Locke Jennifer, Herschorn Sender, Neu Sarah, Klotz Laurence, Kodama Ron, Carr Lesley
Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Can Urol Assoc J. 2020 Sep;14(9):E402-E406. doi: 10.5489/cuaj.6758.
With the cessation of non-urgent clinical office visits due to the coronavirus, there has been a rapid shift to telephone and other virtual visits in outpatient practice. We conducted a survey to evaluate patients' perspective of telephone visits during the COVID-19 pandemic.
Patients receiving a scheduled telephone call as a virtual visit from urologists at our clinic were asked to participate in a three-minute, self-administered, online questionnaire. After verbal permission was obtained, the survey was emailed to each participant. The outcomes evaluated were telephone visit satisfaction and preference for type of appointment. Non-parametric tests were used to analyze the results. The study was approved by the Sunnybrook Research Ethics Board.
A total of 102 participants were included; 96% of participants assessed the telephone visit as a positive experience in every survey question, while 45% expressed no preference. In those who expressed a preference, this was evenly divided between in-office visits and phone visits (p=0.0614). Participants who lived more than 75 km from the hospital were less likely to prefer an in-office visit compared to those residing locally (U=433, p=0.006; odds ratio 0.29, 95% confidence interval 0.106-0.779, p=0.0142).
In this survey, most participants assessed the telephone visit positively. Almost half had no preference and a similar proportion expressed a preference for in-office and telephone visits. Patients who resided farther from the hospital were more likely to prefer the telephone visit. This is the first study that we know of to assess patients' preferences regarding remote encounters in urology.
由于冠状病毒疫情,非紧急临床门诊就诊暂停,门诊实践迅速转向电话及其他虚拟就诊方式。我们开展了一项调查,以评估患者对新冠疫情期间电话就诊的看法。
在我们诊所,接受泌尿科医生安排的作为虚拟就诊的电话随访的患者,被要求参与一项三分钟的在线自填问卷。在获得口头许可后,调查问卷通过电子邮件发送给每位参与者。评估的结果包括电话就诊满意度和预约类型偏好。采用非参数检验分析结果。该研究经阳光布鲁克研究伦理委员会批准。
共纳入102名参与者;96%的参与者在每个调查问题中都将电话就诊评估为积极体验,而45%的参与者表示无偏好。在表达了偏好的参与者中,选择门诊就诊和电话就诊的人数均等(p = 0.0614)。与居住在当地的参与者相比,居住在距离医院75公里以上的参与者更不太可能选择门诊就诊(U = 433,p = 0.006;优势比0.29,95%置信区间0.106 - 0.779,p = 0.0142)。
在本次调查中,大多数参与者对电话就诊给予了积极评价。近一半的参与者无偏好,选择门诊就诊和电话就诊的比例相近。居住距离医院较远的患者更倾向于电话就诊。据我们所知,这是第一项评估患者对泌尿外科远程会诊偏好的研究。