%0期刊文章%@ 2561- 7605% I JMIR出版物%V 5%卡塔尔世界杯8强波胆分析 N 4% P e38546% T COVID-19对老年人虚拟护理认知的影响:定性研究%A Abdallah,Lama %A Stolee,Paul %A Lopez,Kimberly J %A Whate,Alexandra %A Boger,Jennifer %A Tong,Catherine %+滑铁卢大学公共卫生科学学院,滑铁卢大学,ON, N2L3G1,加拿大,1 5198884567,catherine.tong@uwaterloo.ca %K虚拟护理%K老年人%K定性%K COVID-19 %K老年人口%K老龄化%K远程医疗%K数字护理%K技术可用性%K患者视角%K技术访问%D 2022 %7 20.10.2022 %9原始论文%J JMIR老龄化%G英语%X背景:为应对COVID-19大流行,世界各地的老年人越来越多地接受虚拟医疗服务,医疗保健组织和专业机构表示,虚拟医疗服务“将持续下去”。由于老年人是医疗保健系统的最高用户,虚拟医疗实施可能对他们产生重大影响,并可能需要额外的支持。目的:本研究旨在了解大流行期间老年人对虚拟护理的看法和经验。方法:作为一项关于大流行期间老年人技术使用的大型研究的一部分,我们在2020年夏季和2021年冬季/早春两个时间点对20名不同的加拿大老年人(平均年龄76.9岁,SD 6.5)进行了半结构化访谈。参与者被问及他们的技术技能,虚拟预约的经验,以及对这种类型的护理提供的看法。访谈被数字记录和转录。结合基于团队和框架的分析来解释数据。 Results: Participants described their experiences with both in-person and virtual care during the pandemic, including issues with accessing care and long gaps between appointments. Overall, participants were generally satisfied with the virtual care they received during the pandemic. Participants described the benefits of virtual care (eg, increased convenience, efficiency, and safety), the limitations of virtual care (eg, need for physical examination and touch, lack of nonverbal communication, difficulties using technology, and systemic barriers in access), and their perspectives on the future of virtual care. Half of our participants preferred a return to in-person care after the COVID-19 pandemic, while the other half preferred a combination of in-person and virtual services. Many participants who preferred to access in-person services were not opposed to virtual care options, as needed; however, they wanted virtual care as an option alongside in-person care. Participants emphasized a need for training and support to be meaningfully implemented to support both older adults and providers in using virtual care. Conclusions: Overall, our research identified both perceived benefits and perceived limitations of virtual care, and older adult participants emphasized their wish for a hybrid model of virtual care, in which virtual care is viewed as an addendum, not a replacement for in-person care. We recognize the limitations of our sample (small, not representative of all older Canadians, and more likely to use technology); this body of literature would greatly benefit from more research with older adults who do not/cannot use technology to receive care. Findings from this study can be mobilized as part of broader efforts to support older patients and providers engaged in virtual and in-person care, particularly post–COVID-19. %M 36054599 %R 10.2196/38546 %U https://aging.www.mybigtv.com/2022/4/e38546 %U https://doi.org/10.2196/38546 %U http://www.ncbi.nlm.nih.gov/pubmed/36054599
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