Granlund Håkan, Thoden Carl-Johan, Carlson Christer, Harno Kari
Department of Dermatology, Helsinki University Central Hospital, Finland.
J Telemed Telecare. 2003;9(4):204-9. doi: 10.1258/135763303322225526.
We evaluated the outcome of both realtime teleconsultations and face-to-face consultations in dermatology. Forty-six patients were enrolled in an open controlled study. Twenty-nine patients (60%) answered the questionnaire sent to them after six months. Over the six-month follow-up, similar proportions of the two patient groups had visited a general practitioner or a specialist in the consulting hospital. At follow-up, overall patient satisfaction with the consultation, measured on a linear analogue scale (0-10), had fallen only slightly and to the same extent after both types of consultation, that is by 1.2 (SD 3.7) after realtime teleconsultations and by 1.4 (SD 4.5) after face-to-face consultations. The proportions of patients who would prefer the same mode of consultation for their next appointment had decreased from 83% to 50% in the realtime teleconsultation group and from 83% to 62% in the face-to-face consultation group. However, in neither group was the change significant. The study suggests that patient satisfaction with teleconsultation is well preserved after six months.
我们评估了皮肤科实时远程会诊和面对面会诊的结果。46名患者参与了一项开放对照研究。29名患者（60%）回答了六个月后发给他们的问卷。在六个月的随访期间，两组患者中去咨询医院看全科医生或专科医生的比例相似。随访时，通过线性模拟量表（0 - 10）衡量的患者对会诊的总体满意度仅略有下降，且两种会诊方式下降程度相同，即实时远程会诊后下降1.2（标准差3.7），面对面会诊后下降1.4（标准差4.5）。实时远程会诊组中希望下次预约采用相同会诊方式的患者比例从83%降至50%，面对面会诊组从83%降至62%。然而，两组的变化均无统计学意义。该研究表明，六个月后患者对远程会诊的满意度仍保持良好。
