远程医疗与患者满意度：系统评价与叙述性分析
Telehealth and patient satisfaction: a systematic review and narrative analysis.
作者信息
Kruse Clemens Scott, Krowski Nicole, Rodriguez Blanca, Tran Lan, Vela Jackeline, Brooks Matthew
机构信息
Texas State University, San Marcos, Texas, USA.
出版信息
BMJ Open. 2017 Aug 3;7(8):e016242. doi: 10.1136/bmjopen-2017-016242.
BACKGROUND
The use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations.
OBJECTIVE
The objective of this systematic review and narrative analysis is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency.
METHODS
Boolean expressions between keywords created a complex search string. Variations of this string were used in Cumulative Index of Nursing and Allied Health Literature and MEDLINE.
RESULTS
2193 articles were filtered and assessed for suitability (n=44). Factors relating to effectiveness and efficiency were identified using consensus. The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost 8%), improved communication (8%) and decreased travel time (7%), which in total accounted for 61% of occurrences.
CONCLUSION
This review identified a variety of factors of association between telehealth and patient satisfaction. Knowledge of these factors could help implementers to match interventions as solutions to specific problems.
背景
随着远程医疗已成为一种可行的患者护理方式，其使用量稳步增加。早期采用者试图利用远程医疗提供高质量护理。患者满意度是衡量远程医疗模式满足患者期望程度的关键指标。
目的
本系统评价和叙述性分析的目的是探讨远程医疗与患者满意度在有效性和效率方面的关联。
方法
关键词之间的布尔表达式创建了一个复杂的搜索字符串。该字符串的变体用于护理及相关健康文献累积索引和医学期刊数据库。
结果
筛选了2193篇文章并评估其适用性（n = 44）。通过共识确定了与有效性和效率相关的因素。最常列出的因素是改善结果（20%）、首选模式（10%）、易用性（9%）、低成本（8%）、改善沟通（8%）和减少出行时间（7%），这些因素总计占出现次数的61%。
结论
本评价确定了远程医疗与患者满意度之间的多种关联因素。了解这些因素有助于实施者将干预措施作为特定问题的解决方案进行匹配。
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