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医生提供省级实时虚拟支持服务的经验:一项定性访谈研究。

Physicians' experiences delivering provincial real-time virtual support services: A qualitative interview study.

作者信息

Yang Michelle, Stewart Kurtis, Bhullar Amrit, Chi Joanne, Wang Elsie Jiaxi, Samra Ivjot, Ho Kendall, Assali Joan, Han Mina, Novak Lauscher Helen

机构信息

The University of British Columbia Okanagan, Kelowna, British Columbia, Canada.

The University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2025 Sep;38(5):483-489. doi: 10.1177/08404704251351258. Epub 2025 Jul 9.

Abstract

Rural, remote, and Indigenous communities in British Columbia (BC) tend to have lower access to healthcare providers and poorer health outcomes-an inequality that the COVID-19 pandemic has exacerbated. In response, Real-Time Virtual Support (RTVS) pathways were developed to advance equitable access to care for patients and provide peer support to physicians working in underserved communities. This study aimed to describe the perspectives of Virtual Physicians (VPs) who delivered the RTVS services. Forty-five RTVS VPs engaged in 30-minute semi-structured interviews about their experiences and perspectives delivering RTVS. Three themes emerged: (1) RTVS's contributions to VPs' personal and professional development; (2) impacts on communities; and (3) considerations for the availability and expansion. VPs identified incremental expansion and attaining funding stability as critical next steps for virtual healthcare in BC. This evidence informed RTVS program evaluation and may provide learnings relevant to other jurisdictions.

摘要

不列颠哥伦比亚省(BC)的农村、偏远和原住民社区往往获得医疗服务提供者的机会较少,健康状况较差——这种不平等在新冠疫情期间进一步加剧。作为回应,实时虚拟支持(RTVS)途径得以开发,以促进患者公平获得医疗服务,并为在服务不足社区工作的医生提供同伴支持。本研究旨在描述提供RTVS服务的虚拟医生(VPs)的观点。45名RTVS虚拟医生参与了关于他们提供RTVS的经历和观点的30分钟半结构化访谈。出现了三个主题:(1)RTVS对虚拟医生个人和职业发展的贡献;(2)对社区的影响;(3)可用性和扩展的考虑因素。虚拟医生将逐步扩展和实现资金稳定确定为BC省虚拟医疗的关键下一步。这一证据为RTVS项目评估提供了参考,也可能为其他司法管辖区提供借鉴。

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Training for virtual care: What do the experts think?虚拟护理培训:专家们怎么看?
Digit Health. 2023 May 30;9:20552076231179028. doi: 10.1177/20552076231179028. eCollection 2023 Jan-Dec.

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