National Outreach of Telepalliative Medicine Volunteers for a New York City Safety Net System COVID-19 Pandemic Response
National Outreach of Telepalliative Medicine Volunteers for a New York City Safety Net System COVID-19 Pandemic Response
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DOI：
10.1016/j.jpainsymman.2020.05.026
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发表时间：
2020-08-01
影响因子：
4.7
通讯作者：
Cho, Hyung J.
中科院分区：
文献类型：
--
作者：
Israilov, Sigal;Krouss, Mona;Cho, Hyung J.
2019年纽约市的冠状病毒病疫情激增，增加了对姑息治疗（PC）服务的需求。在安全网系统等人员有限的环境中，以及在越来越多的卫生保健工作者患病的报告中，利用全国受影响较小地区的帮助可能会提供尚未开发的支持来源。一项全国性的社交媒体外联工作招募了413名远程姑息医学志愿者。在加快67个TPMV的认证和入职后，与五家以前没有任何远程保健结构的公共卫生医院合作启动了为期两周的试点。志愿者在试点期间完成了109次PC咨询。TPMV和现场PC提供商的调查反馈基本上是积极的，围绕电子健康记录导航和护理连续性确定了改进领域。这是一个成功的概念验证和质量改进计划，利用来自全国各地的TPMV在安全网系统中应对PC流行病。(C)2020年美国临终关怀和姑息医学学院。爱思唯尔公司出版All rights reserved.
The coronavirus disease 2019 surge in New York City created an increased demand for palliative care (PC) services. In staff-limited settings such as safety net systems, and amid growing reports of health care worker illness, leveraging help from less-affected areas around the country may provide an untapped source of support. A national social media outreach effort recruited 413 telepalliative medicine volunteers (TPMVs). After expedited credentialing and onboarding of 67 TPMVs, a two-week pilot was initiated in partnership with five public health hospitals without any previous existing telehealth structure. The volunteers completed 109 PC consults in the pilot period. Survey feedback from TPMVs and on-site PC providers was largely positive, with areas of improvement identified around electronic health record navigation and continuity of care. This was a successful, proof of concept, and quality improvement initiative leveraging TPMVs from across the nation for a PC pandemic response in a safety net system. (C) 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.