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评估门诊泌尿外科诊所视频问诊对患者的价值。

Examining the Value of Video Visits to Patients in an Outpatient Urology Clinic.

作者信息

Andino Juan J, Guduguntla Vinay, Weizer Alon, Roberts William W, Wittmann Daniela, Miller David, Morgan Todd M, Ellimoottil Chad

机构信息

Department of Urology, University of Michigan, Ann Arbor, MI.

Department of Urology, University of Michigan, Ann Arbor, MI.

出版信息

Urology. 2017 Dec;110:31-35. doi: 10.1016/j.urology.2017.07.050. Epub 2017 Aug 23.

Abstract

OBJECTIVE

To examine the value that urologic patients place on video visits before the implementation of a telemedicine program at our institution's outpatient urology clinic.

METHODS

We conducted an on-site survey at a tertiary medical center's outpatient urology clinic over a 3-month period. Our survey questions assessed patient access to technology needed for video visits, patients' perceptions about video visits, the amount patients would be willing to pay out-of-pocket for video visits, and total time patients expect to spend during a standard clinic visit.

RESULTS

We completed 108 surveys of adult patients. Of the patients, 94% owned a device that could be used for a video visit. The median level of patient interest in video visits was reported as 72 out of 100 (interquartile range: 51.25; scale: 0-100,) with a statistically significant difference in interest level across different age groups (P = .022). The median amount patients reported they were willing to pay out-of-pocket for video visits was $20 (interquartile range: $39.25, max: $174).

CONCLUSION

The vast majority of patients in our outpatient urology clinic possess the technology necessary to engage in video visits. Patients are highly interested in video visits and report a willingness to share in the costs of these visits. Given that a portion of patients travel long distances for specialty clinic visits, video visits have the potential to substantially improve the patient experience.

摘要

目的

在我们机构的门诊泌尿外科诊所实施远程医疗项目之前,研究泌尿外科患者对视频问诊的重视程度。

方法

我们在一家三级医疗中心的门诊泌尿外科诊所进行了为期3个月的现场调查。我们的调查问卷评估了患者获取视频问诊所需技术的情况、患者对视频问诊的看法、患者愿意自掏腰包支付视频问诊的费用,以及患者预计在标准门诊就诊期间花费的总时间。

结果

我们完成了108份成年患者的调查问卷。在这些患者中,94%拥有可用于视频问诊的设备。患者对视频问诊的兴趣中位数报告为100分中的72分(四分位间距:51.25;评分范围:0 - 100),不同年龄组的兴趣水平存在统计学显著差异(P = 0.022)。患者报告愿意自掏腰包支付视频问诊的费用中位数为20美元(四分位间距:39.25美元,最高:174美元)。

结论

我们门诊泌尿外科诊所的绝大多数患者拥有进行视频问诊所需的技术。患者对视频问诊高度感兴趣,并表示愿意分担这些问诊的费用。鉴于一部分患者前往专科门诊就诊路途遥远,视频问诊有可能显著改善患者体验。

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