在 COVID-19 大流行期间开展医科学生病人外联活动以确保医疗服务的连续性。

Telemedicine reports Pub Date : 2021-02-19 eCollection Date: 2021-01-01 DOI:10.1089/tmr.2020.0030
Annika Belzer, Erin M Yeagle, Lucille K Kohlenberg, Muriel Solberg, Emily Gudbranson, Mariana Budge, Hannah M Batchelor, Sarah E Fitzpatrick, Anna Zhao, V Diego Armengol, Samer F Hassan, May Shum, Margaret Bia, Frank Bia, Nihar R Desai, Peter A Kahn
{"title":"在 COVID-19 大流行期间开展医科学生病人外联活动以确保医疗服务的连续性。","authors":"Annika Belzer, Erin M Yeagle, Lucille K Kohlenberg, Muriel Solberg, Emily Gudbranson, Mariana Budge, Hannah M Batchelor, Sarah E Fitzpatrick, Anna Zhao, V Diego Armengol, Samer F Hassan, May Shum, Margaret Bia, Frank Bia, Nihar R Desai, Peter A Kahn","doi":"10.1089/tmr.2020.0030","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In response to the COVID-19 pandemic, the Yale New Haven Health System began rescheduling nonurgent outpatient appointments as virtual visits in March 2020. While Yale New Haven Health expanded its telemedicine infrastructure to accommodate this shift, many appointments were delayed and patients faced considerable uncertainty.</p><p><strong>Objective: </strong>Medical students created the Medical Student Task Force (MSTF) to help ensure continuity of care by calling patients whose appointments were delayed during this transition to telemedicine.</p><p><strong>Methods: </strong>Eighty-five student volunteers called 3765 internal medicine patients with canceled appointments, completing screening for 2197 patients. Volunteers screened for health care needs, assessed preferences for future appointments, and offered emotional support and information about COVID-19. Urgent or emergent patient concerns were triaged and escalated to providers. In this analysis, we used a mixed-methods approach: call information and provider responses were analyzed quantitatively, and patient feedback was analyzed qualitatively via thematic analysis.</p><p><strong>Results: </strong>Ninety-one percent of patients screened found the MSTF calls helpful. Twenty-one percent of patients reported health concerns, with 1% reporting urgent concerns escalated to and addressed by providers. Themes of patient comments included gratitude for outreach and social contact, utility of calls, and well-wishes for health care workers.</p><p><strong>Conclusions: </strong>By calling patients whose appointments had been canceled during a rapid transition to telemedicine, the MSTF helped bridge a potential gap in care by offering patients communication with their care teams, information, and support. We propose that this model could be used in other care systems urgently transitioning to outpatient telemedicine, whether during ongoing outbreaks of COVID-19 or other public health emergencies.</p>","PeriodicalId":22295,"journal":{"name":"Telemedicine reports","volume":" ","pages":"56-63"},"PeriodicalIF":0.0000,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9049823/pdf/","citationCount":"0","resultStr":"{\"title\":\"Medical Student Patient Outreach to Ensure Continuity of Care During the COVID-19 Pandemic.\",\"authors\":\"Annika Belzer, Erin M Yeagle, Lucille K Kohlenberg, Muriel Solberg, Emily Gudbranson, Mariana Budge, Hannah M Batchelor, Sarah E Fitzpatrick, Anna Zhao, V Diego Armengol, Samer F Hassan, May Shum, Margaret Bia, Frank Bia, Nihar R Desai, Peter A Kahn\",\"doi\":\"10.1089/tmr.2020.0030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In response to the COVID-19 pandemic, the Yale New Haven Health System began rescheduling nonurgent outpatient appointments as virtual visits in March 2020. While Yale New Haven Health expanded its telemedicine infrastructure to accommodate this shift, many appointments were delayed and patients faced considerable uncertainty.</p><p><strong>Objective: </strong>Medical students created the Medical Student Task Force (MSTF) to help ensure continuity of care by calling patients whose appointments were delayed during this transition to telemedicine.</p><p><strong>Methods: </strong>Eighty-five student volunteers called 3765 internal medicine patients with canceled appointments, completing screening for 2197 patients. Volunteers screened for health care needs, assessed preferences for future appointments, and offered emotional support and information about COVID-19. Urgent or emergent patient concerns were triaged and escalated to providers. In this analysis, we used a mixed-methods approach: call information and provider responses were analyzed quantitatively, and patient feedback was analyzed qualitatively via thematic analysis.</p><p><strong>Results: </strong>Ninety-one percent of patients screened found the MSTF calls helpful. Twenty-one percent of patients reported health concerns, with 1% reporting urgent concerns escalated to and addressed by providers. Themes of patient comments included gratitude for outreach and social contact, utility of calls, and well-wishes for health care workers.</p><p><strong>Conclusions: </strong>By calling patients whose appointments had been canceled during a rapid transition to telemedicine, the MSTF helped bridge a potential gap in care by offering patients communication with their care teams, information, and support. We propose that this model could be used in other care systems urgently transitioning to outpatient telemedicine, whether during ongoing outbreaks of COVID-19 or other public health emergencies.</p>\",\"PeriodicalId\":22295,\"journal\":{\"name\":\"Telemedicine reports\",\"volume\":\" \",\"pages\":\"56-63\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-02-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9049823/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Telemedicine reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/tmr.2020.0030\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Telemedicine reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/tmr.2020.0030","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:为应对 COVID-19 大流行,耶鲁纽黑文医疗系统于 2020 年 3 月开始将非急诊门诊预约重新安排为虚拟就诊。虽然耶鲁大学纽黑文医院扩大了远程医疗基础设施以适应这一转变,但许多预约被推迟,患者面临着相当大的不确定性:医科学生成立了医科学生工作组(MSTF),通过致电在向远程医疗过渡期间预约被延迟的患者,帮助确保医疗服务的连续性:85 名学生志愿者给 3765 名取消预约的内科患者打了电话,完成了对 2197 名患者的筛查。志愿者筛查了患者的医疗保健需求,评估了患者对未来预约的偏好,并提供了情感支持和 COVID-19 的相关信息。对患者的紧急或突发问题进行了分流,并将其上报给医疗服务提供者。在本次分析中,我们采用了混合方法:对呼叫信息和医疗服务提供者的回复进行定量分析,并通过主题分析对患者的反馈进行定性分析:结果:在接受筛查的患者中,91% 的人认为 MSTF 电话很有帮助。21%的患者报告了健康问题,1%的患者报告了紧急问题,并由医疗服务提供者进行了处理。患者评论的主题包括对外联和社会接触的感激、电话的实用性以及对医护人员的祝福:在向远程医疗快速过渡的过程中,通过给预约被取消的患者打电话,MSTF 为患者提供了与医疗团队沟通的机会、信息和支持,从而弥补了医疗服务中可能存在的差距。我们建议这种模式可用于其他急需过渡到门诊远程医疗的医疗系统,无论是在 COVID-19 持续爆发期间,还是在其他公共卫生突发事件中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Student Patient Outreach to Ensure Continuity of Care During the COVID-19 Pandemic.

