Medical Student Patient Outreach to Ensure Continuity of Care During the COVID-19 Pandemic.
Medical Student Patient Outreach to Ensure Continuity of Care During the COVID-19 Pandemic.
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DOI：
10.1089/tmr.2020.0030
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发表时间：
2021
影响因子：
1.5
通讯作者：
Kahn PA
中科院分区：
文献类型：
--
作者：
Belzer A;Yeagle EM;Kohlenberg LK;Solberg M;Gudbranson E;Budge M;Batchelor HM;Fitzpatrick SE;Zhao A;Armengol VD;Hassan SF;Shum M;Bia M;Bia F;Desai NR;Kahn PA
为了应对 COVID-19 大流行，耶鲁纽黑文健康系统于 2020 年 3 月开始将非紧急门诊预约重新安排为虚拟就诊。虽然耶鲁纽黑文健康中心扩大了远程医疗基础设施以适应这一转变，但许多预约被推迟，患者面临相当大的不确定性。医学生创建了医学生特别工作组 (MSTF)，通过给在向远程医疗过渡过程中预约被延迟的患者打电话来帮助确保护理的连续性。 85名学生志愿者给3765名取消预约的内科患者打电话，完成了对2197名患者的筛查。志愿者筛选医疗保健需求，评估未来预约的偏好，并提供情感支持和有关 COVID-19 的信息。对紧急或突发的患者问题进行分类并上报给医疗服务提供者。在此分析中，我们使用了混合方法：对呼叫信息和提供者响应进行定量分析，并通过主题分析对患者反馈进行定性分析。百分之九十一的接受筛查的患者认为 MSTF 的电话有帮助。 21% 的患者报告了健康问题，其中 1% 的患者报告了已上报给医疗服务提供者并由其解决的紧急问题。患者评论的主题包括对外展和社会接触的感谢、电话的效用以及对医护人员的良好祝愿。通过致电在快速过渡到远程医疗过程中预约被取消的患者，MSTF 为患者提供与护理团队的沟通、信息和支持，帮助弥合了潜在的护理差距。我们建议该模型可用于其他紧急过渡到门诊远程医疗的护理系统，无论是在 COVID-19 持续爆发期间还是其他突发公共卫生事件期间。
In response to the COVID-19 pandemic, the Yale New Haven Health System began rescheduling nonurgent outpatient appointments as virtual visits in March 2020. While Yale New Haven Health expanded its telemedicine infrastructure to accommodate this shift, many appointments were delayed and patients faced considerable uncertainty. Medical students created the Medical Student Task Force (MSTF) to help ensure continuity of care by calling patients whose appointments were delayed during this transition to telemedicine. Eighty-five student volunteers called 3765 internal medicine patients with canceled appointments, completing screening for 2197 patients. Volunteers screened for health care needs, assessed preferences for future appointments, and offered emotional support and information about COVID-19. Urgent or emergent patient concerns were triaged and escalated to providers. In this analysis, we used a mixed-methods approach: call information and provider responses were analyzed quantitatively, and patient feedback was analyzed qualitatively via thematic analysis. Ninety-one percent of patients screened found the MSTF calls helpful. Twenty-one percent of patients reported health concerns, with 1% reporting urgent concerns escalated to and addressed by providers. Themes of patient comments included gratitude for outreach and social contact, utility of calls, and well-wishes for health care workers. By calling patients whose appointments had been canceled during a rapid transition to telemedicine, the MSTF helped bridge a potential gap in care by offering patients communication with their care teams, information, and support. We propose that this model could be used in other care systems urgently transitioning to outpatient telemedicine, whether during ongoing outbreaks of COVID-19 or other public health emergencies.
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DOI：
10.15694/mep.2020.000249.2
发表时间：
2020
期刊：
MedEdPublish (2016)
影响因子：
--
作者：
Server, Steven;Uddin, Sophia;GoodSmith, Matthew;Zhang, Annie;Sherer, Renslow;Lio, Jonathan
通讯作者：
Lio, Jonathan
影响因子：
7.2
作者：
van Dyck, Laura, I;Wilkins, Kirsten M.;Conroy, Michelle L.
通讯作者：
Conroy, Michelle L.
影响因子：
4.7
作者：
Israilov, Sigal;Krouss, Mona;Cho, Hyung J.
通讯作者：
Cho, Hyung J.
影响因子：
8.8
作者：
Moazzami, Bobak;Razavi-Khorasani, Niloofar;Rezaei, Nima
通讯作者：
Rezaei, Nima
影响因子：
4.7
作者：
Dikaios E;Sekhon H;Allard A;Vacaflor B;Goodman A;Dwyer E;Lavin-Gonzalez P;Mahdanian A;Park H;Walsh C;Sasi N;Nazar R;Gruber J;Su CL;Hanganu C;Royal I;Schiavetto A;Cinalioglu K;Rigas C;Launay C;Beauchet O;McDonald E;Seitz D;Kumar S;Nair V;Miresco M;Bruneau MA;Alexopoulos G;Looper K;Vahia I;Rej S;Bukhari SN
通讯作者：
Bukhari SN