Greenfield Paul T, Manz Wesley J, DeMaio Emily L, Duddleston Sage H, Xerogeanes John W, Scott Maughon T, Spencer Corey C, Dawes Alexander, Boden Scott D, Hammond Kyle E, Wagner Eric R, Gottschalk Michael B, Daly Charles A, Pombo Mathew W
Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
HSS J. 2021 Feb;17(1):36-45. doi: 10.1177/1556331620977171. Epub 2021 Feb 21.
The COVID-19 pandemic has led to changes to in-office orthopedic care, with a rapid shift to telemedicine. Institutions' lack of established infrastructure for these types of visits has posed challenges requiring attention to confidentiality, safety, and patient satisfaction. : The aim of this study was to analyze the feasibility of telemedicine in orthopedics during the pandemic and its effect on efficiency and patient satisfaction. : Patients seen by the Emory University Department of Orthopaedics Sports Medicine and Upper Extremity Divisions via telemedicine from March 23 to April 24, 2020, were contacted by telephone. Each patient was asked to respond to questions on satisfaction, ease of use, and potential future use; satisfaction with telemedicine and previous clinical visits were measured using a modified 5-point Likert scale. : Of the 762 patients seen, 346 (45.4%) completed the telemedicine questionnaire. Satisfaction varied by visit type, with average scores of 4.88/5 for in-office clinic visits versus 4.61/5 for telemedicine visits. There was no significant difference among age groups for satisfaction ratings. Patients 65 years old or older reported significantly longer visit times and decreased ease of use with the telemedicine platform. : Telemedicine in a large orthopedics department was successfully implemented without compromising patient satisfaction. The use of telemedicine allows many patients to be seen quickly and efficiently without diminishing their musculoskeletal clinical experience.
新冠疫情导致了骨科门诊护理的变化，迅速转向了远程医疗。各机构缺乏针对这类问诊的既定基础设施，带来了一些挑战，需要关注保密性、安全性和患者满意度。本研究的目的是分析疫情期间远程医疗在骨科应用的可行性及其对效率和患者满意度的影响。2020年3月23日至4月24日期间，通过远程医疗就诊于埃默里大学骨科运动医学与上肢科的患者接受了电话随访。每位患者被要求回答关于满意度、使用便捷性和未来潜在使用意愿的问题；使用改良的5分李克特量表来衡量对远程医疗和之前临床就诊的满意度。在762名就诊患者中，346名（45.4%）完成了远程医疗问卷调查。满意度因就诊类型而异，门诊就诊的平均得分为4.88/5，而远程医疗就诊的平均得分为4.61/5。各年龄组的满意度评分没有显著差异。65岁及以上的患者报告称就诊时间明显更长，且使用远程医疗平台的便捷性降低。在一个大型骨科部门成功实施了远程医疗，且未影响患者满意度。远程医疗的使用使许多患者能够快速、高效地就诊，同时又不减少他们的肌肉骨骼临床体验。
