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COVID-19大流行期间医生对远程医疗的满意度:佛罗里达州梅奥诊所的经验

Physician Satisfaction With Telemedicine During the COVID-19 Pandemic: The Mayo Clinic Florida Experience.

作者信息

Malouff Timothy D, TerKonda Sarvam P, Knight Dacre, Abu Dabrh Abd Moain, Perlman Adam I, Munipalli Bala, Dudenkov Daniel V, Heckman Michael G, White Launia J, Wert Katey M, Pascual Jorge M, Rivera Fernando A, Shoaei Michelle M, Leak Michelle A, Harrell Anna C, Trifiletti Daniel M, Buskirk Steven J

机构信息

Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL.

Division of Plastic Surgery, Mayo Clinic, Jacksonville, FL.

出版信息

Mayo Clin Proc Innov Qual Outcomes. 2021 Aug;5(4):771-782. doi: 10.1016/j.mayocpiqo.2021.06.006. Epub 2021 Jul 1.

Abstract

OBJECTIVE

To evaluate physician perceptions and attitudes toward telemedicine use at a tertiary care academic institution in northeast Florida during the coronavirus disease 2019 pandemic.

PATIENTS AND METHODS

An anonymous 38-question cross-sectional survey was developed using Qualtrics survey software (Qualtrics) and e-mailed to all staff physicians from all specialty disciplines at Mayo Clinic in Florida. The survey was open from August 17, 2020, through September 1, 2020. Collected data included general demographic characteristics and employment information, attitude and experience with telemedicine use before and during the coronavirus disease 2019 pandemic, perception of patients' experience, and the effect of telemedicine on burnout.

RESULTS

The survey was distributed to 529 eligible physicians at our institution, with 103 physicians responding (20%). The distribution of specialties was 22% primary care specialties, 41% other internal medicine subspecialties, and 18% surgical specialties. Collectively, 63% found comparable quality of care when provided virtually (vs in-person) whereas 80% perceived telemedicine as cost-effective. A total of 76% of physicians felt that telemedicine increased flexibility and control over patient care activities, with 36% reporting improved work-life balance and 30% reporting improved burnout symptoms. Overall, 42% preferred using telemedicine over in-person visits when possible.

CONCLUSION

Physicians generally had positive attitudes regarding the adoption of telemedicine and perceived that the quality of health care delivery as generally comparable to in-person care. Future studies are needed to explore attitudes regarding telemedicine after the pandemic and how this virtual technology may be further used to improve physicians' professional and personal well-being.

摘要

目的

评估佛罗里达州东北部一家三级医疗学术机构的医生在2019年冠状病毒病大流行期间对远程医疗使用的看法和态度。

患者与方法

使用Qualtrics调查软件(Qualtrics)设计了一份包含38个问题的匿名横断面调查问卷,并通过电子邮件发送给佛罗里达州梅奥诊所所有专科的全体在职医生。该调查于2020年8月17日至2020年9月1日开放。收集的数据包括一般人口统计学特征和就业信息、2019年冠状病毒病大流行之前和期间对远程医疗使用的态度和经验、对患者体验的看法以及远程医疗对职业倦怠的影响。

结果

该调查问卷被分发给我们机构的529名符合条件的医生,有103名医生回复(20%)。专科分布为22%的初级保健专科、41%的其他内科亚专科和18%的外科专科。总体而言,63%的人发现在线提供(与面对面相比)的护理质量相当,而80%的人认为远程医疗具有成本效益。共有76%的医生认为远程医疗增加了对患者护理活动的灵活性和控制权,36%的人报告工作与生活平衡得到改善,30%的人报告职业倦怠症状有所改善。总体而言,42%的人在可能的情况下更喜欢使用远程医疗而不是面对面就诊。

结论

医生对采用远程医疗总体持积极态度,并认为医疗服务质量总体上与面对面护理相当。未来需要开展研究,以探讨大流行后对远程医疗的态度,以及如何进一步利用这种虚拟技术来改善医生的职业和个人幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14cc/8339328/c48382c3d964/gr1.jpg

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