Satin Alexander M, Shenoy Kartik, Sheha Evan D, Basques Bryce, Schroeder Gregory D, Vaccaro Alexander R, Lieberman Isador H, Guyer Richard D, Derman Peter B
Texas Back Institute, Plano, TX, USA.
Rothman Institute, Philadelphia, PA, USA.
Global Spine J. 2022 Jun;12(5):812-819. doi: 10.1177/2192568220965521. Epub 2020 Oct 22.
Original research, cross-sectional study.
Evaluate patient satisfaction with spine care delivered via telemedicine. Identify patient- and visit-based factors associated with increased satisfaction and visit preference.
Telemedicine visits with a spine surgeon at 2 practices in the United States between March and May 2020 were eligible for inclusion in the study. Patients were sent an electronic survey recording overall satisfaction, technical or clinical issues encountered, and preference for a telemedicine versus an in-person visit. Factors associated with poor satisfaction and preference of telemedicine over an in-person visit were identified using multivariate logistic regression.
A total of 772 responses were collected. Overall, 87.7% of patients were satisfied with their telemedicine visit and 45% indicated a preference for a telemedicine visit over an in-person visit if given the option. Patients with technical or clinical issues were significantly less likely to achieve 5 out of 5 satisfaction scores and were significantly more likely to prefer an in-person visit. Patients who live less than 5 miles from their surgeon's office and patients older than 60 years were also significantly more likely to prefer in-person visits.
Spine telemedicine visits during the COVID-19 pandemic were associated with high patient satisfaction. Additionally, 45% of respondents indicated a preference for telemedicine versus an in-patient visit in the future. In light of these findings, telemedicine for spine care may be a preferable option for a subset of patients into the future.
原创性研究，横断面研究。
评估患者对通过远程医疗提供的脊柱护理的满意度。确定与满意度提高和就诊偏好相关的患者及就诊因素。
2020年3月至5月期间，在美国两家医疗机构与脊柱外科医生进行的远程医疗就诊符合纳入本研究的条件。向患者发送一份电子调查问卷，记录总体满意度、遇到的技术或临床问题，以及对远程医疗就诊与面对面就诊的偏好。使用多因素逻辑回归确定与满意度低以及更喜欢远程医疗而非面对面就诊相关的因素。
共收集到772份回复。总体而言，87.7%的患者对其远程医疗就诊感到满意，45%的患者表示如果可以选择，他们更喜欢远程医疗就诊而非面对面就诊。遇到技术或临床问题的患者获得5分（满分5分）满意度评分的可能性显著降低，并且更喜欢面对面就诊的可能性显著增加。居住在距离外科医生办公室不到5英里的患者以及60岁以上的患者也显著更有可能更喜欢面对面就诊。
在新冠疫情期间，脊柱远程医疗就诊与患者的高满意度相关。此外，45%的受访者表示未来更喜欢远程医疗而非住院就诊。鉴于这些发现，脊柱护理的远程医疗可能是未来一部分患者的更优选择。
