Palmas Walter, Teresi Jeanne, Weinstock Ruth S, Shea Steven
Department of Medicine, Columbia University, New York, NY, USA.
J Telemed Telecare. 2008;14(6):306-8. doi: 10.1258/jtt.2008.080410.
We studied the perceptions of primary care providers (PCPs) about the telemedicine intervention in a trial of telemedicine for management of diabetes in medically under-served areas of New York State. A survey was mailed to 206 rural and 159 urban PCPs. The response rates were 25% and 22%, respectively. Eighty percent of respondents believed that a diabetes telemedicine case management system would help their practice. An overall satisfaction score (possible range 0-80) suggested good acceptability (mean 66, SD 12). In multiple linear regression, the rural location and younger age of the PCPs were independent predictors of higher satisfaction (both P < 0.01). Within-PCP comparisons showed a higher perceived impact on patients, as compared to impact on PCP practices (P < 0.001). However, the findings should be interpreted with caution due to the low response rates.
在纽约州医疗服务不足地区开展的一项糖尿病管理远程医疗试验中,我们研究了初级保健提供者(PCP)对远程医疗干预的看法。我们向206名农村初级保健提供者和159名城市初级保健提供者邮寄了调查问卷。回复率分别为25%和22%。80%的受访者认为糖尿病远程医疗病例管理系统会对他们的业务有所帮助。总体满意度得分(可能范围为0 - 80)表明该系统具有良好的可接受性(平均分为66,标准差为12)。在多元线性回归中,PCP的农村地区任职以及较年轻的年龄是满意度较高的独立预测因素(两者P < 0.01)。PCP内部比较显示,与对PCP业务的影响相比,对患者的感知影响更大(P < 0.001)。然而,由于回复率较低,对研究结果的解读应谨慎。