Shafi Karim, Lovecchio Francis, Forston Katherine, Wyss James, Casey Ellen, Press Joel, Creighton Andrew, Sandhu Harvinder, Iyer Sravisht
Hospital for Special Surgery, 535 East 70th St, New York, NY 1002 USA.
Weill Cornell Medicine, 1300 York Ave, New York, NY 10021 USA.
HSS J. 2020 Nov;16(Suppl 1):17-23. doi: 10.1007/s11420-020-09808-x. Epub 2020 Nov 4.
The use of telehealth saw a rapid surge during the early months of the COVID-19 pandemic. There remains little data on how effectively telehealth replicates traditional office visits in the treatment of spinal disorders and how telehealth is perceived by patients with spinal disorders.
QUESTIONS/PURPOSES: We sought to evaluate patient satisfaction with telehealth visits as a platform for delivering care for the treatment of spinal pathology.
Patients undergoing a telehealth visit with providers specializing in the treatment of spinal disorders (one surgeon and two physiatrists) were provided with an anonymous, online survey. Data on patient satisfaction, effectiveness of the telehealth visit (in comparison with in-person visits), and clarity of communication were collected through 5-point Likert scales; visit characteristics and free-text responses were also collected.
Eighty-four patients responded to the survey. Their attitudes were largely positive, with an overall mean patient satisfaction score of 4.79. Patients gave high scores for clarity of communication during the visit, and for satisfaction with the formulation of treatment plans and their ability to ask questions, they gave the lowest scores to the effectiveness of telemedicine in replacing an in-person visit and ease of interface navigation.
The high overall patient satisfaction reported by our patients seeking care for a spinal pathology supports the growing body of evidence promoting the use of telehealth for orthopedic care. Further research is needed in a standardized telehealth examination of patients with spinal disorders.
在2019年冠状病毒病大流行的最初几个月，远程医疗的使用迅速激增。关于远程医疗在脊柱疾病治疗中复制传统门诊的效果如何，以及脊柱疾病患者对远程医疗的看法，目前的数据仍然很少。
问题/目的：我们试图评估患者对远程医疗就诊作为脊柱疾病治疗护理平台的满意度。
对接受专门治疗脊柱疾病的医疗服务提供者（一名外科医生和两名物理治疗师）进行远程医疗就诊的患者提供了一份匿名在线调查。通过5分制李克特量表收集患者满意度、远程医疗就诊效果（与面对面就诊相比）和沟通清晰度的数据；还收集了就诊特征和自由文本回复。
84名患者回复了调查。他们的态度大多是积极的，患者总体平均满意度得分为4.79。患者对就诊期间的沟通清晰度、对治疗计划制定的满意度以及提问能力给予高分，对远程医疗替代面对面就诊的效果和界面导航的便捷性给予低分。
我们寻求脊柱疾病护理的患者报告的总体高满意度支持了越来越多促进远程医疗用于骨科护理的证据。需要对脊柱疾病患者进行标准化的远程医疗检查的进一步研究。
