Case Western Reserve University School of Medicine, Cleveland, OH 44106.
University Hospitals Cleveland Medical Center, Cleveland, OH 44106.
Am J Otolaryngol. 2021 May-Jun;42(3):102921. doi: 10.1016/j.amjoto.2021.102921. Epub 2021 Jan 9.
The COVID-19 pandemic has forced the rapid integration of telemedicine services across several specialties, especially in Otolaryngology where risk of transmission is very high. Studies before and during the COVID-19 pandemic have shown that Otolaryngology is generally amenable to telemedicine. However, few studies have assessed patient satisfaction with telemedicine during the COVID-19 pandemic, and fewer have focused on patient satisfaction with telehealth in Rhinology.
To determine if patients believe the benefits of virtual live synchronous telemedicine visits out-weigh the drawbacks when compared to in-person clinical visits.
Single center retrospective case series and survey study of patients presenting to a tertiary care Rhinology practice between 3/15/2020 and 6/1/2020. All patients had previous in-person encounters with Rhinology (n = 45).
Twenty-nine participants (64.4%) had audio-video visits while 16 (35.6%) had audio visits. 36 (80%) patients stated that their needs were met during their telemedicine visit while 32 (71.1%) patients felt that nothing was missed or not addressed during the virtual visit. The most commonly cited advantage to telemedicine visits was convenience (22.2%) and provider availability (20.0%). While most participants did not disclose a disadvantage to a virtual visit besides the lack of a physical exam (68.9%), the most commonly cited disadvantage to a virtual visit was technological difficulties (17.8%).
Virtual telemedicine visits were shown to effectively meet the needs of established patients and address concerns in a convenient time efficient manner. However, patients indicated that limited technology and a less personalized feel hindered the telemedicine experience in Rhinology.
COVID-19 大流行迫使多个专业领域的远程医疗服务迅速融合,耳鼻喉科尤其如此,因为传播风险非常高。COVID-19 大流行前后的研究表明,耳鼻喉科通常适合远程医疗。然而,很少有研究评估 COVID-19 大流行期间患者对远程医疗的满意度,更少关注鼻科学领域的远程医疗患者满意度。
确定患者是否认为虚拟现场同步远程医疗访问的好处超过了与面对面临床访问相比的缺点。
对 2020 年 3 月 15 日至 6 月 1 日期间在三级护理鼻科学实践中就诊的患者进行单中心回顾性病例系列和调查研究。所有患者均有鼻科学的先前面对面就诊(n=45)。
29 名患者(64.4%)进行了音频-视频访问,而 16 名患者(35.6%)进行了音频访问。36 名患者(80%)表示在远程医疗访问期间满足了他们的需求,而 32 名患者(71.1%)认为在虚拟访问期间没有遗漏或未解决任何问题。远程医疗访问最常被提及的优势是便利性(22.2%)和提供者可用性(20.0%)。虽然大多数参与者除了缺乏体检之外,没有披露虚拟访问的缺点(68.9%),但远程医疗访问最常被提及的缺点是技术困难(17.8%)。
虚拟远程医疗访问被证明可以有效地满足既定患者的需求,并以方便和高效的方式解决问题。然而,患者表示,有限的技术和缺乏个性化感觉阻碍了鼻科学的远程医疗体验。