Andrews Elizabeth, Berghofer Kendall, Long Julie, Prescott Amber, Caboral-Stevens Meriam
School of Nursing, Eastern Michigan University USA.
Center for Health Disparities Innovations and Studies, Eastern Michigan University USA.
Int J Nurs Stud Adv. 2020 Nov;2:100008. doi: 10.1016/j.ijnsa.2020.100008. Epub 2020 Oct 16.
The novel coronavirus (COVID-19) pandemic has defined 2020 thus far. Businesses, social and religious gatherings, travel, and almost all forms of transportation shut down to halt the spread of COVID-19. People were ordered to quarantine in place, and the world appears to go into a standstill. In the midst of being quarantined people with acute and chronic conditions still require medical care and treatment. An alternative way for people to receive needed health care was necessary. Hence, we saw an unprecedented surge in telehealth. With this unprecedented surge in use of telehealth, there is matter of delivering quality care.
Guided by the Donabedian Model, the purpose of this integrative review was to examine current evidence on patient and healthcare provider's satisfaction with the use of telehealth during the COVID-19 pandemic.
An integrative review of the literature.
The literature review was conducted utilizing PubMED, CINAHL, Google Scholar and Cochrane Library databases. Inclusion criteria were studies published from January 2020 to July 11, 2020, published and translated in English language, and studies that evaluated patients and providers satisfaction with the use of telehealth or telemedicine during COVID-19. Eighteen articles were included in this review.
An evaluation matrix was developed to collect data from the included articles. The articles were appraised using Fineout-Overholt & Gallagher-Ford Rapid Critical Appraisal Checklist for Descriptive Studies and Rapid Critical Appraisal of Evidence-Based Practice Implementation or Quality Improvement Projects (Melnyk & Fineout-Overholt, 2015). Authors independently appraised each article using the appropriate appraisal tools.
Ten of the articles (53%) included were studies conducted in the United States. Sixteen out of 18 studies evaluated patient satisfaction and five studies examined healthcare providers' satisfaction with the use of telehealth. The majority of telehealth services offered were by subspecialists. Overall, patients and healthcare providers have high level of satisfaction with the use of telehealth during COVID-19 pandemic. Many patients and healthcare providers reported willingness to continue using telehealth after the pandemic.
This integrative review provided additional evidence on patient and healthcare provider's satisfaction with the use of telehealth. Findings in this review may not be surprising as individuals, healthcare providers, and health systems needed to adopt the use telehealth due to necessity. However, the results for telehealth are promising.
新型冠状病毒（COVID-19）大流行至今已成为2020年的标志性事件。企业、社交和宗教聚会、旅行以及几乎所有形式的交通都已关闭，以阻止COVID-19的传播。人们被要求就地隔离，整个世界似乎陷入了停滞。在隔离期间，患有急慢性疾病的人仍然需要医疗护理和治疗。因此，人们需要一种获得所需医疗保健的替代方式。于是，远程医疗出现了前所未有的激增。随着远程医疗使用量的这种前所未有的激增，提供高质量护理成为了一个问题。
在多纳贝迪安模型的指导下，本综合综述的目的是研究关于患者和医疗服务提供者在COVID-19大流行期间对远程医疗使用满意度的现有证据。
对文献进行综合综述。
利用PubMED、CINAHL、谷歌学术和考科蓝图书馆数据库进行文献综述。纳入标准为2020年1月至2020年7月11日发表、以英文发表和翻译的研究，以及评估患者和提供者在COVID-19期间对远程医疗或远程医学使用满意度的研究。本综述纳入了18篇文章。
制定了一个评估矩阵，从纳入的文章中收集数据。使用Fineout-Overholt & Gallagher-Ford描述性研究快速批判性评估清单以及循证实践实施或质量改进项目的快速批判性评估（Melnyk & Fineout-Overholt，2015年）对文章进行评估。作者使用适当的评估工具独立评估每篇文章。
纳入的文章中有10篇（53%）是在美国进行的研究。18项研究中有16项评估了患者满意度，5项研究考察了医疗服务提供者对远程医疗使用的满意度。提供的大多数远程医疗服务是由专科医生提供的。总体而言，患者和医疗服务提供者对COVID-19大流行期间远程医疗的使用满意度较高。许多患者和医疗服务提供者表示愿意在大流行后继续使用远程医疗。
本综合综述提供了关于患者和医疗服务提供者对远程医疗使用满意度的更多证据。本综述中的发现可能并不令人惊讶，因为个人、医疗服务提供者和卫生系统因必要性而需要采用远程医疗。然而，远程医疗的结果很有前景。
