PDF(Pubmed)
Abstract：
BACKGROUND: Many allied health services now provide both telehealth and in-person services following a rapid integration of telehealth as a response to the COVID-19 pandemic. However, little is known about how decisions are made about which clinical appointments to provide via telehealth versus in person.
OBJECTIVE: The aim of this study is to explore clinicians\' decision-making when contemplating telehealth for their clients, including the factors they consider and how they weigh up these different factors, and the clinicians\' perceptions of telehealth utility beyond COVID-19 lockdowns.
METHODS: We used reflexive thematic analysis with data collected from focus groups with 16 pediatric community-based allied health clinicians from the disciplines of speech-language pathology, occupational therapy, social work, psychology, and counseling.
RESULTS: The findings indicated that decision-making was complex with interactions across 4 broad categories: technology, clients and families, clinical services, and clinicians. Three themes described their perceptions of telehealth use beyond COVID-19 lockdowns: \"flexible telehealth use,\" \"telehealth can be superior to in-person therapy,\" and \"fear that in-person services may be replaced.\"
CONCLUSIONS: The findings highlight the complexity of decision-making in a community-allied health setting and the challenges experienced by clinicians when reconciling empirical evidence with their own clinical experience.
OBJECTIVE: The aim of this study is to explore clinicians\' decision-making when contemplating telehealth for their clients, including the factors they consider and how they weigh up these different factors, and the clinicians\' perceptions of telehealth utility beyond COVID-19 lockdowns.
METHODS: We used reflexive thematic analysis with data collected from focus groups with 16 pediatric community-based allied health clinicians from the disciplines of speech-language pathology, occupational therapy, social work, psychology, and counseling.
RESULTS: The findings indicated that decision-making was complex with interactions across 4 broad categories: technology, clients and families, clinical services, and clinicians. Three themes described their perceptions of telehealth use beyond COVID-19 lockdowns: \"flexible telehealth use,\" \"telehealth can be superior to in-person therapy,\" and \"fear that in-person services may be replaced.\"
CONCLUSIONS: The findings highlight the complexity of decision-making in a community-allied health setting and the challenges experienced by clinicians when reconciling empirical evidence with their own clinical experience.
摘要：
背景：在远程医疗快速整合后，许多专职医疗服务现在同时提供远程医疗和当面服务，以应对COVID-19大流行。然而,关于如何决定通过远程医疗与亲自提供哪些临床预约，人们知之甚少。
目的：本研究的目的是探索临床医生在考虑为客户提供远程医疗时的决策，包括他们考虑的因素以及他们如何权衡这些不同的因素，以及临床医生对COVID-19封锁以外的远程医疗公用事业的看法。
方法：我们使用反身性主题分析，从焦点小组收集的数据与来自语言病理学学科的16名儿科社区专职健康临床医生，职业治疗,社会工作,心理学,和咨询。
结果：研究结果表明，决策复杂，涉及4大类：技术，客户和家庭,临床服务,和临床医生。三个主题描述了他们对COVID-19封锁之外的远程医疗使用的看法：“灵活的远程医疗使用，远程医疗可以优于面对面治疗，\"和\"担心亲自服务可能会被替换。
结论：研究结果强调了社区相关健康环境中决策的复杂性，以及临床医生在将经验证据与自己的临床经验进行协调时遇到的挑战。
目的：本研究的目的是探索临床医生在考虑为客户提供远程医疗时的决策，包括他们考虑的因素以及他们如何权衡这些不同的因素，以及临床医生对COVID-19封锁以外的远程医疗公用事业的看法。
方法：我们使用反身性主题分析，从焦点小组收集的数据与来自语言病理学学科的16名儿科社区专职健康临床医生，职业治疗,社会工作,心理学,和咨询。
结果：研究结果表明，决策复杂，涉及4大类：技术，客户和家庭,临床服务,和临床医生。三个主题描述了他们对COVID-19封锁之外的远程医疗使用的看法：“灵活的远程医疗使用，远程医疗可以优于面对面治疗，\"和\"担心亲自服务可能会被替换。
结论：研究结果强调了社区相关健康环境中决策的复杂性，以及临床医生在将经验证据与自己的临床经验进行协调时遇到的挑战。
