Yu James, Afridi Summia Matin, Cozart Ashley C, Isea Luis, Guan Jian
Internal Medicine, AdventHealth Orlando, Orlando, USA.
Internal Medicine, Bassett Medical Center, Cooperstown, USA.
Cureus. 2021 Jan 11;13(1):e12633. doi: 10.7759/cureus.12633.
Purpose Many health care providers adopted telehealth during the coronavirus disease 2019 (COVID-19) pandemic. This unprecedented transformation in medical practice posed challenges to both physicians and patients. However, little is known about the adaptation of attendings, residents, and patients to this new normal. Thus, a survey was sent out to investigate the feedback of both physicians and patients on telehealth. Methods Surveys were administered via phone call to patients and electronic survey to physicians at an internal medicine resident clinic in one tertiary community hospital from April to June 2020. Demographic information and assessment of overall experience, satisfaction, and concerns of telehealth were collected. Statistical analyses were performed to compare feedback between patients and physicians. Results Fifty patients and 45 physicians participated in the study. Eighty-four percent of patients were first- or second-time users, and 50% of patients were older than 60 years. Eighty-four percent of patients were very or extremely satisfied with telehealth, while 72% wanted to continue telehealth in the future. Ninety-four percent of patients believed that their concerns were adequately addressed, but 14% experiencing technical issues. Physicians' feedback to telehealth was less positive than the patients'. More than 60% of physicians experienced technical issues, and nearly 60% of physicians were neutral or not satisfied with telehealth. Nearly 50% of physicians had difficulty transitioning to telehealth, while only 29% believed that their patients' complaints were adequately addressed. Most physicians had to schedule in-person visits after telehealth. Patients were more satisfied with telehealth than physicians (84% vs. 42%; p<0.001) and were more likely to believe that their concerns were properly addressed by telehealth (94% vs. 29%; p<0.001). Conclusion This survey revealed that patients were more satisfied with telehealth than physicians. Further research with a larger sample should be considered to confirm this conclusion, and subjective studies are needed to determine the imbalance of satisfaction.
目的 在2019年冠状病毒病(COVID-19)大流行期间,许多医疗保健提供者采用了远程医疗。这种前所未有的医疗实践转变给医生和患者都带来了挑战。然而,关于主治医生、住院医生和患者对这种新常态的适应情况,我们所知甚少。因此,我们开展了一项调查,以了解医生和患者对远程医疗的反馈。方法 2020年4月至6月,我们通过电话对一家三级社区医院内科住院诊所的患者进行了调查,并对医生进行了电子调查。收集了人口统计学信息以及对远程医疗总体体验、满意度和担忧的评估。进行了统计分析,以比较患者和医生的反馈。结果 50名患者和45名医生参与了该研究。84%的患者是首次或第二次使用远程医疗,50%的患者年龄超过60岁。84%的患者对远程医疗非常满意或极其满意,72%的患者希望未来继续使用远程医疗。94%的患者认为他们的担忧得到了充分解决,但14%的患者遇到了技术问题。医生对远程医疗的反馈不如患者积极。超过60%的医生遇到了技术问题,近60%的医生对远程医疗持中立态度或不满意。近50%的医生在转向远程医疗时遇到困难,而只有29%的医生认为他们对患者投诉的处理是充分的。大多数医生在远程医疗后不得不安排面对面就诊。患者对远程医疗的满意度高于医生(84%对42%;p<0.001),并且更有可能认为他们的担忧通过远程医疗得到了妥善解决(94%对29%;p<0.001)。结论 这项调查显示,患者对远程医疗的满意度高于医生。应考虑进行更大样本的进一步研究以证实这一结论,并且需要进行主观研究来确定满意度不平衡的情况。