Miner Harrison, Fatehi Amirreza, Ring David, Reichenberg Jason S
Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
Department of Internal Medicine, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
Telemed J E Health. 2021 May;27(5):508-512. doi: 10.1089/tmj.2020.0295. Epub 2020 Sep 18.
Telemedicine utilization increased exponentially due to the coronavirus disease 2019 (COVID-19) pandemic. As a result, most clinicians now have experience with telemedicine. We studied factors independently associated with a clinician desiring to continue telemedicine services after the COVID-19 pandemic. Secondarily, we sought factors independently associated with clinician satisfaction with the quality of care provided through telemedicine and factors associated with telemedicine platform preference by clinicians. A large multispecialty medical group of physicians were invited to complete a survey, including demographics, telemedicine experience, satisfaction with various elements of telemedicine encounters, desired features in a telemedicine platform, personality traits, and preferences. A total of 220 complete responses were analyzed. : A desire to continue offering telemedicine visits after the COVID-19 pandemic was independently associated with a higher satisfaction with the quality of telemedicine care, endorsement of the ease of performing a physical examination with telemedicine, belief that adaptability is an important element of being a clinician, and less preference for in-person work meetings over virtual meetings. Higher satisfaction with the quality of telemedicine care was associated with belief that adaptability is an important element of being a clinician, clinicians who identify as being more perceiving (value flexibility) than judging (value organization), providers from relatively urban counties, and those with less preference for in-person work meetings over virtual meetings. Clinicians ranked ease of use for patients and physicians as the most important features of telemedicine platforms. The observed association of clinician personality and interpersonal preferences with the appeal, satisfaction, and perceived effectiveness of telemedicine merit additional study. Early implementation of telemedicine might be easiest with clinicians that take pride in their adaptability and value a technology-based workstyle.
由于2019年冠状病毒病(COVID-19)大流行,远程医疗的使用呈指数级增长。因此,现在大多数临床医生都有远程医疗的经验。我们研究了与临床医生在COVID-19大流行后希望继续提供远程医疗服务独立相关的因素。其次,我们寻找与临床医生对通过远程医疗提供的护理质量的满意度独立相关的因素,以及与临床医生对远程医疗平台偏好相关的因素。一个大型多专业医疗集团的医生被邀请完成一项调查,包括人口统计学、远程医疗经验、对远程医疗会诊各个方面的满意度、远程医疗平台所需功能、个性特征和偏好。共分析了220份完整回复。:在COVID-19大流行后继续提供远程医疗会诊的意愿与对远程医疗护理质量的更高满意度、认可通过远程医疗进行体格检查的便利性、认为适应性是临床医生的重要要素以及相较于面对面工作会议更不偏好虚拟会议独立相关。对远程医疗护理质量的更高满意度与认为适应性是临床医生的重要要素、自我认同为更倾向于感知(重视灵活性)而非判断(重视条理性)的临床医生、来自相对城市化县的提供者以及相较于面对面工作会议更不偏好虚拟会议的人相关。临床医生将患者和医生使用的便捷性列为远程医疗平台最重要的功能。观察到的临床医生个性和人际偏好与远程医疗的吸引力、满意度和感知效果之间的关联值得进一步研究。对于以自身适应性为傲并重视基于技术的工作方式的临床医生来说,早期实施远程医疗可能最为容易。