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远程家访:探索健康与社会照护环境中远程家访的概念及应用

Remote home visits: Exploring the concept and applications of remote home visits within health and social care settings.

作者信息

Jones Natalie Louise, Read Jennifer, Field Becky, Fegan Colette, Simpson Emma, Revitt Claire, Lanfranchi Vita, Ciranvenga Fabio

机构信息

Sheffield Teaching Hospitals NHS Foundations Trust, UK.

ScHARR, University of Sheffield, Faculty of medicine, dentistry and health, UK.

出版信息

Br J Occup Ther. 2022 Jan;85(1):50-61. doi: 10.1177/03080226211000265. Epub 2021 Jun 5.

Abstract

INTRODUCTION

This study consulted intended users and adopters of technology about a remote home visit application called Virtual Visit Approach. Participants were shown a video of a 'mock' remote home visit and asked to discuss the potential benefits, barriers and uses they could envisage.

METHODS

Purposive sampling brought together stakeholders, patients and public representatives to capture thoughts, feelings and views in co-design workshops. Primary qualitative data were collected in real time. Post workshop, they were analysed and categorised into key themes and subthemes.

FINDINGS

The opportunity to conduct remote home visits was regarded as a positive adjunct to usual practice. However, concerns about the quality of remote assessments were expressed by participants in the workshops.

CONCLUSION

The NHS response to COVID-19 sparked a national roll out of the use of video conferencing technology. The opportunity to access technology to conduct remote visits and consultations, has instigated a seismic change in the way healthcare is delivered now and for the future. However, there is much we do not yet know about the impact on the intended adopters and users of remote visits and consultations. This study demonstrated the importance of involving intended adopters and users in the co-design of technology to explore potential benefits, barriers and uses providing valuable insights to inform future design and development.

摘要

引言

本研究就一款名为“虚拟家访方法”的远程家访应用程序咨询了技术的潜在用户和采用者。向参与者展示了一段“模拟”远程家访的视频,并要求他们讨论可能的益处、障碍以及他们能设想的用途。

方法

采用目的抽样法,将利益相关者、患者和公众代表聚集在一起,在协同设计研讨会上捕捉他们的想法、感受和观点。主要定性数据实时收集。研讨会结束后,对数据进行分析并归类为关键主题和子主题。

结果

进行远程家访的机会被视为常规医疗的一项积极补充。然而,研讨会上的参与者对远程评估的质量表示担忧。

结论

英国国民医疗服务体系(NHS)对新冠疫情的应对举措促使视频会议技术在全国范围内推广使用。获取技术以进行远程家访和会诊的机会,引发了当前及未来医疗服务提供方式的巨大变革。然而,我们对远程家访和会诊对预期采用者及用户的影响仍知之甚少。本研究表明,让预期采用者和用户参与技术的协同设计,以探索潜在益处、障碍及用途,对于为未来的设计和开发提供有价值的见解至关重要。

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