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大型多专科医疗机构中患者对远程医疗服务的偏好

Patient preferences for telehealth services in a large multispecialty practice.

作者信息

Ebbert Jon O, Ramar Priya, Tulledge-Scheitel Sidna M, Njeru Jane W, Rosedahl Jordan K, Roellinger Daniel, Philpot Lindsey M

机构信息

Community Internal Medicine, Mayo Clinic College of Medicine, USA.

Department of Medicine, Mayo Clinic College of Medicine, USA.

出版信息

J Telemed Telecare. 2023 May;29(4):298-303. doi: 10.1177/1357633X20980302. Epub 2021 Jan 18.

DOI:10.1177/1357633X20980302
PMID:33461397
Abstract

INTRODUCTION

Telehealth service provision has accelerated during the Coronavirus disease 2019 (COVID-19) pandemic. As the pandemic continues, clinical practices have discovered ways to resume operations. Opportunities exist to understand patient preferences for telehealth clinical services and to tailor offerings to different demographic groups.

METHODS

We conducted a survey of patients receiving telehealth services through our outpatient practice to understand the types of healthcare services for which patients report preferences for telehealth.

RESULTS

We received 551 survey responses (response rate = 20.8%; 551/2650). More than half of patients indicated being 'very likely' to use telehealth services to refill medication(s) (67.3%), prepare for an upcoming visit (66.1%), review test results (60.3%), or receive education (54.2%). Males had lower odds of preferring telehealth services for reviewing test results (odds ratio (OR) = 0.57; 95% confidence interval (CI): 0.34-0.94) or mental health issues (OR = 0.54; 95% CI: 0.38-0.77). Respondents who received a video visit were significantly more likely than those who received a telephone visit to report preferences for using telehealth for education, care plan discussions, long-term health issues, and mental health.

DISCUSSION

Patient preferences for telehealth services vary by services provided and respondent demographics. Experience with telehealth increases the likelihood for future use of these services.

摘要

引言

在2019年冠状病毒病(COVID-19)大流行期间,远程医疗服务的提供加速了。随着大流行的持续,临床实践已经找到了恢复运营的方法。现在有机会了解患者对远程医疗临床服务的偏好,并针对不同的人口群体调整服务内容。

方法

我们对通过我们门诊接受远程医疗服务的患者进行了一项调查,以了解患者报告偏好远程医疗的医疗服务类型。

结果

我们收到了551份调查回复(回复率=20.8%;551/2650)。超过一半的患者表示“非常有可能”使用远程医疗服务来补充药物(67.3%)、为即将到来的就诊做准备(66.1%)、查看检查结果(60.3%)或接受教育(54.2%)。男性在查看检查结果(优势比(OR)=0.57;95%置信区间(CI):0.34-0.94)或心理健康问题(OR=0.54;95%CI:0.38-0.77)方面偏好远程医疗服务的几率较低。接受视频就诊的受访者比接受电话就诊的受访者更有可能报告在教育、护理计划讨论、长期健康问题和心理健康方面偏好使用远程医疗。

讨论

患者对远程医疗服务的偏好因所提供的服务和受访者的人口统计学特征而异。远程医疗的经验增加了未来使用这些服务的可能性。

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