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评估有新冠病毒疾病症状患者的远程医疗体验:最佳实践建议

Evaluating the Telehealth Experience of Patients With COVID-19 Symptoms: Recommendations on Best Practices.

作者信息

Khairat Saif, Pillai Malvika, Edson Barbara, Gianforcaro Robert

机构信息

Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

UNC Health, Chapel Hill, NC, USA.

出版信息

J Patient Exp. 2020 Oct;7(5):665-672. doi: 10.1177/2374373520952975. Epub 2020 Sep 4.

Abstract

Positive patient experiences are associated with illness recovery and adherence to medication. To evaluate the virtual care experience for patients with COVID-19 symptoms as their chief complaints. We conducted a cross-sectional study of the first cohort of patients with COVID-19 symptoms in a virtual clinic. The main end points of this study were visit volume, wait times, visit duration, patient diagnosis, prescriptions received, and satisfaction. Of the 1139 total virtual visits, 212 (24.6%) patients had COVID-19 symptoms. The average wait time (SD) for all visits was 75.5 (121.6) minutes. The average visit duration for visits was 10.5 (4.9) minutes. The highest volume of virtual visits was on Saturdays (39), and the lowest volume was on Friday (19). Patients experienced shorter wait times (SD) on the weekdays 67.1 (106.8) minutes compared to 90.3 (142.6) minutes on the weekends. The most common diagnoses for patients with COVID-19 symptoms were upper respiratory infection. Patient wait times for a telehealth visit varied depending on the time and day of appointment. Long wait times were a major drawback in the patient experience. Based on patient-reported experience, we proposed a list of general, provider, and patient telehealth best practices.

摘要

积极的患者体验与疾病康复和药物依从性相关。为了评估以新冠病毒症状为主诉的患者的虚拟护理体验。我们对虚拟诊所中首批出现新冠病毒症状的患者进行了一项横断面研究。本研究的主要终点包括就诊量、等待时间、就诊时长、患者诊断、收到的处方以及满意度。在总共1139次虚拟就诊中,212名(24.6%)患者有新冠病毒症状。所有就诊的平均等待时间(标准差)为75.5(121.6)分钟。就诊的平均时长为10.5(4.9)分钟。虚拟就诊量最高的是周六(39次),最低的是周五(19次)。与周末的90.3(142.6)分钟相比,患者在工作日的等待时间(标准差)较短,为67.1(106.8)分钟。有新冠病毒症状的患者最常见的诊断是上呼吸道感染。患者进行远程医疗就诊的等待时间因预约时间和日期而异。长时间等待是患者体验中的一个主要缺点。基于患者报告的体验,我们提出了一系列通用的、医疗服务提供者的和患者的远程医疗最佳实践清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/7705823/d6f6a9806433/10.1177_2374373520952975-fig1.jpg

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