Reid Carol Joy, Church Catherine
Rural Health Academic Network, University Department of Rural Health, University of Melbourne, Shepparton, VIC, Australia.
NCN Health (Nathalia, Cobram, Numurkah), Numurkah, VIC, Australia.
J Patient Exp. 2025 Jan 7;12:23743735241311716. doi: 10.1177/23743735241311716. eCollection 2025.
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.
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。