University Clinic of Psychiatry, Daily Hospital, Skopje, North Macedonia.
Telemed J E Health. 2021 Apr;27(4):464-467. doi: 10.1089/tmj.2020.0256. Epub 2020 Aug 17.
There is increasing interest in the use of telemedicine as a means of health care delivery especially in circumstances of pandemics. This is partly because technological advances have made the equipment less expensive and simpler to use and partly because increasing health care costs and patient expectations have increased the need to find alternative modes of health care delivery. Telemedicine and telepsychiatry, in particular, are rapidly becoming important delivery approaches to providing clinical care and information to patients in cases wherein the medical resources and the patients are very hard to be brought together with respect to rules of behavior in case of epidemics. The reliance on technology to bridge the obstacles between the patients (consumers) and medical resources (providers) can create problems that impact service delivery and outcomes, but in cases such as this (COVID-19 pandemics), this is virtually the only tool for providing clinical care and information to patients. A client satisfaction survey was undertaken in a daily hospital (a part of University Clinic of Psychiatry in Skopje). The anonymous modified self-report questionnaire (short form patient satisfaction questionnaire [PSQ-18]) covering demographic, gender, and age variables was endorsed by 28 participants. The mean age of the subjects was 40.25 ± 22 years, with a small majority of men (18 participants) versus women (11 participants). Overall satisfaction with psychiatric care was high (80.22%). None of the demographic or other variables correlated significantly with satisfaction. We had to reduce rate and time length of our face-to-face contacts with patients as a result of pandemics but they were able to reach their doctors virtually at all times. Many mental health professionals are using widely available, commercial software downloaded from the internet to provide care directly to a patient's home.
人们越来越关注远程医疗作为医疗保健提供方式的应用，尤其是在大流行病的情况下。这部分是因为技术进步使设备更便宜、更易于使用，部分是因为不断上涨的医疗保健成本和患者期望增加了寻找替代医疗保健提供方式的需求。远程医疗和远程精神病学尤其迅速成为向患者提供临床护理和信息的重要提供方式，在大流行病情况下，医疗资源和患者很难按照行为规则聚集在一起。依赖技术来弥合患者（消费者）和医疗资源（提供者）之间的障碍可能会产生影响服务提供和结果的问题，但在这种情况下（COVID-19 大流行），这实际上是向患者提供临床护理和信息的唯一工具。 在一家日常医院（斯科普里精神病学大学诊所的一部分）进行了客户满意度调查。匿名修改后的自我报告问卷（简短形式患者满意度问卷 [PSQ-18]）涵盖了人口统计学、性别和年龄变量，得到了 28 名参与者的认可。受试者的平均年龄为 40.25±22 岁，男性（18 名参与者）略多于女性（11 名参与者）。 对精神病护理的总体满意度很高（80.22%）。没有任何人口统计学或其他变量与满意度显著相关。 由于大流行病，我们不得不减少与患者面对面接触的频率和时间长度，但他们可以随时通过虚拟方式联系到他们的医生。 许多心理健康专业人员正在使用从互联网下载的广泛可用的商业软件，直接向患者的家中提供护理。
