Physician perspectives of the community paramedicine at clinic (CP@clinic) and my care plan app (myCP app) for older adults

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Pauneez Sadri, Amelia Keenan, Ricardo Angeles, Francine Marzanek, Melissa Pirrie, Gina Agarwal
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引用次数: 0

Abstract

Community Paramedicine (CP) is an emerging model of care addressing health problems through non-emergency services. Little evidence exists examining the integration of an app for improved patient, CP, and family physician (FP) communication. This study investigated FP perspectives on the impact of the Community Paramedicine at Clinic (CP@clinic) program on providing patient care and the feasibility and value of a novel “My Care Plan App” (myCP app). This retrospective mixed-methods study included an online survey and phone interviews to elucidate FPs ' perspectives on the CP@clinic program and the myCP app, respectively, between January 2021 and May 2021. FPs with patients in the CP@clinic program were recruited to participate. Survey responses were summarized using descriptive statistics, and audio recordings from the interviews thematically analyzed. Thirty-eight FPs completed the survey and 10 FPs completed the phone interviews. 60.5% and 52.6% of FPs reported that the CP@clinic program improved their ability to further screen and diagnose patients for hypertension, respectively (in addition to their regular screening practices). The themes that emerged in the phone interviews were grouped into three topics: app benefits, drawbacks, and integration within practice. Overall, FPs described the myCP app as user-friendly and useful to improve interprofessional communication with CPs. CP@clinic helped family physicians to screen and monitor chronic disease. The myCP app can impact health service delivery by closing the gap between primary, community, and emergency care through an eHealth information-sharing platform.
医生对诊所社区辅助医疗(CP@clinic)和针对老年人的 "我的护理计划 "应用程序(myCP 应用程序)的看法
社区辅助医疗(CP)是一种新兴的医疗模式,通过非急诊服务解决健康问题。目前几乎没有证据表明,通过整合应用程序可以改善患者、社区护理人员和家庭医生(FP)之间的沟通。本研究调查了家庭医生对诊所社区辅助医疗(CP@clinic)项目对提供患者护理的影响以及新型 "我的护理计划应用程序"(myCP 应用程序)的可行性和价值的看法。这项回顾性混合方法研究包括在线调查和电话访谈,以阐明在 2021 年 1 月至 2021 年 5 月期间,家庭医生分别对 CP@clinic 计划和 myCP 应用程序的看法。招募了有患者参加 CP@clinic 计划的家庭医生参与调查。我们使用描述性统计方法总结了调查反馈,并对访谈录音进行了专题分析。38 名 FP 完成了调查,10 名 FP 完成了电话访谈。60.5%和52.6%的门诊医生表示,CP@clinic项目分别提高了他们进一步筛查和诊断高血压患者的能力(除常规筛查工作外)。电话访谈中出现的主题被分为三个主题:应用程序的好处、缺点和在实践中的整合。总体而言,家庭医生认为 myCP 应用程序对用户友好,有助于改善与 CP 的跨专业交流。CP@clinic 帮助家庭医生筛查和监测慢性病。myCP 应用程序可通过电子健康信息共享平台缩小初级保健、社区保健和急诊之间的差距,从而影响医疗服务的提供。
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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