Heeno Emma, Biesenbach Irmelin, Englund Charlotte, Lund Martin, Toft Anja, Lund Lars
Department of Urology, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Scand J Urol. 2021 Jun;55(3):177-183. doi: 10.1080/21681805.2021.1906317. Epub 2021 May 11.
In March-April 2020, during the coronavirus disease 2019 (COVID-19) pandemic lockdown in Denmark, the Danish Health Authorities recommended that, where possible, face-to-face patient-physician consultations be replaced by telephone consultations. The aim of this study was to obtain patients' evaluation of their telemedicine experience.
Patients who were candidates for telemedicine consultations were recruited based on their urological ailment, necessity for follow-up and comorbidity. New referrals including patients with suspicion of cancer were not candidates for telemedicine. In total, 548 patients had their appointment altered during the period from 13 March to 30 April 2020. Postal questionnaires were sent to 548 patients and 300 (54.7%) replied.
In total, 280 patient answered, 224 (80%) men and 56 (20%) women, mean age 69 years (range 18-91) of whom 180 (64.3%) had a benign and 100 (35.7%) a malignant diagnosis. Twenty (6.7%) respondents did not remember their telephone consultation and were therefore excluded. Telephone consultation satisfaction was reported by 230 (85.0%) patients, but they would not prefer video consultations over telephone consultations, and only 102 (36.4%) would prefer telephone consultations in the future. Patients' age, sex and distance to the hospital did not seem to be associated with telephone consultation satisfaction (age = 0.17; sex = 0.99; distance = 0.27, respectively). In total, 226 (80.7%) were medically assessed as being at risk for COVID, but 74 (26.4%) subjectively evaluated themselves as being at risk.
In general (85.0%), urological patients were satisfied with telephone consultations.
在2020年3月至4月丹麦因2019冠状病毒病（COVID-19）大流行实施封锁期间，丹麦卫生当局建议，在可能的情况下，面对面的医患咨询应改为电话咨询。本研究的目的是获取患者对其远程医疗体验的评价。
根据患者的泌尿系统疾病、随访必要性和合并症情况，招募适合进行远程医疗咨询的患者。包括疑似癌症患者在内的新转诊患者不适合进行远程医疗。2020年3月13日至4月30日期间，共有548名患者的预约被更改。向548名患者发送了邮政问卷，300名（54.7%）患者进行了回复。
共有280名患者回复，其中男性224名（80%），女性56名（20%），平均年龄69岁（范围18 - 91岁），其中180名（64.3%）诊断为良性疾病，100名（35.7%）诊断为恶性疾病。20名（6.7%）受访者不记得他们的电话咨询，因此被排除。230名（85.0%）患者报告了对电话咨询的满意度，但他们并不更喜欢视频咨询而非电话咨询，只有102名（36.4%）患者将来会更喜欢电话咨询。患者的年龄、性别和与医院的距离似乎与电话咨询满意度无关（年龄=0.17；性别=0.99；距离=0.27）。共有226名（80.7%）患者经医学评估有感染COVID的风险，但74名（26.4%）患者主观评估自己有感染风险。
总体而言（85.0%），泌尿系统疾病患者对电话咨询感到满意。
