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小儿外科亚专业中的远程医疗:在 COVID-19 背景下的迅速应用。

Telehealth in Pediatric Surgical Subspecialties: Rapid Adoption in the Setting of COVID-19.

作者信息

Schmidtberg Lauren C, Grindle Christopher, Hersh David S, Rowe Courtney, Healy James, Hughes Christopher D

机构信息

Division of Plastic Surgery, Connecticut Children's Medical Center, Hartford, Connecticut, USA.

Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

出版信息

Telemed J E Health. 2022 Mar;28(3):344-352. doi: 10.1089/tmj.2021.0080. Epub 2021 Jun 8.

Abstract

Telehealth has evolved over the past several decades to address varying medical needs. Most recently, it has been widely utilized as a result of the COVID-19 pandemic. Most previous studies have not performed in-depth analyses of patient satisfaction with telehealth technologies. This project investigated patient satisfaction with the abrupt implementation of telemedicine within pediatric surgical subspecialties during the COVID-19 pandemic. We conducted a single-center review to determine patients' satisfaction with telemedicine during the early stages of the pandemic. Surveys were distributed to patients who completed a telemedicine video visit within a pediatric surgical subspecialty at Connecticut Children's Medical Center between March 16 and May 16, 2020. A total of 1,608 patients were contacted, with 457 surveys completed (28.4%). Of all respondents, 95.6% were "very satisfied" or "satisfied" with their overall telemedicine appointment. Seventy-three percent reported no difficulty with completing their visit. Eighty-seven percent would consider another telemedicine visit again in the future. No significant difference was found between the payor mix for telemedicine and in-person appointments. The implementation of telemedicine at Connecticut Children's Medical Center during the COVID-19 pandemic was successful despite numerous barriers to use. Families not only showed high rates of satisfaction with the overall visit and provider interaction, but also an overwhelming openness to future use of telehealth.

摘要

在过去几十年里,远程医疗不断发展以满足各种医疗需求。最近,由于新冠疫情,它得到了广泛应用。此前大多数研究并未对患者对远程医疗技术的满意度进行深入分析。本项目调查了在新冠疫情期间儿科外科亚专业突然实施远程医疗时患者的满意度。我们进行了一项单中心回顾性研究,以确定疫情早期患者对远程医疗的满意度。对2020年3月16日至5月16日期间在康涅狄格州儿童医疗中心完成儿科外科亚专业远程医疗视频问诊的患者进行了调查。总共联系了1608名患者,完成了457份调查问卷(28.4%)。在所有受访者中,95.6%对他们的总体远程医疗问诊“非常满意”或“满意”。73%的人表示完成问诊没有困难。87%的人将来会考虑再次进行远程医疗问诊。远程医疗和面对面问诊的付款人组合之间没有发现显著差异。尽管存在诸多使用障碍,但在新冠疫情期间康涅狄格州儿童医疗中心实施远程医疗还是成功的。家属不仅对总体问诊和与医疗服务提供者的互动表现出很高的满意度,而且对未来使用远程医疗也表现出极大的开放性。

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