College of Medicine and Dentistry, James Cook University, Douglas, QLD, 4811, Australia.
Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Douglas, QLD, 4811, Australia.
BMC Womens Health. 2021 Jan 18;21(1):30. doi: 10.1186/s12905-020-01163-7.
Telehealth and teleradiology are increasingly used around the world to facilitate health care provision when the health care provider and clients are separated by distance. The BreastScreen Australia Remote Radiology Assessment Model (RRAM) is an initiative developed to address the challenges of inadequate access to a local radiological workforce in regional Australia. With the growth in telehealth innovations more broadly, the RRAM represents a departure from the traditional onsite model where a radiologist would be co-located with practice staff during assessment clinics. Understanding client satisfaction is an important consideration with new models. This article explores client perceptions of the RRAM including awareness, satisfaction with experiences, confidence in the quality of care being received, and preferences regarding models of service delivery.
Clients in four BreastScreen services across three Australian states and territories were invited to provide feedback on their experiences of the RRAM. Brief face-to-face interviews based on a survey were conducted at the conclusion of assessment clinic visits. Clients also provided feedback through surveys completed and returned by post, and online.
144 clients completed the survey regarding their experiences of the RRAM. The majority were aged between 50 and 59 years (55/144, 38.2%). Most had attended a BreastScreen service for either screening or assessment on a total of two to five occasions (85/142, 59.9%) in the past. Nearly all women who attended a RRAM clinic expressed satisfaction with their experience (142/143, 99.3%). Clients were aware that the radiologist was working from another location (131/143, 91.6%) and the majority believed there wouldn't be any difference in the care they received between the RRAM and the onsite model (120/142, 84.5%). Clients generally had no particular preference for either the onsite or RRAM model of service delivery.
Clients' high satisfaction with their clinic experiences, high confidence in care being received, and the majority having no preference for either the onsite or remote model indicates their acceptance of the RRAM. Client acceptance of the model supports continuation of the RRAM at these sites and expansion. Findings may inform future telehealth innovations where key health care team members are working remotely.
远程医疗和远程放射学在全球范围内越来越多地被用于在医疗服务提供者和患者之间存在距离的情况下提供医疗服务。澳大利亚乳房筛查计划远程放射学评估模型（RRAM）是为解决澳大利亚偏远地区当地放射科劳动力不足的挑战而开发的一项举措。随着远程医疗创新的广泛发展，RRAM 代表了一种与传统现场模式的背离，在传统现场模式下，放射科医生会在评估诊所期间与实践工作人员一起工作。了解客户满意度是新模型的一个重要考虑因素。本文探讨了客户对 RRAM 的看法，包括对该模型的认识、对体验的满意度、对所接受护理质量的信心，以及对服务交付模式的偏好。
邀请来自澳大利亚三个州和地区的四个乳房筛查服务的客户提供他们对 RRAM 体验的反馈。在评估诊所就诊结束时，基于调查进行了简短的面对面访谈。客户还通过邮寄和在线完成和返回的调查提供了反馈。
144 名客户完成了关于他们 RRAM 体验的调查。大多数客户年龄在 50 至 59 岁之间（144 人中有 55 人，占 38.2%）。大多数人过去总共参加过两次到五次乳房筛查服务，要么是为了筛查，要么是为了评估（142 人中有 85 人，占 59.9%）。几乎所有参加 RRAM 诊所的女性都对她们的体验表示满意（143 人中有 142 人，占 99.3%）。客户意识到放射科医生是在另一个地点工作（143 人中有 131 人，占 91.6%），大多数人认为他们在 RRAM 和现场模型之间接受的护理不会有任何不同（142 人中有 120 人，占 84.5%）。客户通常对现场或远程服务交付模型没有特别的偏好。
客户对他们的诊所体验非常满意，对所接受的护理有高度信心，并且大多数人对现场或远程模型没有偏好，这表明他们接受了 RRAM。客户对该模型的接受支持了在这些地点继续使用 RRAM 并进行扩展。研究结果可能为关键医疗保健团队成员远程工作的未来远程医疗创新提供信息。
