卫生保健人员在农村初级卫生保健中使用视频咨询的经验

Annette M. Johansson, I. Lindberg, S. Söderberg
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引用次数: 31

摘要

背景:生活在农村地区的患者往往需要长途跋涉才能获得专科护理。为了增加获得专科护理的机会,在初级保健和专科护理的病人之间进行了视频咨询。为了开发和充分利用这种新方法,了解医护人员对这种干预的经验是很重要的。目的本研究的目的是描述卫生保健人员在他们的初级卫生保健工作中使用视频咨询的经验。方法采用混合方法设计,采用定性和定量分析相结合的方法对资料进行分析。与8名全科医生和1名地区护士进行了访谈,他们都与一名患者和一名专科医生或一名心脏专科护士进行了视频咨询。每次视频咨询后,参与者都要完成一份咨询报告/问卷。结果医护人员认为视频会诊为患者提供更快的专科护理,并在自己的初级卫生保健中心进行视频会诊时提高了安全性。他们认为视频咨询是提供教育和患者提问的机会。结论视频会诊是医护人员满意的会诊工具,是一种新的、有用的会诊手段,尤其对地区护士而言。此外,视频咨询是医护人员学习的机会。然而,要使它成为一种被接受的方法,该技术必须运行良好并且用户友好。还必须清楚的是,这对患者和医护人员都是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare personnel’s experiences using video consultation in primary healthcare in rural areas
Background Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel’s experiences with this intervention. Objective The aim of this study was to describe healthcare personnel’s experiences using video consultation in their work in primary healthcare. Method A mixed methods design was used, and the data were analysed using qualitative and quantitative analysis methods. Interviews were conducted with eight general practitioners and one district nurse, all of whom had conducted a video consultation with a patient and a specialist physician or a cardiac specialist nurse. After each video consultation, the participants completed a consultation report/questionnaire. Results Healthcare personnel considered video consultation to provide quicker access to specialist care for the patient, and greater security when the video consultation encounter was conducted at their own primary healthcare centre. They considered video consultation an opportunity to provide education and for the patients to ask questions. Conclusion Video consultation is a satisfactory tool for healthcare personnel, and the technology is a new, useful method, especially for the district nurses. Further, video consultation is an opportunity for healthcare personnel to learn. However, for it to work as an accepted method, the technology must function well and be user friendly. It must also be clear that it is beneficial for the patients and the healthcare personnel.
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