Allen A, Hayes J
University of Kansas Cancer Center, University of Kansas Medical Center, Kansas City, USA.
Telemed J. 1995 Spring;1(1):41-6. doi: 10.1089/tmj.1.1995.1.41.
To assess levels of satisfaction among rural cancer patients being seen for clinic visits by their remote university-based oncologist, using interactive videoconferencing (IAVC).
A 12-item survey instrument assessing satisfaction with the patient-physician clinical interaction was administered to 39 cancer patients who were seen using IAVC. A similar survey, comprised of 9 of the 12 items used in the initial survey, was administered to 21 of these patients after a subsequent on-site clinical interaction. All items were responded to on a five-point Likert scale. Levels of satisfaction with the two consultation modes (IAVC mediated and on-site) were compared.
Relatively high levels of patient satisfaction with the telemedicine encounter were recorded both at the time of the initial IAVC-mediated clinical visit, as well at the follow-up on-site visit. With one exception, for each of the survey items, both initially and on follow-up, mean score was above 3.0 (i.e., positive).
This small pilot study suggests that rural cancer patients may be satisfied with seeing their oncologist via telemedicine, at least on an occasional basis. Although the accrual numbers are too small to allow the results to be generalizable, the results suggest that patient acceptance is high enough to warrant further investigation of this modality in the care of rural cancer patients with limited access to cancer specialists.
通过交互式视频会议（IAVC）评估农村癌症患者对其远程大学肿瘤学家门诊就诊的满意度。
对39名通过IAVC就诊的癌症患者进行了一项包含12个项目的调查问卷，以评估患者对医患临床互动的满意度。在随后的现场临床互动后，对其中21名患者进行了一项类似的调查，该调查由初始调查中使用的12个项目中的9个组成。所有项目均采用五点李克特量表进行回答。比较了患者对两种咨询模式（IAVC介导和现场）的满意度水平。
在最初的IAVC介导的临床就诊时以及后续的现场就诊时，患者对远程医疗会诊的满意度都相对较高。除了一个例外，对于每个调查项目，无论是最初还是后续，平均得分都高于3.0（即积极）。
这项小型试点研究表明，农村癌症患者可能对通过远程医疗看肿瘤学家感到满意，至少偶尔如此。尽管累积数量太少，无法使结果具有普遍性，但结果表明患者接受度足够高，值得进一步研究这种模式在为难以接触癌症专家的农村癌症患者提供护理中的应用。
