Patient experiences of virtual care across specialist neuroscience and psychiatry clinics related to the second wave of the COVID-19 pandemic in Calgary, Alberta.

IF 3.1 Q2 MEDICAL INFORMATICS Health and Technology Pub Date : 2023-01-01 Epub Date: 2023-05-02 DOI:10.1007/s12553-023-00754-2
Michelle Lu, Rachel E Crooks, Diana F Pricop, Emily Cox, Beatrice Anghelescu, Mark Hamilton, Davide Martino, Veronica Bruno, Colin B Josephson, Scott Patten, Eric E Smith, Pamela Roach
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Abstract

Purpose: The emergence of the COVID-19 (SARS-CoV-2) pandemic has led to public health restrictions and a shift towards virtual care and telehealth. The aim of this study was to explore barriers and facilitators of virtual care from the perspective of neurological and psychiatric patients.

Methods: One-on-one interviews were conducted remotely using telephone and online video teleconferencing. There was a total of 57 participants, and a thematic content analysis was conducted using NVivo software.

Results: The two main themes were (1) virtual health service delivery and (2) virtual physician/patient interaction, with subthemes around how virtual care improved accessibility of care for patients and improved patient-centered care; how privacy and technical issues impact patients using virtual care; and the need for relationality and connection between health care providers and patients while using virtual care.

Conclusions: This study showed that virtual care can increase accessibility and efficiency for patients and providers, indicating its potential for ongoing use in the delivery of clinical care. Virtual care was found to be an acceptable mode of healthcare delivery from the perspective of patients; however, there is a continued need for relationship-building between care providers and patients.

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艾伯塔省卡尔加里市第二波新冠肺炎疫情相关的神经科学和精神病学专科诊所的虚拟护理患者体验。
目的:新冠肺炎(SARS-CoV-2)大流行的出现导致了公共卫生限制,并转向虚拟护理和远程医疗。本研究的目的是从神经和精神病患者的角度探讨虚拟护理的障碍和促进因素。方法:通过电话和在线视频电话会议远程进行一对一访谈。共有57名参与者,并使用NVivo软件进行了主题内容分析。结果:两个主要主题是(1)虚拟医疗服务提供和(2)虚拟医生/患者互动,分主题是虚拟护理如何提高患者的护理可及性和改善以患者为中心的护理;隐私和技术问题如何影响使用虚拟护理的患者;以及在使用虚拟护理的同时,医疗保健提供者和患者之间需要关系和联系。结论:这项研究表明,虚拟护理可以提高患者和提供者的可及性和效率,表明其在临床护理中的持续使用潜力。从患者的角度来看,虚拟护理是一种可接受的医疗保健模式;然而,护理提供者和患者之间仍然需要建立关系。
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来源期刊
Health and Technology
Health and Technology MEDICAL INFORMATICS-
CiteScore
7.10
自引率
0.00%
发文量
83
期刊介绍: Health and Technology is the first truly cross-disciplinary journal on issues related to health technologies addressing all professions relating to health, care and health technology.The journal constitutes an information platform connecting medical technology and informatics with the needs of care, health care professionals and patients. Thus, medical physicists and biomedical/clinical engineers are encouraged to write articles not only for their colleagues, but directed to all other groups of readers as well, and vice versa.By its nature, the journal presents and discusses hot subjects including but not limited to patient safety, patient empowerment, disease surveillance and management, e-health and issues concerning data security, privacy, reliability and management, data mining and knowledge exchange as well as health prevention. The journal also addresses the medical, financial, social, educational and safety aspects of health technologies as well as health technology assessment and management, including issues such security, efficacy, cost in comparison to the benefit, as well as social, legal and ethical implications.This journal is a communicative source for the health work force (physicians, nurses, medical physicists, clinical engineers, biomedical engineers, hospital engineers, etc.), the ministries of health, hospital management, self-employed doctors, health care providers and regulatory agencies, the medical technology industry, patients'' associations, universities (biomedical and clinical engineering, medical physics, medical informatics, biology, medicine and public health as well as health economics programs), research institutes and professional, scientific and technical organizations.Health and Technology is jointly published by Springer and the IUPESM (International Union for Physical and Engineering Sciences in Medicine) in cooperation with the World Health Organization.
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