远程医疗访视在明尼阿波利斯退伍军人事务部术后护理中的效果。
Efficacy of telehealth visits for postoperative care at the Minneapolis VA.
机构信息
Department of General Surgery, Minneapolis VA Health Care System, 1 Veterans Drive, Minneapolis, MN, 55417, United States.
Department of General Surgery, Minneapolis VA Health Care System, 1 Veterans Drive, Minneapolis, MN, 55417, United States.
出版信息
Am J Surg. 2020 Sep;220(3):721-724. doi: 10.1016/j.amjsurg.2020.01.015. Epub 2020 Jan 13.
BACKGROUND
About half of Minneapolis VA patients reside in rural areas, receiving their primary care at a Community Based Outpatient Clinic (CBOC). Although some CBOC's are over 200 miles away, patients must travel to the Twin Cities for surgical services.
METHODS
The 167 consecutive patients who opted for telehealth postoperative visits were surveyed. Data collected included travel time and distance to the Minneapolis VA and their local CBOC, need for transportation assistance to the clinic/VA, complications as a result of telehealth and a 1-10 overall satisfaction score.
RESULTS
Respondents reported a mean ± SD satisfaction score of 9.60 ± 1.20, with a mean cost savings of $51.94 ± $40.92, decrease in travel time of 99.4 ± 76.6 min and no post-surgical complications missed.
CONCLUSIONS
The telehealth program appears to be safe, saves time and money for veterans and results in extremely high patient satisfaction.
背景
明尼阿波利斯退伍军人事务部（VA）约有一半的患者居住在农村地区，他们在社区门诊（CBOC）接受初级护理。尽管有些 CBOC 距离超过 200 英里，但患者仍必须前往双子城接受手术服务。
方法
对选择远程医疗术后就诊的 167 名连续患者进行了调查。收集的数据包括前往明尼阿波利斯 VA 和当地 CBOC 的旅行时间和距离、前往诊所/VA 是否需要交通援助、远程医疗导致的并发症以及 1-10 分的总体满意度评分。
结果
受访者报告的满意度评分为 9.60 ± 1.20，平均节省费用为 51.94 ± 40.92 美元，旅行时间减少了 99.4 ± 76.6 分钟，且没有错过术后并发症。
结论
远程医疗计划似乎是安全的，为退伍军人节省了时间和金钱，并带来了极高的患者满意度。
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