Kerr Brian, Pharithi Rebabonye B, Barrett Matthew, Halley Carmel, Gallagher Joe, Ledwidge Mark, McDonald Kenneth
Heart Failure Unit, St Vincent University Hospital Healthcare Group, Elm Park, Dublin 4, Ireland.
School of Medicine, University College Dublin, Dublin 4, Ireland.
Int J Cardiol Heart Vasc. 2020 Dec;31:100665. doi: 10.1016/j.ijcha.2020.100665. Epub 2020 Oct 21.
The COVID pandemic has challenged the traditional methods used in care of patients with heart failure (HF). Remote management of HF patients has been recommended in order to maintain routine standards of care, but satisfaction with this platform of care is unknown. We set out to address the physician and patient opinion of remote management of HF during COVID-19.
An observational report of the use of a Structured Telephonic assessment (STA) in stable outpatient HF patients. Physician grading of the STA was complemented by 100 randomly chosen patients to ascertain patient satisfaction and comment. 278 patients underwent a STA. Patient preference for STA was noted in 66%. Convenience was the single most cited reason for this preference (83.3%). The STA was deemed satisfactory by clinicians in 67.6%. The two-leading reasons for clinician dissatisfaction were data gaps providing a barrier to titration (55.6%) and need for clinical exam (18.9%). The annual review appointment visit subtype possessed the highest levels of satisfaction congruence amongst both clinicians and patients.
In summary, this report demonstrates reasonable patient / physician satisfaction with STA, and provides some direction on how this care platform might be sustained beyond the COVID crisis.
新冠疫情对心力衰竭（HF）患者的传统护理方法提出了挑战。为维持常规护理标准，已推荐对HF患者进行远程管理，但对该护理平台的满意度尚不清楚。我们着手探讨在新冠疫情期间医生和患者对HF远程管理的看法。
一项关于在稳定的门诊HF患者中使用结构化电话评估（STA）的观察性报告。STA的医生评分由100名随机选择的患者补充，以确定患者满意度并收集意见。278名患者接受了STA。66%的患者表示更喜欢STA。便利性是这种偏好最常被提及的单一原因（83.3%）。临床医生对STA的满意度为67.6%。临床医生不满意的两个主要原因是数据缺口阻碍了滴定（55.6%）和需要临床检查（18.9%）。年度复查预约就诊亚型在临床医生和患者中具有最高水平的满意度一致性。
总之，本报告表明患者/医生对STA的满意度合理，并为在新冠危机之后如何维持该护理平台提供了一些指导。
