Large-Scale Telemedicine Implementation for Outpatient Clinicians: Results From a Pandemic-Adapted Learning Collaborative.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-02-05 DOI:10.1097/JAC.0000000000000491
David Wong, Israel H Cross, Christian B Ramers, Farah Imtiaz, John D Scott, Amanda M Dezan, Amy J Armistad, Marie E Manteuffel, Dennis Wagner, Richard C Hunt, William L England, Mei Wa Kwong, Raynald A Dizon, Vanessa Lamers, Ilya Plotkin, B Tilman Jolly, Walter Jones, Darin D Daly, Megan Yeager, Jinean A Riley, Elizabeth A Krupinski, Andrew P Solomon, Katharine H Wibberly, Bruce B Struminger
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引用次数: 0

Abstract

Learning collaboratives are seldom used outside of health care quality improvement. We describe a condensed, 10-week learning collaborative ("Telemedicine Hack") that facilitated telemedicine implementation for outpatient clinicians early in the COVID-19 pandemic. Live attendance averaged 1688 participants per session. Of 1005 baseline survey respondents, 57% were clinicians with one-third identifying as from a racial/ethnic minoritized group. Practice characteristics included primary care (71%), rural settings (51%), and community health centers (28%). Of three surveys, a high of 438 (81%) of 540 clinicians had billed ≥1 video-based telemedicine visit. Our learning collaborative "sprint" is a promising model for scaling knowledge during emergencies and addressing health inequities.

针对门诊临床医生的大规模远程医疗实施:大流行病适应性学习合作的成果。
学习合作很少用于医疗质量改进以外的领域。我们介绍了在 COVID-19 大流行初期为门诊临床医生开展的为期 10 周的紧凑型学习合作("远程医疗黑客")。每次会议平均有 1688 人参加。在 1005 名基线调查受访者中,57% 是临床医生,其中三分之一自称来自少数种族/族裔群体。实践特点包括初级保健(71%)、农村环境(51%)和社区卫生中心(28%)。在三项调查中,540 名临床医生中有 438 人(81%)开具过≥1 次基于视频的远程医疗账单。我们的学习合作 "冲刺 "是在紧急情况下推广知识和解决健康不平等问题的一个很有前途的模式。
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来源期刊
JOURNAL OF AMBULATORY CARE MANAGEMENT
JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.10
自引率
4.30%
发文量
65
期刊介绍: The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.
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