Patricia Tum MSc, Fez Awan, Jyoti Baharani MD, Emma Coyne ClinPsyD, Gavin Dreyer MD, Catriona Ewart MSc, Chipiliro Kalebe-Nyamomgo PhD, Udita Mitra MSc, Martin Wilkie MD, Nicola Thomas PhD
{"title":"充分利用远程医疗：共同开发工具包，改善为服务不足群体提供的远程肾脏护理预约服务。","authors":"Patricia Tum MSc, Fez Awan, Jyoti Baharani MD, Emma Coyne ClinPsyD, Gavin Dreyer MD, Catriona Ewart MSc, Chipiliro Kalebe-Nyamomgo PhD, Udita Mitra MSc, Martin Wilkie MD, Nicola Thomas PhD","doi":"10.1111/jorc.12504","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Telephone and video appointments are still common post-pandemic, with an estimated 25%–50% of kidney appointments in the United Kingdom still conducted remotely. This is important as remote consultations may exacerbate pre-existing inequalities in those from underserved groups. Those from underserved groups are often not represented in health research and include those with learning disability, mental health needs, hearing/sight problems, young/older people, those from ethnic minority groups.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>The aim was to develop a Toolkit to improve the quality of remote kidney care appointments for people from different underserved groups.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A parallel mixed methods approach with semistructured interviews/focus groups and survey. We also conducted workshops to develop and validate the Toolkit.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Seventy-five renal staff members completed the survey and 21 patients participated in the interviews and focus groups. Patients (<i>n</i> = 11) and staff (<i>n</i> = 10) took part in the Toolkit development workshop, and patients (<i>n</i> = 13) took part in the Toolkit validation workshop.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Four themes from interviews/focus groups suggested areas in which remote appointments could be improved. Themes were quality of appointment, patient empowerment, patient–practitioner relationship and unique needs for underserved groups. Staff reported difficulty building rapport, confidentiality issues, confidence about diagnosis/advice given, technical difficulties and shared decision making.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This study is the first to explore experiences of remote appointments among both staff and those from underserved groups living with kidney disease in the United Kingdom. While remote appointments can be beneficial, our findings indicate that remote consultations need optimisation to meet the needs of patients. The project findings informed the development of a Toolkit which will be widely promoted and accessible in the United Kingdom during 2024.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"50 4","pages":"413-425"},"PeriodicalIF":1.5000,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12504","citationCount":"0","resultStr":"{\"title\":\"Getting the most out of remote care: Co-developing a Toolkit to improve the delivery of remote kidney care appointments for underserved groups\",\"authors\":\"Patricia Tum MSc, Fez Awan, Jyoti Baharani MD, Emma Coyne ClinPsyD, Gavin Dreyer MD, Catriona Ewart MSc, Chipiliro Kalebe-Nyamomgo PhD, Udita Mitra MSc, Martin Wilkie MD, Nicola Thomas PhD\",\"doi\":\"10.1111/jorc.12504\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Telephone and video appointments are still common post-pandemic, with an estimated 25%–50% of kidney appointments in the United Kingdom still conducted remotely. 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Getting the most out of remote care: Co-developing a Toolkit to improve the delivery of remote kidney care appointments for underserved groups
Background
Telephone and video appointments are still common post-pandemic, with an estimated 25%–50% of kidney appointments in the United Kingdom still conducted remotely. This is important as remote consultations may exacerbate pre-existing inequalities in those from underserved groups. Those from underserved groups are often not represented in health research and include those with learning disability, mental health needs, hearing/sight problems, young/older people, those from ethnic minority groups.
Objectives
The aim was to develop a Toolkit to improve the quality of remote kidney care appointments for people from different underserved groups.
Design
A parallel mixed methods approach with semistructured interviews/focus groups and survey. We also conducted workshops to develop and validate the Toolkit.
Participants
Seventy-five renal staff members completed the survey and 21 patients participated in the interviews and focus groups. Patients (n = 11) and staff (n = 10) took part in the Toolkit development workshop, and patients (n = 13) took part in the Toolkit validation workshop.
Results
Four themes from interviews/focus groups suggested areas in which remote appointments could be improved. Themes were quality of appointment, patient empowerment, patient–practitioner relationship and unique needs for underserved groups. Staff reported difficulty building rapport, confidentiality issues, confidence about diagnosis/advice given, technical difficulties and shared decision making.
Conclusion
This study is the first to explore experiences of remote appointments among both staff and those from underserved groups living with kidney disease in the United Kingdom. While remote appointments can be beneficial, our findings indicate that remote consultations need optimisation to meet the needs of patients. The project findings informed the development of a Toolkit which will be widely promoted and accessible in the United Kingdom during 2024.
期刊介绍：
The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given.
The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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