The experience of Australian general practice patients at high risk of poor health outcomes with telehealth during the COVID-19 pandemic: a qualitative study.
The experience of Australian general practice patients at high risk of poor health outcomes with telehealth during the COVID-19 pandemic: a qualitative study.
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DOI：
10.1186/s12875-021-01408-w
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发表时间：
2021-04-08
影响因子：
2.9
通讯作者：
Reed RL
中科院分区：
文献类型：
--
作者：
Javanparast S;Roeger L;Kwok Y;Reed RL
COVID-19疫情的出现令人关注全科医疗服务的可及性及使用率可能下降及其对病人护理的影响。于二零二零年三月，澳大利亚政府推出远程医疗服务，以确保较易受COVID-19影响的人士不会延误其全科医生的常规护理。关于患者的远程保健经验及其对患者护理的影响的证据很少。本研究旨在调查澳大利亚全科医生患者在COVID-19大流行期间健康状况不佳的高风险患者的远程医疗体验。对来自大都市阿德莱德9个全科诊所的30名患者进行了半结构化电话采访（2020年5月至6月）。参与者被他们的常规医生确定为健康状况不佳的高风险人群。访谈旨在了解参与者对COVID-19期间全科医疗环境中远程医疗服务的看法和经验，以及在大流行后继续提供远程医疗服务的价值。访谈进行了录音和逐字记录。数据进行了分析，使用的编码结构的基础上推导出的研究问题和任何额外的概念，归纳从采访中出现的代码。与会者对远程保健表示满意，包括方便和及时地获得全科医疗服务。然而，参与者发现了一些挑战，包括难以表达自己和进行体检。更新处方、讨论测试结果和简单的后续行动是使用远程保健的最常见原因。远程保健主要通过电话进行，更适合数字素养低的人。与会者指出，现有的医患关系对于远程保健服务的有效性至关重要。受试者认为远程医疗服务应该继续，但需要在COVID-19疫情结束后与面对面咨询的机会相结合。在COVID-19疫情期间，远程医疗的扩展支持了全科医疗，包括慢性病管理。在未来，澳大利亚的远程保健很可能在初级保健政策和实践中占有更大的地位，并在患者中获得更大的接受度。在线版本包含补充材料，可通过10.1186/s12875-021-01408-w获得。
The emergence of the COVID-19 pandemic has raised concerns about the potential decrease in access and utilisation of general practice services and its impact on patient care. In March 2020, the Australian Government introduced telehealth services to ensure that people more vulnerable to COVID-19 do not delay routine care from their general practitioners. Evidence about patients’ experience of telehealth and its impact on patient care is scarce. This study aimed to investigate the experience with telehealth by Australian general practice patients at high risk of poor health outcomes during the COVID-19 pandemic. Semi-structured telephone interviews were conducted with 30 patients from nine general practices in metropolitan Adelaide (May–June 2020). Participants were identified by their regular doctor as being at high risk of poor health outcomes. Interviews sought participants’ perspectives and experiences about telehealth services in the general practice setting during COVID-19, and the value of offering continued telehealth services post pandemic. Interviews were recorded and transcribed verbatim. Data were analysed using a coding structure developed based on deductive codes derived from the research questions and any additional concepts that emerged inductively from interviews. Participants expressed satisfaction with telehealth including convenient and timely access to general practice services. Yet, participants identified challenges including difficulties in expressing themselves and accessing physical exams. Prescription renewal, discussing test results and simple follow-ups were the most common reasons that telehealth was used. Telehealth was mainly via phone that better suited those with low digital literacy. Participants indicated that an existing doctor-patient relationship was important for telehealth services to be effective. Subjects believed that telehealth services should be continued but needed to be combined with opportunities for face-to-face consultations after the COVID-19 pandemic was over. The expansion of telehealth supported access to general practice including chronic disease management during the COVID-19 pandemic. In the future, telehealth in Australia is likely to have a stronger place in primary healthcare policy and practice and an increased acceptance amongst patients. The online version contains supplementary material available at 10.1186/s12875-021-01408-w.
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影响因子：
7.4
作者：
Fisk, Malcolm;Livingstone, Anne;Pit, Sabrina Winona
通讯作者：
Pit, Sabrina Winona
患者/护理人员在COVID-19大流行期间针对晚期癌症患者的远程医疗服务的观点：一项探索性调查。
影响因子：
1.1
作者：
Atreya S;Kumar G;Samal J;Bhattacharya M;Banerjee S;Mallick P;Chakraborty D;Gupta S;Sarkar S
通讯作者：
Sarkar S
影响因子：
5.7
作者：
Gordon, Howard S.;Solanki, Pooja;Gopal, Ravi K.
通讯作者：
Gopal, Ravi K.
影响因子：
1.3
作者：
Duckett, Stephen
通讯作者：
Duckett, Stephen
DOI：
10.1016/s0929-6646(09)60082-6
发表时间：
2009-05
期刊：
Journal of the Formosan Medical Association = Taiwan yi zhi
影响因子：
--
作者：
Huang YT;Lee YC;Hsiao CJ
通讯作者：
Hsiao CJ