背景:向残疾人提供联合医疗干预措施的远程实践服务可能会减少获得障碍并改善服务公平性。然而,关于残疾人远程练习功能的问题仍然存在。这项研究解决了与专职卫生临床医生和管理人员如何将远程实践视为向残疾人提供治疗服务的功能有关的问题。
方法:11月21日至2月22日,通过MS团队对来自澳大利亚各地的专职临床医生和管理人员进行了13次访谈。定性方法论和批判性现实主义理论范式支撑了这项研究。使用反思性主题分析方法完成了数据分析,并使用分析性隐喻生成并描述了五个主题。
结果:研究主题被描述为与购买鞋子有关的分析隐喻,五个主题包括(1)每只脚的鞋子,(2)计划采购,(3)另一只脚穿鞋,(4)你需要鞋子和(5)帮助选择他们的鞋子。总之,远程练习的功能适合每个人,类似于一双鞋。
结论:远程练习有其自身的优点和缺点,不能直接替代面对面的会议,左右双鞋很像,但不一样。结果支持参与者的看法,即远程实践通过灵活的混合交付模式在为残疾人提供治疗服务方面作为面对面会议的辅助功能最佳。提高感知有用性的策略可能涉及将远程练习定位为具有优势和劣势的独特之处,不取代亲自护理。
■该论文是更大的共同设计过程的一部分,该过程包括客户和照顾者参与者在整个项目的设计和规划中,纳入同行研究人员,以及分析隐喻的选择,包括在本文的研究结果中。
BACKGROUND: Telepractice service delivery of allied health interventions to people with disability can potentially reduce access barriers and improve service equity. However, questions remain regarding
telepractice functionality for people with disability. This study addressed questions related to how allied health clinicians and managers perceive
telepractice as functioning in the provision of therapy services to people with disability.
METHODS: Thirteen interviews of allied health clinicians and managers from across Australia were conducted between 21 November and 22 February via MS teams. Qualitative methodology and critical realist theoretical paradigm underpin the study. Data analysis was completed using a reflective thematic analysis method and five themes were generated and described utilising an analytic metaphor.
RESULTS: The study themes were described in relation to a shopping for shoes analytic metaphor and the five themes included (1) a shoe for every foot, (2) planned purchases, (3) shoe on the other foot, (4) you need both shoes and (5) help choosing their shoes. In summary, the function of
telepractice fits differently for each individual, similar to pairs of shoes.
CONCLUSIONS: Telepractice has its own strengths and weaknesses and isn\'t a direct substitute for in-person sessions, much like left and right shoes are similar but not the same. The results support participant perceptions that
telepractice functions best as an adjunct to in-person sessions through a flexible hybrid delivery model in the provision of therapy services to people with a disability. A strategy for improving perceived usefulness may involve positioning telepractice as unique with strengths and weaknesses, not replacing in-person care.
UNASSIGNED: The paper forms part of a larger codesign process which included customer and carer participants throughout the design and planning of the project, inclusion of a peer researcher, and the selection of the analytic metaphor including in the findings of this article production.