Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City.
Implementation of Video Visits During COVID-19: Lessons Learned From a Primary Care Practice in New York City.
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DOI：
10.3389/fpubh.2020.00514
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发表时间：
2020
影响因子：
5.2
通讯作者：
Sterling MR
中科院分区：
文献类型：
--
作者：
Sinha S;Kern LM;Gingras LF;Reshetnyak E;Tung J;Pelzman F;McGrath TA;Sterling MR
背景资料：在新型冠状病毒（COVID-19）大流行高峰期，为降低传播风险，对“虚拟就诊”或通过视频界面进行的门诊就诊的需求前所未有。目的：描述在COVID-19疫情中心纽约州纽约的一家大型学术性初级保健诊所实施和评估视频访问计划的情况。设计和参与者：我们纳入了计划于2020年3月16日至2020年4月17日期间就COVID-19和非COVID-19相关投诉进行视频访视的连续成年人（年龄> 18岁）。干预：建立了新的流程，为视频访问的实践和患者做好准备。由主治医师、住院医师和执业护士进行视频访问。主要措施：在RE-AIM框架的指导下，我们评估了视频访问的可及性，有效性，采用和实施。关键结果：在研究期前4周内，完成了12次视频访视。在为期5周的研究期间，我们为817名独特的患者完成了总计1，030次视频访问。在已完成的视频访问中，42%为COVID-19相关症状，其余为其他急性或慢性疾病。年轻人、女性和有商业保险的人完成视频访问的频率高于COVID前亲自访问的人（所有p < 0.0001）。完成视频访视的患者报告满意度较高（5分量表上的平均值为4.6 [SD：0.97]）; 13.3%的患者报告视频访视期间存在技术挑战。结论：在COVID-19大流行期间，视频访视对于为患者提供初级保健是可行的。
Background: During the height of the coronavirus (COVID-19) pandemic, there was an unprecedented demand for “virtual visits,” or ambulatory visits conducted via video interface, in order to decrease the risk of transmission. Objective: To describe the implementation and evaluation of a video visit program at a large, academic primary care practice in New York, NY, the epicenter of the COVID-19 pandemic. Design and participants: We included consecutive adults (age > 18) scheduled for video visits from March 16, 2020 to April 17, 2020 for COVID-19 and non-COVID-19 related complaints. Intervention: New processes were established to prepare the practice and patients for video visits. Video visits were conducted by attendings, residents, and nurse practitioners. Main measures: Guided by the RE-AIM Framework, we evaluated the Reach, Effectiveness, Adoption, and Implementation of video visits. Key results: In the 4 weeks prior to the study period, 12 video visits were completed. During the 5-weeks study period, we completed a total of 1,030 video visits for 817 unique patients. Of the video visits completed, 42% were for COVID-19 related symptoms, and the remainder were for other acute or chronic conditions. Video visits were completed more often among younger adults, women, and those with commercial insurance, compared to those who completed in-person visits pre-COVID (all p < 0.0001). Patients who completed video visits reported high satisfaction (mean 4.6 on a 5-point scale [SD: 0.97]); 13.3% reported technical challenges during video visits. Conclusions: Video visits are feasible for the delivery of primary care for patients during the COVID-19 pandemic.
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影响因子：
12.7
作者：
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通讯作者：
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DOI：
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发表时间：
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影响因子：
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作者：
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通讯作者：
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