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评价 COVID-19 大流行期间眼科视频咨询的患者满意度。

Evaluation of patient satisfaction with an ophthalmology video consultation during the COVID-19 pandemic.

机构信息

Augenarztpraxis Dres. Kortüm, Solitudestr. 24, 71638, Ludwigsburg, Germany.

Universitätsaugenklinik Ulm, Ulm, Germany.

出版信息

Ophthalmologe. 2021 Jan;118(Suppl 1):89-95. doi: 10.1007/s00347-020-01286-0.

Abstract

BACKGROUND

We introduced a video consultation (VC) during the coronavirus (COVID-19) pandemic in an ophthalmology practice with eight doctors to ensure continuous ophthalmological care, infection prophylaxis and to compensate a decreased number of patient presentations.

OBJECTIVE

Evaluation of the most common reasons for patient presentations in the VC, the proportion of re-presentations in the practice despite VC, practical challenges associated with the introduction of VC and patient satisfaction.

MATERIAL AND METHODS

Patients with a recent acute visual deterioration and severe eye pain were excluded from the VC. The VC were carried out by a trained specialist in ophthalmology. A questionnaire with eight questions was completed after the VC appointment in order to evaluate the proportion of completed VC and patient satisfaction.

RESULTS

We included 29 (13 male, Ø 52.6 years, 16 female, Ø 64.7 years) patients in this analysis. The VC could be performed with 68.97% of the participants who rated their overall experience with an average grade of 1.6 (1 very good to 6 insufficient) and all of them indicated that they would recommend the VC. Of presentations in VC 70% were related to the symptoms of the anterior eye segment. In 70% of the cases no re-presentations took place in the unit.

CONCLUSION

Our study represents a significant practical application of VC for the management of non-urgent ocular conditions with maximum infection prophylaxis. The introduction of VC was severely limited by technological or user-related issues by the establishment of video connections. Patient satisfaction with VC was high to very high.

摘要

背景

在一家拥有八位医生的眼科诊所,我们在冠状病毒(COVID-19)大流行期间引入了视频咨询(VC),以确保眼科护理的连续性、感染预防,并弥补患者就诊数量的减少。

目的

评估 VC 中患者就诊的最常见原因、尽管有 VC 但仍在诊所再次就诊的比例、引入 VC 相关的实际挑战以及患者满意度。

材料和方法

患有近期急性视力恶化和严重眼痛的患者被排除在 VC 之外。VC 由经过培训的眼科专家进行。在 VC 预约后,完成一份包含八个问题的问卷,以评估完成 VC 的比例和患者满意度。

结果

我们在这项分析中纳入了 29 名(13 名男性,平均年龄 52.6 岁;16 名女性,平均年龄 64.7 岁)患者。68.97%的参与者能够进行 VC,他们对整体体验的评价平均得分为 1.6(1 为非常好,6 为非常差),所有人都表示愿意推荐 VC。在 VC 就诊中,70%的就诊与眼前段症状有关。在 70%的情况下,患者无需再次到诊所就诊。

结论

我们的研究代表了 VC 在管理非紧急眼部疾病方面的重要实际应用,最大程度地预防了感染。由于建立视频连接时存在技术或用户相关问题,VC 的引入受到严重限制。患者对 VC 的满意度非常高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801a/7727093/57b3c6e7a908/347_2020_1286_Fig1_HTML.jpg

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