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门诊物理治疗、职业治疗和言语治疗同步远程医疗:COVID-19 大流行期间虚拟就诊患者满意度的调查研究。

Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic.

机构信息

From the Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (AST, HB, GP, HS, ISD, JKS); Spaulding Rehabilitation Hospital, Boston, Massachusetts (AST, HB, GP, HS, ISD, JKS); Brigham and Women's Hospital, Boston, Massachusetts (GP, JKS); Spaulding Outpatient Center Wellesley, Wellesley, Massachusetts (KC); Spaulding Outpatient Center for Children Lexington, Lexington, Massachusetts (MO); and Massachusetts General Hospital, Boston, Massachusetts (JKS).

出版信息

Am J Phys Med Rehabil. 2020 Nov;99(11):977-981. doi: 10.1097/PHM.0000000000001571.

Abstract

The COVID-19 pandemic transformed health care delivery, including rapid expansion of telehealth. Telerehabilitation, defined as therapy provided by physical therapy, occupational therapy, and speech and language pathology, was rapidly adopted with goals to provide access to care and limit contagion. The purpose of this brief report was to describe the feasibility of and satisfaction with telerehabilitation. A total of 205 participants completed online surveys after a telerehabilitation visit. Most commonly, participants were women (53.7%), 35-64 yrs old, and completed physical therapy (53.7%) for established visits of 30-44 mins in duration for primary impairments in sports, lower limb injuries, and pediatric neurology. Overall, high ratings ("excellent" or "very good" responses) were observed for all patient-centered outcome metrics (range, 93.7%-99%) and value in future telehealth visit (86.8%) across telerehabilitation visits. Women participated more frequently and provided higher ratings than male participants did. Other benefits included eliminating travel time, incorporating other health care advocates, and convenience delivering care in familiar environment to pediatric patients. Technology and elements of hands-on aspects of care were observed limitations. Recognizing reduced indirect costs of care that telerehabilitation may provide along with high patient satisfaction are reasons policy makers should adopt these services into future health care delivery models.

摘要

新冠疫情改变了医疗服务模式,包括远程医疗的迅速扩张。远程康复是指由物理治疗师、作业治疗师和言语病理学家提供的治疗,它被迅速采用,目的是提供医疗服务并限制传染。本简要报告的目的是描述远程康复的可行性和满意度。共有 205 名参与者在远程康复访问后完成了在线调查。大多数参与者为女性(53.7%),年龄在 35-64 岁之间,并且完成了物理治疗(53.7%),这些治疗针对已建立的 30-44 分钟的就诊,主要针对运动、下肢损伤和儿科神经病的原发性损伤。总体而言,所有以患者为中心的结果指标(范围为 93.7%-99%)和未来远程医疗就诊的价值(86.8%)都得到了高度评价(“优秀”或“非常好”的反应)。女性比男性参与者更频繁地参与并提供更高的评价。其他好处包括节省旅行时间、纳入其他医疗保健倡导者以及方便在熟悉的环境中为儿科患者提供护理。技术和护理实践方面的一些元素被认为是限制因素。认识到远程康复可能提供的医疗成本的间接降低以及患者的高满意度是政策制定者应该将这些服务纳入未来医疗服务模式的原因。

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