Silver Linings Around the Increased Use of Telehealth After the Emergence of COVID-19: Perspectives From Primary Care Physicians.
Silver Linings Around the Increased Use of Telehealth After the Emergence of COVID-19: Perspectives From Primary Care Physicians.
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DOI：
10.1177/21501319221099485
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发表时间：
2022-01
影响因子：
3.6
通讯作者：
DePuccio, Matthew J.
中科院分区：
文献类型：
--
作者：
McAlearney, Ann Scheck;Gaughan, Alice A.;Shiu-Yee, Karen;DePuccio, Matthew J.
随着 COVID-19 的出现，从面对面护理到广泛使用远程医疗的转变给初级保健提供者 (PCP) 带来了许多明确的挑战。本研究的目的是加深对远程医疗使用的增加如何对 PCP 产生积极影响的了解，并特别关注使用远程医疗的任何“一线希望”。我们采访了 2020 年 6 月至 7 月期间在中西部一家大型学术医疗中心工作的 PCP，并询问了他们对大流行期间使用远程医疗的看法。使用演绎主导主题分析对逐字记录进行编码和分析，从而可以对数据进行分类并识别新出现的主题。 PCP 指出使用远程医疗的 3 个主要好处：(1) 证明远程护理是可行的，(2) 患者表达感激之情； (3) 付款人全额报销远程医疗就诊费用。 PCP 还描述了他们认为患者的“一线希望”：(1) 更容易获得护理，(2) 更方便的后续护理，以及 (3) 能够快速获得专业转诊。研究参与者就远程医疗提供一种方便且以患者为中心的面对面护理替代方案的潜力提供了令人鼓舞的反馈。作为一种医疗保健提供模式，远程医疗可以消除许多患者护理的个人和社会障碍，但需要报销平价和更多证据来为初级保健中持续使用远程医疗的最佳实践提供信息。随着远程医疗的持续使用，监测健康结果并考虑如何调整这些方式以减轻潜在的护理差异将非常重要。
With the emergence of COVID-19, the transition from in-person care to widespread use of telehealth raised many well-described challenges for primary care providers (PCP). The purpose of this study was to improve understanding of how this increased use of telehealth impacted PCPs in positive ways, and specifically focus on any “silver linings” of using telehealth. We interviewed PCPs working at a large Midwestern academic medical center between June and July 2020 and asked for perspectives about the use of telehealth during the pandemic. Verbatim transcripts were coded and analyzed using deductive dominant thematic analysis that allowed for categorization of data and identification of emergent themes. PCPs noted 3 main benefits of using telehealth: (1) demonstrated remote care was feasible, (2) patients expressed gratitude; and (3) payers fully reimbursed for telehealth visits. PCPs also described “silver linings” they perceived for patients: (1) easier access to care, (2) more convenient follow-up care, and (3) ability to get quick specialty referrals. Study participants offered encouraging feedback regarding the potential for telehealth to offer a convenient and patient-centric alternative to in-person care. As a healthcare delivery mode, telehealth can remove personal and social barriers to care for many patients, but reimbursement parity and more evidence is needed to inform best practices for ongoing telehealth use in primary care. With the continuing use of telehealth, it will be important to monitor health outcomes as well as consider how these modalities may need to be adapted to mitigate potential care disparities.
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影响因子：
13.8
作者：
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通讯作者：
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通讯作者：
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