University of Washington School of Nursing, Seattle, Washington, USA.
Telemed J E Health. 2012 Jun;18(5):377-81. doi: 10.1089/tmj.2011.0181. Epub 2012 Apr 10.
The aim of this quality improvement project is to assess patient satisfaction with a store-and-forward teledermatology project and to identify factors associated with patient satisfaction and dissatisfaction.
Veterans receiving care in rural clinics in the Pacific Northwest were surveyed using a 5-point Likert scale about satisfaction with face-to-face care for a skin complaint prior to any teledermatology exposure. One year later, veterans in the same rural clinics were surveyed about satisfaction with teledermatology care using a more comprehensive survey. Ninety-six patients completed the face-to-face satisfaction survey questions, and 501 completed the teledermatology satisfaction survey.
Most (78%) of surveyed patients were highly satisfied or satisfied with face-to-face dermatology care. After 1 year of teledermatology, 77% of patients were highly satisfied or satisfied with teledermatology care. The mean patient satisfaction score for teledermatology was equivalent to face-to-face care (4.1±1.2 and 4.3±1.0, p=0.4). Factors associated with teledermatology patient satisfaction included short wait times for initial consultation, a perception that the initial wait time was not too long, a perception that the skin condition was properly treated, and the belief that adequate follow-up was received. Factors associated with teledermatology patient dissatisfaction included perceptions that the skin condition was not properly treated and that inadequate follow-up was received.
Teledermatology was widely accepted by the majority of patients receiving care at rural clinics. Patient satisfaction with care received through teledermatology was equivalent to that with face-to-face dermatology.
本质量改进项目旨在评估患者对存储转发远程皮肤病学项目的满意度，并确定与患者满意度和不满意度相关的因素。
使用 5 分李克特量表，对西北太平洋农村诊所的退伍军人进行调查，了解他们在接受任何远程皮肤病学检查之前对皮肤投诉的面对面护理的满意度。一年后，对同一农村诊所的退伍军人使用更全面的调查，对远程皮肤病学护理的满意度进行调查。96 名患者完成了面对面满意度调查问题，501 名患者完成了远程皮肤病学满意度调查。
大多数（78%）接受调查的患者对皮肤科的面对面护理非常满意或满意。接受远程皮肤病学治疗 1 年后，77%的患者对远程皮肤病学护理非常满意或满意。远程皮肤病学患者满意度的平均评分与面对面护理相当（4.1±1.2 和 4.3±1.0，p=0.4）。与远程皮肤病学患者满意度相关的因素包括初始咨询的等待时间短、初始等待时间不太长的看法、认为皮肤状况得到适当治疗的看法以及认为获得了足够的随访的看法。与远程皮肤病学患者不满相关的因素包括认为皮肤状况未得到适当治疗和认为未获得足够随访的看法。
远程皮肤病学被大多数在农村诊所接受护理的患者广泛接受。通过远程皮肤病学获得的护理满意度与面对面皮肤病学相当。
