Mortezavi Mahta, Lokineni Sravani, Garg Megha, Chen Ya Li, Ramsey Allison
Department of Allergy, Immunology and Rheumatology, Rochester Regional Health, Rochester, NY, USA.
University of Rochester, Rochester, NY, USA.
J Patient Exp. 2021 Apr 23;8:23743735211008825. doi: 10.1177/23743735211008825. eCollection 2021.
The spread of COVID-19 in the United States has led to the use of virtual visits in lieu of in-person care for the high-risk population of patients in rheumatology. We asked patients to score their satisfaction with these visits and if they would have preferred in-person care instead. Of 679 patients seen in May 2020, 512 (75.4%) were virtual (267 [52.1%] by telephone and 245 [47.9%] by video), and 359 (70%) responded to the survey. The majority of patients (74%) were satisfied with their virtual visit, but they were more likely to be satisfied if their visit was over video rather than phone. They preferred an in-person visit if they were meeting a doctor for the first time, and patients who required a language interpreter were significantly less satisfied with virtual care. There was no correlation of age, sex, diagnosis, or testing ordered with satisfaction. The main concern against virtual care was the inability to have a physical exam, while the main reasons in favor of it were avoidance of potential infection and convenience.
新型冠状病毒肺炎(COVID-19)在美国的传播导致风湿病高危患者群体采用虚拟问诊替代面对面诊疗。我们让患者对这些问诊的满意度进行评分,并询问他们是否更倾向于面对面诊疗。在2020年5月就诊的679例患者中,512例(75.4%)接受了虚拟问诊(267例[52.1%]通过电话,245例[47.9%]通过视频),359例(70%)回复了调查。大多数患者(74%)对虚拟问诊感到满意,但如果是通过视频而非电话问诊,他们更有可能感到满意。如果是首次看医生,他们更倾向于面对面就诊,而需要语言翻译的患者对虚拟诊疗的满意度明显较低。年龄、性别、诊断或所开检查与满意度之间没有相关性。反对虚拟诊疗的主要担忧是无法进行体格检查,而支持虚拟诊疗的主要原因是避免潜在感染和方便。