加拿大疼痛诊所在COVID-19期间向虚拟护理服务过渡:调查和未来建议

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Victoria Borg Debono, Samuel Neumark, Norman Buckley, Ramesh Zacharias, Eleni Hapidou, Jennifer Anthonypillai, Susy Faria, Carrie-Lynn Meyer, Thomas Carter, Nadia Parker, Brenda Lau, Emmanuel Abreu, Scott Duggan, Etienne Bisson, Josie Pierre, Regina Visca, Patricia Poulin
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引用次数: 2

摘要

导言:由于COVID-19大流行,医疗保健中心迅速将服务调整为虚拟格式。加拿大的疼痛诊所在帮助疼痛患者方面发挥着至关重要的作用,在整个大流行期间,这些诊所仍然是患者的基本服务。本研究旨在(1)描述和比较2019冠状病毒病大流行期间加拿大疼痛诊所从面对面到虚拟疼痛护理服务的转变;(2)提供大流行后疼痛护理服务的建议,以优化患者护理质量。材料和方法:我们采用了定性的参与性行动研究设计,包括数据收集的横断面调查和描述性分析来总结研究结果。调查回复是在2021年1月至3月期间收集的。这项调查是在加拿大退伍军人慢性疼痛卓越中心附属的11个成人疼痛诊所的领导团队中进行的。对反馈进行定性分析,以描述疼痛诊所向虚拟疼痛服务的过渡。结果:参与诊所的应答率达到100%。结果集中于描述向虚拟护理的过渡、当前的治疗和服务、护理质量、项目可持续性、维持虚拟服务的障碍和未来的考虑。结论:参与的诊所能够将疼痛护理服务过渡到虚拟格式,并在需要时进行现场护理,并采取适当的安全预防措施。这次大流行表明,疼痛诊所采用虚拟和面对面护理相结合的方式来治疗疼痛患者是可行和可持续的。建议今后,应该有一个虚拟和面对面的治疗疼痛诊所的混合。卫生部应继续制定政策和供资机制,支持旨在全面卫生保健、跨学科团队和扩大诊所的地理覆盖范围以使患者获得服务的创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transition to Virtual Care Services during COVID-19 at Canadian Pain Clinics: Survey and Future Recommendations.

Introduction: Due to the COVID-19 pandemic, healthcare centers quickly adapted services into virtual formats. Pain clinics in Canada play a vital role in helping people living with pain, and these clinics remained essential services for patients throughout the pandemic. This study aimed to (1) describe and compare the transition from in-person to virtual pain care services at Canadian pain clinics during the onset of the COVID-19 pandemic and (2) provide postpandemic recommendations for pain care services to optimize the quality of patient care.

Materials and methods: We used a qualitative participatory action study design that included a cross-sectional survey for data collection and descriptive analysis to summarize the findings. Survey responses were collected between January and March of 2021. The survey was administered to the leadership teams of 11 adult pain clinics affiliated with the Chronic Pain Centre of Excellence for Canadian Veterans. Responses were analyzed qualitatively to describe the transition to the virtual pain services at pain clinics.

Results: We achieved a 100% response rate from participating clinics. The results focus on describing the transition to the virtual care, current treatment and services, the quality of care, program sustainability, barriers to maintaining virtual services, and future considerations.

Conclusions: Participating clinics were capable of transitioning pain care services to the virtual formats and have in-person care when needed with proper safety precautions. The pandemic demonstrated that it is feasible and sustainable for pain clinics to have a hybrid of virtual and in-person care to treat those living with pain. It is recommended that moving forward, there should be a hybrid of both virtual and in-person care for pain clinics. Ministries of Health should continue to develop policies and funding mechanisms that support innovations aimed at holistic healthcare, interdisciplinary teams, and the expansion of clinics' geographical reach for patient access.

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来源期刊
Pain Research & Management
Pain Research & Management CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
0.00%
发文量
109
审稿时长
>12 weeks
期刊介绍: Pain Research and Management is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pain management. The most recent Impact Factor for Pain Research and Management is 1.685 according to the 2015 Journal Citation Reports released by Thomson Reuters in 2016.
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