherine

机构信息

Rural Health Academic Network, University Department of Rural Health, University of Melbourne, Shepparton, VIC, Australia.

NCN Health (Nathalia, Cobram, Numurkah), Numurkah, VIC, Australia.

出版信息

J Patient Exp. 2025 Jan 7;12:23743735241311716. doi: 10.1177/23743735241311716. eCollection 2025.

Abstract

This study investigated inpatient acceptance of a unique telemedicine clinical service piloted from December 2022 to June 2025 in 3 rural acute wards in Victoria, Australia. The use of virtual care was complementary to the visiting general practitioner (GP) model common in rural hospitals. The qualitative study employed 3 researcher-designed questions: Did you feel safe using the virtual healthcare doctor?; Did you feel the care you experienced was as it should be? And; If you were offered virtual care again, would you use it? Participants ( = 38) were predominantly over 65 years (95%). Findings describe safe care as being able to understand the virtual doctor, be listened to, and ask questions. Participants affirmed that the care experienced was helpful due to prompt in-hospital clinical interventions organized by the virtual weekend coverage. Most were first-time users of virtual care and recognized that rural doctors need a break. Barriers to acceptance of the service were concerns about the loss of in-person visits with their local doctor and that virtual care could replace local GPs.

摘要

本研究调查了澳大利亚维多利亚州3个农村急症病房于2022年12月至2025年6月试行的一项独特远程医疗临床服务的住院患者接受情况。虚拟护理的使用是对农村医院常见的上门全科医生(GP)模式的补充。这项定性研究采用了3个由研究人员设计的问题:你使用虚拟医疗医生时感到安全吗?;你觉得你所接受的护理是应有的吗?以及;如果再次向你提供虚拟护理,你会使用吗?参与者(n = 38)主要为65岁以上(95%)。研究结果表明,安全护理是指能够理解虚拟医生、被倾听并能提问。参与者肯定所接受的护理是有帮助的,因为虚拟周末服务安排了及时的院内临床干预。大多数人是虚拟护理的首次使用者,并认识到农村医生需要休息。接受该服务的障碍包括担心失去与当地医生的面对面就诊机会,以及担心虚拟护理会取代当地的全科医生。

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