Staff Successes and Challenges with Telecommunications-Facilitated Patient Care in Hybrid Hospital-at-Home during the COVID-19 Pandemic.
Autor: | Zawada, Stephanie K., Sweat, Jeffrey, Paulson, Margaret R., Maniaci, Michael J. |
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Předmět: |
HOSPITALS
MEDICAL quality control FOCUS groups HOME care services ATTITUDES of medical personnel GROUNDED theory MATHEMATICAL models MEDICAL care INTERVIEWING QUALITATIVE research HOSPITAL nursing staff TELECOMMUNICATION QUALITY assurance THEORY DESCRIPTIVE statistics RESEARCH funding PATIENT care THEMATIC analysis COVID-19 pandemic |
Zdroj: | Healthcare (2227-9032); May2023, Vol. 11 Issue 9, p1223, 19p |
Abstrakt: | Technology-enhanced hospital-at-home (H@H), commonly referred to as hybrid H@H, became more widely adopted during the COVID-19 pandemic. We conducted focus group interviews with Mayo Clinic staff members (n = 14) delivering hybrid H@H in three separate locations—a rural community health system (Northwest Wisconsin), the nation's largest city by area (Jacksonville, FL), and a desert metropolitan area (Scottsdale, AZ)—to understand staff experiences with implementing a new care delivery model and using new technology to monitor patients at home during the pandemic. Using a grounded theory lens, transcripts were analyzed to identify themes. Staff reported that hybrid H@H is a complex care coordination and communication initiative, that hybrid H@H faces site-specific challenges modulated by population density and state policies, and that many patients are receiving uniquely high-quality care through hybrid H@H, partly enabled by advances in technology. Participant responses amplify the need for additional qualitative research with hybrid H@H staff to identify areas for improvement in the deployment of new models of care enabled by modern technology. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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