Background: In response to the COVID-19 pandemic, the Yale New Haven Health System began rescheduling nonurgent outpatient appointments as virtual visits in March 2020. While Yale New Haven Health expanded its telemedicine infrastructure to accommodate this shift, many appointments were delayed and patients faced considerable uncertainty.

Objective: Medical students created the Medical Student Task Force (MSTF) to help ensure continuity of care by calling patients whose appointments were delayed during this transition to telemedicine.

Methods: Eighty-five student volunteers called 3765 internal medicine patients with canceled appointments, completing screening for 2197 patients. Volunteers screened for health care needs, assessed preferences for future appointments, and offered emotional support and information about COVID-19. Urgent or emergent patient concerns were triaged and escalated to providers. In this analysis, we used a mixed-methods approach: call information and provider responses were analyzed quantitatively, and patient feedback was analyzed qualitatively via thematic analysis.

Results: Ninety-one percent of patients screened found the MSTF calls helpful. Twenty-one percent of patients reported health concerns, with 1% reporting urgent concerns escalated to and addressed by providers. Themes of patient comments included gratitude for outreach and social contact, utility of calls, and well-wishes for health care workers.

Conclusions: By calling patients whose appointments had been canceled during a rapid transition to telemedicine, the MSTF helped bridge a potential gap in care by offering patients communication with their care teams, information, and support. We propose that this model could be used in other care systems urgently transitioning to outpatient telemedicine, whether during ongoing outbreaks of COVID-19 or other public health emergencies.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信