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萨斯喀彻温省的虚拟医疗服务:多利益相关者对实施、适宜性及评估的看法。

Virtual care delivery in Saskatchewan: Multi-stakeholder perspectives on implementation, appropriateness, and evaluation.

作者信息

Durr Sarah-Marie, Alras Abd, Lovo Stacey, Dani Hamza, McIntyre Laureen, Zarzeczny Amy, Babyn Paul, Adams Scott J, Mendez Ivar

机构信息

University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Virtual Health Hub, Saskatoon, Saskatchewan, Canada.

出版信息

Healthc Manage Forum. 2025 Jun 18;38(5):8404704251348858. doi: 10.1177/08404704251348858.

DOI:10.1177/08404704251348858
PMID:40534216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12329148/
Abstract

The purpose of this study was to provide an update on patients', clinicians', and health administrators' experiences and perspectives on opportunities, barriers, and priorities for virtual care to inform health policy and planning as virtual care programs continue to mature and develop. Three surveys were developed and distributed in Saskatchewan, Canada. Quantitative data were analyzed using descriptive statistics and chi-squared tests, and free-text responses were analyzed using thematic analysis. Chronic disease management and mental health disorders were identified as highly suitable for virtual care. Health administrators underscored cost savings and improved patient access as key advantages, though they lacked consistent frameworks to assess virtual care effectiveness. Key barriers included digital literacy, technology constraints, and compensation models not aligned with virtual service provision. Participants called for greater infrastructure investment, technical support, and integrated electronic platforms. These insights may inform policy and practice to strengthen virtual health delivery and support health equity.

摘要

本研究的目的是,随着虚拟护理项目不断成熟和发展,提供关于患者、临床医生以及卫生管理人员在虚拟护理的机遇、障碍和优先事项方面的最新经验和观点,以为卫生政策和规划提供信息。在加拿大萨斯喀彻温省开展并分发了三项调查。使用描述性统计和卡方检验分析定量数据,并使用主题分析方法分析自由文本回复。慢性病管理和精神健康障碍被确定为非常适合虚拟护理。卫生管理人员强调成本节约和改善患者就医机会是关键优势,不过他们缺乏评估虚拟护理有效性的统一框架。主要障碍包括数字素养、技术限制以及与虚拟服务提供不一致的薪酬模式。参与者呼吁加大基础设施投资、提供技术支持并建立集成电子平台。这些见解可能为政策和实践提供信息,以加强虚拟医疗服务并支持卫生公平。

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本文引用的文献

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From 0-50 in Pandemic, and Then Back? A Case Study of Virtual Care in Ontario Pre-COVID-19, During, and Post-COVID-19.从大流行期间的0到50,然后回归?安大略省在新冠疫情前、疫情期间及疫情后的虚拟医疗案例研究
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BMC Health Serv Res. 2023 Jun 3;23(1):573. doi: 10.1186/s12913-023-09599-x.
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Has Virtual Care Arrived? A Survey of Rural Canadian Providers During the Early Stages of the COVID-19 Pandemic.虚拟医疗来了吗?对加拿大农村医疗服务提供者在新冠疫情早期阶段的一项调查。
Health Serv Insights. 2022 May 17;15:11786329221096033. doi: 10.1177/11786329221096033. eCollection 2022.
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Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease.为患有心血管疾病的加拿大农村居民提供的数字技术虚拟护理。
CJC Open. 2021 Dec 23;4(2):133-147. doi: 10.1016/j.cjco.2021.09.027. eCollection 2022 Feb.
8
Are we there yet? Unbundling the potential adoption and integration of telemedicine to improve virtual healthcare services in African health systems.我们到了吗?剖析远程医疗在非洲卫生系统中潜在的采用与整合情况,以改善虚拟医疗服务
Sens Int. 2022;3:100152. doi: 10.1016/j.sintl.2021.100152. Epub 2021 Dec 7.
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The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic.在 SARS-CoV-2 大流行期间外科手术中的远程医疗和电子健康的发展。
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Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada.加拿大安大略省在2019冠状病毒病疫情早期期间门诊和虚拟初级保健的转变。
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