@文章{信息:doi/10.2196/29941,作者=“Finkelstein, Julia B和Tremblay, Elise S和Van Cain, Melissa和Farber-Chen, Aaron和Schumann, Caitlin和Brown, Christina和Shah, Ankoor S和Rhodes, Erinn T”,标题=“儿科临床医生使用远程医疗:定性访谈研究”,期刊=“JMIR Hum Factors”,年=“2021”,月=“12”,日=“2”,卷=“8”,数=“4”,页=“e29941”,关键词=“儿科;远程医疗;视频访问;沟通;webside manner",摘要="背景:床边态度描述了临床医生如何与病人相处。远程医疗允许临床医生使用数字工具与患者进行虚拟连接。有效的虚拟交流或网络方式可能需要对传统的床边方式进行修改。目的:本研究旨在了解某大型儿童医院远程医疗提供者进行患者对提供者虚拟就诊和与家庭沟通的经验,为未来临床医生的项目开发和培训提供信息。方法:在COVID-19大流行前进行虚拟就诊的儿科临床医生(N=11)共2个焦点小组(N=11),他们具有一系列经验和专业,讨论经验、实施和实践相关问题。使用一份涵盖一般经验、准备、关系战略和建议的半结构化指南为焦点小组提供便利。 Sessions were digitally recorded, and the corresponding transcripts were reviewed for data analysis. The transcripts were coded based on the identified main themes and subthemes. On the basis of a higher-level analysis of these codes, the study authors generated a final set of key themes to describe the collected data. Results: Theme consistency was identified across diverse participants, although individual clinician experiences were influenced by their specialties and practices. A total of 3 key themes emerged regarding the development of best practices, barriers to scalability, and establishing patient rapport. Issues and concerns related to privacy were salient across all themes. Clinicians felt that telemedicine required new skills for patient interaction, and not all were comfortable with their training. Conclusions: Telemedicine provides benefits as well as challenges to health care delivery. In interprofessional focus groups, pediatric clinicians emphasized the importance of considering safety and privacy to promote rapport and webside manner when conducting virtual visits. The inclusion of webside manner instructions within training curricula is crucial as telemedicine becomes an established modality for providing health care. ", issn="2292-9495", doi="10.2196/29941", url="https://humanfactors.www.mybigtv.com/2021/4/e29941", url="https://doi.org/10.2196/29941", url="http://www.ncbi.nlm.nih.gov/pubmed/34860669" }
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