PDF(Pubmed)
Abstract：
BACKGROUND: Community Paramedicine (CP) is an emerging model of care addressing health problems through non-emergency services. Little evidence exists examining the integration of an app for improved patient, CP, and family physician (FP) communication. This study investigated FP perspectives on the impact of the Community Paramedicine at Clinic (CP@clinic) program on providing patient care and the feasibility and value of a novel \"My Care Plan App\" (myCP app).
METHODS: This retrospective mixed-methods study included an online survey and phone interviews to elucidate FPs \' perspectives on the CP@clinic program and the myCP app, respectively, between January 2021 and May 2021. FPs with patients in the CP@clinic program were recruited to participate. Survey responses were summarized using descriptive statistics, and audio recordings from the interviews thematically analyzed.
RESULTS: Thirty-eight FPs completed the survey and 10 FPs completed the phone interviews. 60.5% and 52.6% of FPs reported that the CP@clinic program improved their ability to further screen and diagnose patients for hypertension, respectively (in addition to their regular screening practices). The themes that emerged in the phone interviews were grouped into three topics: app benefits, drawbacks, and integration within practice. Overall, FPs described the myCP app as user-friendly and useful to improve interprofessional communication with CPs.
CONCLUSIONS: CP@clinic helped family physicians to screen and monitor chronic disease. The myCP app can impact health service delivery by closing the gap between primary, community, and emergency care through an eHealth information-sharing platform.
METHODS: This retrospective mixed-methods study included an online survey and phone interviews to elucidate FPs \' perspectives on the CP@clinic program and the myCP app, respectively, between January 2021 and May 2021. FPs with patients in the CP@clinic program were recruited to participate. Survey responses were summarized using descriptive statistics, and audio recordings from the interviews thematically analyzed.
RESULTS: Thirty-eight FPs completed the survey and 10 FPs completed the phone interviews. 60.5% and 52.6% of FPs reported that the CP@clinic program improved their ability to further screen and diagnose patients for hypertension, respectively (in addition to their regular screening practices). The themes that emerged in the phone interviews were grouped into three topics: app benefits, drawbacks, and integration within practice. Overall, FPs described the myCP app as user-friendly and useful to improve interprofessional communication with CPs.
CONCLUSIONS: CP@clinic helped family physicians to screen and monitor chronic disease. The myCP app can impact health service delivery by closing the gap between primary, community, and emergency care through an eHealth information-sharing platform.
摘要：
背景：社区辅助医疗（CP）是一种新兴的通过非紧急服务解决健康问题的护理模式。几乎没有证据存在检查应用程序的集成，以改善患者，CP,和家庭医生(FP)沟通。这项研究调查了FP观点，即社区临床医疗（CP@clinical）计划对提供患者护理的影响以及新型“我的护理计划应用程序”（myCP应用程序）的可行性和价值。
方法：这项回顾性混合方法研究包括在线调查和电话访谈，以阐明FPs对CP@clinical程序和myCP应用程序的看法，分别,2021年1月至2021年5月。招募CP@临床计划中患者的FPs参加。使用描述性统计数据对调查答复进行了总结，并对采访中的录音进行了主题分析。
结果：38个FP完成了调查，10个FP完成了电话采访。60.5％和52.6％的FP报告说，CP@临床计划提高了他们进一步筛查和诊断高血压患者的能力，分别(除了他们的常规筛查做法)。电话采访中出现的主题分为三个主题：应用程序的好处，缺点，和实践中的融合。总的来说,FP将myCP应用程序描述为用户友好的，有助于改善与CP的专业沟通。
结论：CP@clinic帮助家庭医生筛查和监测慢性病。myCP应用程序可以通过缩小初级、社区,以及通过电子健康信息共享平台进行紧急护理。
方法：这项回顾性混合方法研究包括在线调查和电话访谈，以阐明FPs对CP@clinical程序和myCP应用程序的看法，分别,2021年1月至2021年5月。招募CP@临床计划中患者的FPs参加。使用描述性统计数据对调查答复进行了总结，并对采访中的录音进行了主题分析。
结果：38个FP完成了调查，10个FP完成了电话采访。60.5％和52.6％的FP报告说，CP@临床计划提高了他们进一步筛查和诊断高血压患者的能力，分别(除了他们的常规筛查做法)。电话采访中出现的主题分为三个主题：应用程序的好处，缺点，和实践中的融合。总的来说,FP将myCP应用程序描述为用户友好的，有助于改善与CP的专业沟通。
结论：CP@clinic帮助家庭医生筛查和监测慢性病。myCP应用程序可以通过缩小初级、社区,以及通过电子健康信息共享平台进行紧急护理。
