Remote-by-Default Care in the COVID-19 pandemic: addressing the micro-,meso-,and macro-level challenges of a radical new service model

COVID-19 大流行中的默认远程护理：解决全新服务模式的微观、中观和宏观层面的挑战

• 批准号: ES/V010069/1
• 负责人: Trisha Greenhalgh
• 金额: $ 98万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FV010069%2F1
• 关键词: Remote; Default; Care; COVID; 19

Because COVID-19 is so contagious, the way the NHS works has changed dramatically. For the first time since 1948, youcan't walk into a GP surgery and ask to be seen. You must apply online, phone the surgery or contact NHS111. You maythen get a call-back (phone or video) from a clinician, or a face-to-face appointment, possibly in a 'hot hub'.These changes to what used to be the family doctor service are radical, frightening and difficult. They cut to the core ofwhat it is to care and be cared for, and what 'good' and 'excellent' health services look and feel like. Will the doctor be ableto assess you properly by video or phone?We are an interdisciplinary team specialising in the study of complex, technology-supported change in health and caresettings. Using a variety of methods, we want to do three things:- Develop tools to help clinicians assess people effectively by phone or video;- Support the change process through 'action research' - that is, working with GP teams to collect relevant data, analyse ittogether and support its rapid use;- Using collaborative improvement techniques, strengthen the supporting infrastructure for digital innovation in the NHS.

由于Covid-19具有如此传染性，因此NHS的工作方式发生了巨大变化。自1948年以来，这是您不得走进GP手术而要求被看见的第一次。您必须在线申请，致电手术或联系NHS111。您可能会从临床医生或面对面的约会中获得呼叫（电话或视频），可能是在“热点” 。他们削减了要照顾和照顾的核心，以及“好”和“优秀”的健康服务的外观和感觉。医生会通过视频或电话正确评估您吗？我们是一支跨学科团队，专门研究复杂的，技术支持的健康和Caresettings的变化。使用多种方法，我们想做三件事： - 开发工具来帮助临床医生通过电话或视频有效地评估人员； - 通过“行动研究”来支持变化过程 - 也就是说，与GP团队合作收集相关数据，分析ittogether并支持其快速使用； - 使用协作改进技术，增强NHS中数字创新的支持基础架构。

项目成果

Scientific consensus on the COVID-19 pandemic: we need to act now.

• DOI: 10.1016/s0140-6736(20)32153-x
• 发表时间: 2020-10-31
• 期刊: Lancet (London, England)
• 作者: Alwan NA;Burgess RA;Ashworth S;Beale R;Bhadelia N;Bogaert D;Dowd J;Eckerle I;Goldman LR;Greenhalgh T;Gurdasani D;Hamdy A;Hanage WP;Hodcroft EB;Hyde Z;Kellam P;Kelly-Irving M;Krammer F;Lipsitch M;McNally A;McKee M;Nouri A;Pimenta D;Priesemann V;Rutter H;Silver J;Sridhar D;Swanton C;Walensky RP;Yamey G;Ziauddeen H
• 通讯作者: Ziauddeen H

Additional file 2 of Direct and indirect evidence of efficacy and safety of rapid exercise tests for exertional desaturation in Covid-19: a rapid systematic review

附加文件 2：Covid-19 中快速运动测试功效和安全性的直接和间接证据：快速系统评价

• DOI: 10.6084/m9.figshare.14228071
• 发表时间: 2021
• 作者: Asli Kalin

'I can't cope with multiple inputs': a qualitative study of the lived experience of 'brain fog' after COVID-19.

• DOI: 10.1136/bmjopen-2021-056366
• 发表时间: 2022-02-11
• 期刊: BMJ open
• 影响因子: 2.9
• 作者: Callan C;Ladds E;Husain L;Pattinson K;Greenhalgh T
• 通讯作者: Greenhalgh T

The COVID-19 vaccines rush: participatory community engagement matters more than ever.

• DOI: 10.1016/s0140-6736(20)32642-8
• 发表时间: 2021-01-02
• 期刊: Lancet (London, England)
• 作者: Burgess RA;Osborne RH;Yongabi KA;Greenhalgh T;Gurdasani D;Kang G;Falade AG;Odone A;Busse R;Martin-Moreno JM;Reicher S;McKee M
• 通讯作者: McKee M

Masks and face coverings for the lay public: A narrative update

• DOI: 10.31235/osf.io/wuk6a
• 发表时间: 2020-10
• 作者: T. Czypionka;T. Greenhalgh;M. Schmid;D. Bassler