From the Division of Hand Surgery, Rothman Orthopaedic Institute (Dr. Katt, Dr. Fletcher, Dr. Aita, Dr. Nakashian, Dr. Kwok, Dr. Beredjiklian), Philadelphia, PA, and the Rutgers Robert Wood Johnson Medical School (Mr. Imbregamo), New Brunswick, NJ.
J Am Acad Orthop Surg Glob Res Rev. 2020 Sep;4(9):e20.00127-13. doi: 10.5435/JAAOSGlobal-D-20-00127.
The recent coronavirus pandemic has prompted providers to adopt telehealth as a way to maintain contact with their patients on an unprecedented scale. The purpose of this study was to evaluate the perception of care for both patients and physicians using telehealth visits for the management of upper extremity orthopaedic conditions. This study consisted of the analysis of surveys sent to both physicians and patients immediately after the completion of a telehealth visit for an upper extremity condition. Eighty percent of patients responded as "very satisfied" with their encounter. Satisfaction scores were similar for patients seen for a new issue or an existing issue. The use of a video platform was preferable to patients compared with a telephone call. Physicians would have requested a radiograph or offered a steroid injection during a new patient evaluation in 77% of cases. Physicians were less satisfied with the use of telemedicine, particularly when evaluating a new patient. A large majority of patients and physicians alike felt telehealth visits have a role in patient management, acknowledging they would both choose to incorporate "some" of their visits as telehealth evaluations for any particular issue.
最近的冠状病毒大流行促使医疗服务提供者采用远程医疗作为一种与患者保持联系的方式，其规模前所未有。本研究的目的是评估使用远程医疗来管理上肢骨科疾病时患者和医生对护理的感知。本研究包括对上肢疾病远程医疗访问结束后立即发送给医生和患者的调查进行分析。80%的患者对他们的就诊非常满意。对于新出现的问题或已有的问题，患者的满意度评分相似。与电话相比，患者更喜欢使用视频平台。在 77%的新患者评估中，医生会要求拍摄 X 光片或提供类固醇注射。医生对远程医疗的使用不太满意，尤其是在评估新患者时。绝大多数患者和医生都认为远程医疗访问在患者管理中发挥了作用，他们都表示愿意将“一些”就诊作为特定问题的远程医疗评估。
