Rapid conversion to virtual obesity care in COVID-19: Impact on patient care, interdisciplinary collaboration, and training.

Rapid conversion to virtual obesity care in COVID-19: Impact on patient care, interdisciplinary collaboration, and training.
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DOI:
10.1002/osp4.550
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发表时间:
2022-03
影响因子:
2.2
通讯作者:
Breland JY
Breland JY
中科院分区:
其他
文献类型:
--
作者:
Lohnberg JA;Salcido L;Frayne S;Mahtani N;Bates C;Hauser ME;Breland JY

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2019冠状病毒病大流行对保持跨学科合作提出了挑战,同时将护理过渡到远程医疗环境。本文描述了一个密集的体重管理诊所如何从面对面快速过渡到远程健康环境。作为项目评估项目,每周跟踪临床程序的变更。于2020年5月1日至2020年7月31日期间,患者于诊所预约后获邀完成电话调查。该调查包括12个项目,评分为5分制(“强烈不同意”到“强烈同意”)。调整包括将团队会议和临床培训转换为电话/视频平台,并将复杂的患者跟踪系统转换为交互式虚拟格式。58名患者完成了电话调查(81%的应答率)。所有人都“同意”或“非常同意”他们对远程医疗保健感到满意; 51%的人“同意”或“非常同意”电话访问与亲自访问一样好; 53%的人甚至在大流行限制放松后也更喜欢电话预约。在国家综合保健系统的基础设施和资源的支持下,迅速过渡到远程保健诊所是可行的。患者偏好包括远程医疗和面对面服务。即使在COVID-19大流行之后,保持跨学科合作和培训的混合远程医疗/面对面模式也是必要的。
The COVID‐19 pandemic presents challenges to maintaining interdisciplinary collaboration while transitioning care to telehealth environments. This paper describes how an intensive weight management clinic rapidly transitioned from in‐person only to a telehealth environment. As a program evaluation project, changes to clinic procedures were tracked on a weekly basis. Patients were invited to complete phone surveys after clinic appointments from 1 May 2020 to 31 July 2020. The survey included 12 items rated on a 5‐point scale (“strongly disagree” to “strongly agree”). Adaptations included converting team meetings and clinical training to phone/video platforms and transferring a complex patient tracking system to an interactive virtual format. Fifty‐eight patients completed phone surveys (81% response rate). All “agreed” or “strongly agreed” that they were satisfied with telehealth care; 51% “agreed” or “strongly agreed” that telephone visits were as good as in‐person visits; and 53% preferred phone appointments even after pandemic restrictions are eased. It is feasible to rapidly transition to a telehealth clinic when supported by infrastructure and resources of a national, integrated healthcare system. Patient preferences include access to both telehealth and in‐person services. A blended telehealth/in‐person model that maintains interdisciplinary collaboration and training is necessary even after the COVID‐19 pandemic.
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