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医疗服务提供者对新冠疫情期间远程行为健康服务的质量、接受度和满意度的看法:基于调查的研究

Health Care Providers' Perceptions of Quality, Acceptance, and Satisfaction With Telebehavioral Health Services During the COVID-19 Pandemic: Survey-Based Study.

作者信息

Wright Jesse, Dewan Shyam, Hilty Donald, Dewan Naakesh A

机构信息

BayCare Health System, Clearwater, FL, United States.

Emory University, Atlanta, GA, United States.

出版信息

JMIR Ment Health. 2020 Dec 4;7(12):e23245. doi: 10.2196/23245.

DOI:10.2196/23245
PMID:33180740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7721630/
Abstract

BACKGROUND

Due to rapidly increasing rates of COVID-19 across the country, system-wide changes were needed to protect the health and safety of health care providers and consumers alike. Technology-based care has received buy-in from all participants, and the need for technological assistance has been prioritized.

OBJECTIVE

The objective of this study was to determine the initial perceptions and experiences of interprofessional behavioral health providers about shifting from traditional face-to-face care to virtual technologies (telephonic and televideo) during the COVID-19 pandemic.

METHODS

A survey-based study was performed at a large, integrated medical health care system in West-Central Florida that rapidly implemented primary care provision via telephone and televideo as of March 18, 2020. A 23-item anonymous survey based on a 7-point Likert scale was developed to determine health care providers' perceptions about telephonic and televideo care. The survey took 10 minutes to complete and was administered to 280 professionals between April 27 and May 11, 2020.

RESULTS

In all, 170 respondents completed the survey in entirety, among which 78.8% (134/170) of the respondents were female and primarily aged 36-55 years (89/170, 52.4%). A majority of the respondents were outpatient-based providers (159/170, 93.5%), including psychiatrists, therapists, counselors, and advanced practice nurses. Most of them (144/170, 84.7%) had used televideo for less than 1 year; they felt comfortable and satisfied with either telephonic or televideo mode and that they were able to meet the patients' needs.

CONCLUSIONS

Our survey findings suggest that health care providers valued televideo visits equally or preferred them more than telephonic visits in the domains of quality of care, technology performance, satisfaction of technology, and user acceptance.

摘要

背景

由于全国范围内新冠病毒病(COVID-19)感染率迅速上升,需要进行全系统变革以保护医护人员和消费者的健康与安全。基于技术的护理已得到所有参与者的认可,并且技术援助的需求已被列为优先事项。

目的

本研究的目的是确定跨专业行为健康提供者在新冠病毒病大流行期间从传统面对面护理转向虚拟技术(电话和视频)的初步看法和体验。

方法

在佛罗里达州中西部的一个大型综合医疗保健系统中进行了一项基于调查的研究,该系统自2020年3月18日起迅速通过电话和视频提供初级保健服务。开发了一项基于7点李克特量表的包含23个条目的匿名调查,以确定医疗保健提供者对电话和视频护理的看法。该调查需要10分钟完成,并于2020年4月27日至5月11日对280名专业人员进行了调查。

结果

共有170名受访者完整完成了调查,其中78.8%(134/170)的受访者为女性,主要年龄在36 - 55岁(89/170,52.4%)。大多数受访者是门诊提供者(159/170,93.5%),包括精神科医生、治疗师、顾问和高级执业护士。他们中的大多数(144/170,84.7%)使用视频的时间不到1年;他们对电话或视频模式感到舒适和满意,并且能够满足患者的需求。

结论

我们的调查结果表明,在护理质量、技术性能、技术满意度和用户接受度等方面,医疗保健提供者对视频就诊的重视程度与电话就诊相当,甚至更倾向于视频就诊。

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