Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
University of Washington, Seattle, Washington.
J Clin Sleep Med. 2021 Aug 1;17(8):1645-1651. doi: 10.5664/jcsm.9266.
The field of sleep medicine has been an avid adopter of telehealth, particularly during the COVID-19 pandemic. The goal of this study was to assess patients' experiences receiving sleep care by telehealth.
From June 2019 to May 2020, the authors recruited a sample of patients for semi-structured interviews, including patients who had 1 of 3 types of telehealth encounters in sleep medicine: in-clinic video, home-based video, and telephone. Two analysts coded transcripts using content analysis and identified themes that cut across patients and categories.
The authors conducted interviews with 35 patients and identified 5 themes. (1) Improved access to care: Patients appreciated telehealth as providing access to sleep care in a timely and convenient manner. (2) Security and privacy: Patients described how home-based telehealth afforded them greater feelings of safety and security due to avoidance of anxiety-provoking triggers (eg, crowds). Patients also noted a potential loss of privacy with telehealth. (3) Personalization of care: Patients described experiences with telehealth care that either improved or hindered their ability to communicate their needs. (4) Patient empowerment: Patients described how telehealth empowered them to manage their sleep disorders. (5) Unmet needs: Patients recognized specific areas where telehealth did not meet their needs, including the need for tangible services (eg, mask fitting).
Patients expressed both positive and negative experiences, highlighting areas where telehealth can be further adapted. As telehealth in sleep medicine continues to evolve, the authors encourage providers to consider these aspects of the patient experience.
Donovan LM, Mog AC, Blanchard KN, et al. Patient experiences with telehealth in sleep medicine: a qualitative evaluation. . 2021;17(8):1645-1651.
睡眠医学领域一直热衷于采用远程医疗，尤其是在 COVID-19 大流行期间。本研究的目的是评估患者通过远程医疗接受睡眠护理的体验。
从 2019 年 6 月至 2020 年 5 月，作者招募了一组接受半结构式访谈的患者样本，包括接受 3 种远程医疗睡眠医学就诊的患者：门诊视频、家庭视频和电话。两名分析师使用内容分析法对转录本进行编码，并确定了贯穿患者和类别存在的主题。
作者对 35 名患者进行了访谈，确定了 5 个主题。（1）改善获得护理的机会：患者赞赏远程医疗能够及时方便地提供睡眠护理。（2）安全性和隐私性：患者描述了家庭远程医疗如何让他们感到更安全和安全，因为避免了引起焦虑的触发因素（例如，人群）。患者还注意到远程医疗可能会导致隐私泄露。（3）护理的个性化：患者描述了远程医疗护理的体验，这些体验要么改善了他们表达需求的能力，要么阻碍了他们表达需求的能力。（4）患者赋权：患者描述了远程医疗如何使他们能够更好地管理自己的睡眠障碍。（5）未满足的需求：患者认识到远程医疗无法满足他们需求的特定领域，包括对有形服务（例如，面罩适配）的需求。
患者表达了积极和消极的体验，突出了远程医疗可以进一步适应的领域。随着睡眠医学中远程医疗的不断发展，作者鼓励提供者考虑患者体验的这些方面。
Donovan LM，Mog AC，Blanchard KN，等。睡眠医学中远程医疗的患者体验：定性评估。睡眠医学。2021；17(8):1645-1651。
