Albert Einstein College of Medicine, Bronx, NY.
Department of Urology, Jefferson University Hospital, Philadelphia, PA.
Urology. 2021 Oct;156:110-116. doi: 10.1016/j.urology.2021.05.096. Epub 2021 Jul 29.
To examine differences between telephone and video-televisits and identify whether visit modality is associated with satisfaction in an urban, academic general urology practice.
A cross sectional analysis of patients who completed a televisit at our urology practice (summer 2020) was performed. A Likert-based satisfaction telephone survey was offered to patients within 7 days of their televisit. Patient demographics, televisit modality (telephone vs video), and outcomes of the visit (eg follow-up visit scheduled, orders placed) were retrospectively abstracted from each chart and compared between the telephone and video cohorts. Multivariate regression analysis was used to evaluate variables associated with satisfaction while controlling for potential confounders.
A total of 269 patients were analyzed. 73% (196/269) completed a telephone televisit. Compared to the video cohort, the telephone cohort was slightly older (mean 58.8 years vs. 54.2 years, P = .03). There were no significant differences in the frequency of orders placed for medication changes, labs, imaging, or for in-person follow-up visits within 30 days between cohorts. Survey results showed overall 84.7% patients were satisfied, and there was no significant difference between the telephone and video cohorts. Visit type was not associated with satisfaction on multivariable analyses, while use of an interpreter [OR:8.13 (1.00-65.94); P = .05], labs ordered [OR:2.74 (1.12-6.70); P = .03] and female patient gender [OR:2.28 (1.03-5.03); P = .04] were significantly associated with satisfaction.
Overall, most patients were satisfied with their televisit. Additionally, telephone- and video-televisits were similar regarding patient opinions, patient characteristics, and visit outcome. Efforts to increase access and coverage of telehealth, particularly telephone-televisits, should continue past the COVID-19 pandemic.
研究电话和视频就诊之间的差异,并确定在城市学术普通泌尿科实践中,就诊方式是否与满意度相关。
对在我们泌尿科诊所进行电视就诊的患者进行了一项横断面分析(2020 年夏季)。在电视就诊后 7 天内,为患者提供基于李克特量表的电话就诊满意度调查。从每位患者的病历中回顾性提取患者人口统计学资料、电视就诊方式(电话与视频)以及就诊结果(例如安排随访就诊、开医嘱),并比较电话组和视频组之间的差异。采用多元回归分析评估满意度相关的变量,同时控制潜在混杂因素。
共分析了 269 例患者。73%(196/269)完成了电话电视就诊。与视频组相比,电话组患者年龄稍大(平均 58.8 岁比 54.2 岁,P=0.03)。两组在药物调整、实验室检查、影像学检查或 30 天内进行当面随访就诊的医嘱频率方面无显著差异。调查结果显示,总体上 84.7%的患者感到满意,且电话组和视频组之间无显著差异。就诊方式在多变量分析中与满意度无关,而使用翻译员[比值比(OR):8.13(1.00-65.94);P=0.05]、开医嘱[OR:2.74(1.12-6.70);P=0.03]和女性患者性别[OR:2.28(1.03-5.03);P=0.04]与满意度显著相关。
总体而言,大多数患者对电视就诊感到满意。此外,电话和视频就诊在患者意见、患者特征和就诊结果方面相似。在新冠疫情过后,应继续努力增加远程医疗(尤其是电话电视就诊)的可及性和覆盖面。