Health Service Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Int J Med Inform. 2018 Jul;115:128-133. doi: 10.1016/j.ijmedinf.2018.03.004. Epub 2018 Mar 16.
Investigating the required infrastructure for the implementation of telemedicine and the satisfaction of target groups improves the acceptance of this technology and facilitates the delivery of healthcare services. The aim of this study was to assess the satisfaction of patients with stutter concerning the therapeutic method and the infrastructure used to receive tele-speech therapy services.
This descriptive-analytical study was conducted on all patients with stutter aged between 14 and 39 years at Jahrom Social Welfare Bureau (n = 30). The patients underwent speech therapy sessions through video conferencing with Skype. Data were collected by a researcher-made questionnaire. Its content validity was confirmed by three medical informatics specialists. Data were analyzed using SPSS version 19.
The mean and standard deviation of patient satisfaction scores concerning the infrastructure and the tele-speech therapy method were 3.15 ± 0.52 and 3.49 ± 0.52, respectively. No significant relationship was found between the patients satisfaction and their gender, education level and age (p > 0.05). The results of this study showed that the number of speech therapy sessions did not affect the overall satisfaction of the patients (p > 0.05), but the number of therapeutic sessions had a direct relationship with their satisfaction with the infrastructure used for tele-speech therapy (p < 0.05).
The present study showed that patients were satisfied with tele-speech therapy. According to most patients the low speed of the Internet connection in the country was a major challenge for receiving tele-speech therapy. The results suggest that healthcare planner and policy makers invest on increasing bandwidth to improve the success rate of telemedicine programs.
调查实施远程医疗所需的基础设施和目标群体的满意度，可提高对该技术的接受度，并促进医疗保健服务的提供。本研究旨在评估口吃患者对治疗方法和接受远程语音治疗服务所使用的基础设施的满意度。
本描述性分析研究纳入了 Jahrom 社会福利局所有年龄在 14 至 39 岁之间的口吃患者（n=30）。患者通过 Skype 视频会议接受语音治疗。使用研究人员自制的问卷收集数据。其内容效度由三位医学信息学专家确认。使用 SPSS 版本 19 进行数据分析。
患者对基础设施和远程语音治疗方法的满意度评分的平均值和标准差分别为 3.15±0.52 和 3.49±0.52。患者的满意度与他们的性别、教育程度和年龄之间没有显著关系（p＞0.05）。研究结果表明，语音治疗次数不会影响患者的总体满意度（p＞0.05），但治疗次数与他们对远程语音治疗所使用的基础设施的满意度直接相关（p＜0.05）。
本研究表明患者对口吃的远程语音治疗满意。根据大多数患者的说法，国家互联网连接速度较慢是接受远程语音治疗的主要挑战。结果表明，医疗保健规划者和政策制定者应投资增加带宽，以提高远程医疗计划的成功率。
