Lahat Adi, Shatz Zina
Department of Gastroenterology, Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, 52621, Israel.
Department of Gastroenterology, Sheba Medical Center, Tel Hashomer, Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Israel.
Therap Adv Gastroenterol. 2021 Feb 11;14:1756284821989178. doi: 10.1177/1756284821989178. eCollection 2021.
The Coronavirus Disease 2019 pandemic has forced major changes on healthcare systems. Maintaining regular patients' surveillance became a major challenge. Telemedicine has been promoted as an economic and effective way for long distance patient care. Our aim was to study patients' acceptance and perspectives on telemedicine.
Patients scheduled for clinic appointments were offered telemedicine. Those who agreed were asked to fill in a questionnaire assessing their satisfaction with the medical consultation. Patients' demographic characteristics and answers were collected and reviewed.
Out of 358 patients approached 71 agreed to use telemedicine. Of them, 59 completed the questionnaire and were included in the study. All patients' basic demographic data were collected. Patients' included in the study mean age was: 43 ± 16.3 years, 35 (59.3%) women. Patients who chose not to use telemedicine were significantly older, mean age: 61 ± 15.2 years ( = 0.036), 134 (46.7%) women. Most patients included (38; 64.4%) had inflammatory bowel disease (IBD). Most patients who chose not to use telemedicine were non-IBD patients (206, 72%). Fifty-one patients (86.4%) assessed their experience as 'good' or 'excellent'. Satisfied patients had significantly less time under medical follow-up (3.7 6.1 years, = 0.028) and tended to be younger ( = non-significant). Women were statistically significantly more satisfied than men (33 18, = 0.05). Advantages reported were 'time saving' (31.3%), accessibility (26.1%), availability (25%). The main disadvantage was absence of physical examination (70%).
Telemedicine gained a high satisfaction rate among patients under regular medical surveillance. Most patients stated this that method is convenient, time saving and increases their compliance. Patients who agreed to telecare were younger, and tended to be of female gender and experiencing IBD. Further studies are needed to characterize specific barriers to telecare usage.
2019年冠状病毒病大流行迫使医疗系统发生了重大变化。维持对患者的常规监测成为一项重大挑战。远程医疗已被推广为一种经济有效的远程患者护理方式。我们的目的是研究患者对远程医疗的接受程度和看法。
为预约门诊的患者提供远程医疗服务。同意的患者被要求填写一份问卷，评估他们对医疗咨询的满意度。收集并审查患者的人口统计学特征和答案。
在358名被邀请的患者中，71人同意使用远程医疗。其中，59人完成了问卷并被纳入研究。收集了所有患者的基本人口统计学数据。纳入研究的患者平均年龄为：43±16.3岁，35名（59.3%）为女性。选择不使用远程医疗的患者年龄明显更大，平均年龄：61±15.2岁（P=0.036），134名（46.7%）为女性。大多数纳入的患者（38名；64.4%）患有炎症性肠病（IBD）。大多数选择不使用远程医疗的患者是非IBD患者（206名，72%）。51名患者（86.4%）将他们的体验评为“好”或“优秀”。满意的患者接受医疗随访的时间明显更短（3.7±6.1年，P=0.028），并且往往更年轻（P=无显著性差异）。女性在统计学上比男性更满意（33名对18名，P=0.05）。报告的优点是“节省时间”（31.3%）、可及性（26.1%）、可用性（25%）。主要缺点是没有体格检查（70%）。
远程医疗在接受常规医疗监测的患者中获得了较高的满意度。大多数患者表示这种方法方便、节省时间并提高了他们的依从性。同意接受远程护理的患者更年轻，往往为女性且患有IBD。需要进一步研究以确定远程护理使用的具体障碍。
