Virtual care is a double-edged sword: Adjusting preventive care service delivery in community health clinics during COVID-19.

IF 1.1 Q4 PRIMARY HEALTH CARE
Dea Papajorgji-Taylor, Christina R Sheppler, Carmit McMullen, Patrick J O'Connor, Rachel Gold
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引用次数: 0

Abstract

Purpose: Qualitatively examine how community health clinics delivered cardiovascular disease (CVD) preventive care during COVID-19 using virtual care and related adaptations.

Methods: Semi-structured interviews were conducted in 2021-2022 with nine clinician leaders from four clinics across the country that share an electronic health record. Interviews covered: (1) the pandemic's impact on preventive care delivery, (2) the adaptation and role of virtual care, and (3) management of CVD risk in this context. Collected data were analyzed using a thematic analysis approach.

Results: Staff reported substantial pros and cons to virtual care for CVD risk management. It was seen as useful for general check-ins with patients. However, without current laboratory results and vital measurements, providers found it challenging to assess patient CVD risk and direct care accordingly.

Conclusion: Findings add to the evolving evidence base that the necessary pivot to virtual care during the pandemic spurred innovations but also created limitations and delays in delivering appropriate preventive care.

虚拟医疗是把双刃剑:在 COVID-19 期间调整社区卫生诊所提供的预防性医疗服务。
目的定性研究社区卫生诊所在 COVID-19 期间如何利用虚拟医疗和相关调整提供心血管疾病(CVD)预防医疗服务:方法:2021-2022 年,对来自全国共用电子健康记录的四家诊所的九位临床医师领导进行了半结构化访谈。访谈内容包括:(1) 大流行对预防性医疗服务的影响,(2) 虚拟医疗的适应性和作用,以及 (3) 在此背景下的心血管疾病风险管理。收集到的数据采用主题分析法进行了分析:结果:工作人员报告了虚拟医疗在心血管疾病风险管理方面的利弊。他们认为虚拟医疗对病人的一般检查很有用。然而,由于没有当前的实验室结果和生命体征测量结果,医疗服务提供者发现评估患者心血管疾病风险和指导相应护理具有挑战性:研究结果为不断发展的证据基础增添了新的内容,即在大流行病期间向虚拟医疗的必要转变刺激了创新,但也在提供适当的预防性医疗方面造成了限制和延误。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
7.10%
发文量
884
审稿时长
40 weeks
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