Riley Phoebe Elizabeth, Fischer Jakob L, Nagy Ryan E, Watson Nora L, McCoul Edward D, Tolisano Anthony M, Riley Charles A
Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
School of Medicine, Tulane University, New Orleans, Louisiana, USA.
OTO Open. 2021 Jan 8;5(1):2473974X20981838. doi: 10.1177/2473974X20981838. eCollection 2021 Jan-Mar.
The objective of this study is to evaluate patient and provider satisfaction with telemedicine encounters across 3 otolaryngology practices.
Cross-sectional survey.
A military community hospital, an academic military hospital, and a nonmilitary academic center.
A telephone-based survey of patients undergoing telemedicine encounters for routine otolaryngology appointments was performed between April and July 2020. Patients were asked about their satisfaction, the factors affecting care, and demographic information. A provider survey was emailed to staff otolaryngologists. The survey asked about satisfaction, concerns for reimbursement or liability, encounters best suited for telemedicine, and demographic information. The results were analyzed with descriptive statistics and a multivariable logistic linear regression model to determine odds ratios.
A total of 325 patients were surveyed, demonstrating high satisfaction with telemedicine (average score, 4.49 of 5 [best possible answer]). Patients perceived "no negative impact" or "minor negative impact" on the encounter due to the lack of a physical examination or face-to-face interaction (1.86 and 1.95 of 5, respectively). High satisfaction was consistent across groups for distance to travel, age, and reason for referral. A total of 25 providers were surveyed, with an average satisfaction score of 3.44 of 5. Providers reported "slight" to "somewhat" concern about reimbursement (40%) and liability (32%).
Given patients' and providers' levels of satisfaction, there is likely a role for telemedicine in otolaryngology practice that may benefit patient care independent of the COVID-19 pandemic.
本研究的目的是评估3家耳鼻喉科医疗机构中患者和医疗服务提供者对远程医疗会诊的满意度。
横断面调查。
一家军队社区医院、一家军队学术医院和一家非军队学术中心。
2020年4月至7月期间，对接受远程医疗会诊进行常规耳鼻喉科预约的患者进行了电话调查。询问患者关于他们的满意度、影响治疗的因素以及人口统计学信息。向耳鼻喉科工作人员发送了一份医疗服务提供者调查问卷。该调查询问了满意度、对报销或责任的担忧、最适合远程医疗的会诊情况以及人口统计学信息。使用描述性统计和多变量逻辑线性回归模型分析结果以确定比值比。
共对325名患者进行了调查，结果显示对远程医疗的满意度较高（平均得分，满分5分中为4.49分[最佳可能答案]）。患者认为由于缺乏体格检查或面对面互动，会诊受到“无负面影响”或“轻微负面影响”（分别为满分5分中的1.86分和1.95分）。在距离出行、年龄和转诊原因等方面，各群体的满意度都很高。共对25名医疗服务提供者进行了调查，平均满意度得分为满分5分中的3.44分。医疗服务提供者报告对报销（40%）和责任（32%）“略有”至“有些”担忧。
鉴于患者和医疗服务提供者的满意度水平，远程医疗在耳鼻喉科实践中可能发挥作用，这可能使患者护理受益，且与新冠肺炎疫情无关。
