■为了应对COVID-19大流行,许多医疗保健组织已经采用了远程医疗。目前关于向远程医疗过渡的文献大多来自大型医疗保健或专业护理组织,来自安全网或社区诊所的数据有限。
■这是针对国家COVID-19紧急情况在学术护士管理的社区诊所快速实施远程医疗中心的案例报告。我们还确定了成功的因素和与向远程医疗过渡相关的挑战。
这项研究是在乔治梅森大学梅森和合作伙伴诊所进行的,它服务于照顾社区诊所患者和提供健康专业教育的双重使命。我们采访了MasonandPartners诊所的领导团队,并总结了我们的发现。
梅森和合作伙伴诊所对COVID-19危机迅速做出反应,并在全州封锁后的2周内过渡到远程医疗。协议是为协调中心制定的,主要的患者分诊和预约电话线,临床程序的分步流程图,以及具有明确定义的工作角色和备份的团队结构。诊所能够维持其大部分临床服务和健康教育功能,同时适应大流行期间出现的新诊所职责。
■从梅森和合作伙伴诊所学到的经验可转移到其他安全网诊所和学术护士主导的社区诊所。大流行带来的变化导致了可持续的程序,这些变化将对医疗保健的提供和培训产生长期影响。
UNASSIGNED: In response to the COVID-19 pandemic, many health care organizations have adopted telehealth. The current literature on transitioning to telehealth has mostly been from large health care or specialty care organizations, with limited data from safety net or community clinics.
UNASSIGNED: This is a
case report on the rapid implementation of a telehealth hub at an academic nurse-managed community clinic in response to the national COVID-19 emergency. We also identify factors of success and challenges associated with the transition to telehealth.
UNASSIGNED: This study was conducted at the George Mason University Mason and Partners clinic, which serves the dual mission of caring for community clinic patients and providing health professional education. We interviewed the leadership team of Mason and Partners clinics and summarized our findings.
UNASSIGNED: Mason and Partners clinics reacted quickly to the COVID-19 crisis and transitioned to telehealth within 2 weeks of the statewide lockdown. Protocols were developed for a coordination hub, a main patient triage and appointment telephone line, a step-by-step flowchart of clinical procedure, and a team structure with clearly defined work roles and backups. The clinics were able to maintain most of its clinical service and health education functions while adapting to new clinic duties that arose during the pandemic.
UNASSIGNED: The experiences learned from the Mason and Partners clinics are transferable to other safety net clinics and academic nurse-led community clinics. The changes arising from the pandemic have resulted in sustainable procedures, and these changes will have a long-term impact on health care delivery and training.