Schwartz Andrew M, Chan Ferdinand J, Levy Benjamin J, Tarpada Sandip P, Schwechter Evan M
Emory University School of Medicine, 201 Dowman Dr., Atlanta, GA 30322 USA.
Emory University Orthopaedics & Spine Hospital, 1455 Montreal Rd. E., Tucker, GA 30084 USA.
HSS J. 2020 Dec;16(Suppl 2):461-467. doi: 10.1007/s11420-020-09813-0. Epub 2020 Nov 6.
Research in surgical fields other than orthopedics has demonstrated high patient satisfaction with non-traditional telerounding modalities.
QUESTIONS/PURPOSES: We sought to determine patient satisfaction and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores of patients who experienced telerounding in the post-operative period after undergoing total joint arthroplasty (TJA).
Fifty consecutive TJA patients were prospectively enrolled to receive telerounding. The patients were divided into two groups based on their satisfaction with telerounding. The HCAHPS scores of the patients who received telerounding were compared with 50 control patients.
Overall, the telerounding cohort had a positive reaction to telerounding. Comparing patients who were highly satisfied to those who were dissatisfied with telerounding, younger patients were found to be more frequently satisfied with telerounding. Compared with patients who did not receive telerounding, patients who experienced telerounding rated the hospital higher on a 10-point scale were more likely to recommend the hospital to others, more frequently believed their physicians treated them with courtesy and respect, and more often believed their physicians always listened to them carefully.
An overwhelming majority of our patients found telerounding using FaceTime enhanced their care while recovering post-operatively from TJA. Those patients were typically younger and had significantly higher HCAHPS scores, which potentially can enhance the physician-patient relationship.
除骨科外的其他外科领域的研究表明,患者对非传统远程查房模式满意度较高。
问题/目的:我们试图确定全关节置换术(TJA)术后接受远程查房患者的满意度以及医院医疗服务提供者和系统消费者评估(HCAHPS)得分。
前瞻性纳入连续50例接受TJA的患者以接受远程查房。根据患者对远程查房的满意度将其分为两组。将接受远程查房患者的HCAHPS得分与50例对照患者进行比较。
总体而言,远程查房队列对远程查房反应积极。比较对远程查房高度满意与不满意的患者,发现年轻患者对远程查房更常感到满意。与未接受远程查房的患者相比,接受远程查房的患者在10分制量表上对医院的评分更高,更有可能向他人推荐该医院,更常认为其医生礼貌且尊重地对待他们,并且更常认为其医生总是认真倾听他们的意见。
绝大多数患者发现,使用FaceTime进行远程查房在TJA术后恢复期间改善了他们的护理。这些患者通常较年轻,HCAHPS得分显著更高,这可能会增强医患关系。