Management of Rheumatic Diseases During the COVID-19 Pandemic: A National Veterans Affairs Survey of Rheumatologists.
Management of Rheumatic Diseases During the COVID-19 Pandemic: A National Veterans Affairs Survey of Rheumatologists.
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DOI：
10.1002/acr.24487
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发表时间：
2021-07
影响因子：
4.7
通讯作者：
Ng B
中科院分区：
文献类型：
--
作者：
Singh JA;Richards JS;Chang E;Joseph A;Ng B
评估退伍军人事务部 (VA) 机构的风湿病提供者在 COVID-19 大流行期间关于风湿病医疗保健问题的经验、观点和意见。我们于 2020 年 4 月 16 日至 5 月 18 日对 VA 风湿病提供者进行了一项匿名横断面调查。我们评估了提供商对 COVID-19 问题和复原力的看法。在 153 名符合资格的 VA 风湿病专家中，103 名 (67%) 完成了调查。相当大比例的医疗服务提供者报告称，通过以下方式与 COVID-19 相关的就诊次数增加了 50% 以上：(1) 电话，53%； (2)基于视频的VA视频连接(VVC)，44%； (3) 有协调员的临床视频远程医疗 (CVT)，29%。大多数响应者对在 COVID-19 大流行期间使用以下技术为既定患者提供医疗保健的技术感到满意或非常满意：(1) 电话，87%； (2) VA视频连接(VVC)，64%； (3) 亲自拜访，54%。一小部分人对为新患者提供医疗保健的技术感到满意。至少 65% 的风湿病专家认为电话就诊适合患有痛风、骨质疏松症、风湿性多肌痛、稳定型类风湿关节炎、稳定型脊柱关节炎或骨关节炎的患者； 32% 的人报告风湿病药物短缺。根据年龄、性别和种族进行调整后，高提供者复原力与新患者电话技术舒适度比值比 (OR, 3.1 (95% CI, 1.1-9.7)) 和 VVC 就诊 (OR, 4.7 (95% CI, 1.4-15.7)) 显着升高相关。使用卫生系统方法更好地了解 COVID-19 风湿病医疗保健问题可以更好地为提供者提供信息，提高提供者满意度，并对患有风湿病的退伍军人的护理产生积极影响。
To assess the experience, views and opinions of rheumatology providers at Veterans Affairs (VA) facilities about rheumatic disease healthcare issues during the COVID-19 pandemic. We performed an anonymized cross-sectional survey, conducted from April 16 to May 18, 2020, of VA rheumatology providers. We assessed provider perspective on COVID-19 issues and resilience. Of the 153 eligible VA rheumatologists, 103 (67%) completed the survey. A significant proportion of providers reported ≥50% increase related to COVID-19 in visits by: (1) telephone, 53%; (2) video-based VA video connect (VVC), 44%; and (3) clinical video telehealth (CVT) with a facilitator, 29%. A majority of the responders were somewhat or very comfortable with technology for providing healthcare to established patients during COVID-19 pandemic using: (1) telephone, 87%; (2) VA video connect (VVC), 64%; and (3) in-person visits, 54%. A smaller proportion were comfortable with technology providing healthcare to new patients. At least 65% of rheumatologists considered telephone visits appropriate for established patients with gout, osteoporosis, polymyalgia rheumatica, stable rheumatoid arthritis, stable spondyloarthritis, or osteoarthritis; 32% reported a rheumatology medication shortage. Adjusted for age, sex and ethnicity, high provider resilience was associated with significantly higher odds ratio (OR) of comfort with technology for telephone (OR, 3.1 (95% CI, 1.1-9.7)) and VVC visits for new patients (OR, 4.7 (95% CI, 1.4-15.7)). A better understanding of COVID-19 rheumatic disease healthcare issues using a health-system approach can better inform providers, improve provider satisfaction and have positive effects on the care of Veterans with rheumatic disease.
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影响因子：
13.8
作者：
West, Colin P.;Dyrbye, Liselotte N.;Shanafelt, Tait D.
通讯作者：
Shanafelt, Tait D.
影响因子：
2.1
作者：
Harper, Kelly;McLeod, Megan;Charles, David
通讯作者：
Charles, David
影响因子：
2.5
作者：
Poulsen, Katherine A.;Millen, Catherine M.;Roberts, Lynden J.
通讯作者：
Roberts, Lynden J.
DOI：
10.1186/s12969-017-0184-y
发表时间：
2017-07-11
期刊：
Pediatric rheumatology online journal
影响因子：
--
作者：
Bullock DR;Vehe RK;Zhang L;Correll CK
通讯作者：
Correll CK
影响因子：
3.4
作者：
Wood, Patrick R.;Caplan, Liron
通讯作者：
Caplan, Liron