Department of General Surgery, Infanta Leonor University Hospital, Madrid, España -
Department of General Surgery, Infanta Leonor University Hospital, Madrid, España.
Minerva Surg. 2022 Jun;77(3):199-204. doi: 10.23736/S2724-5691.21.08973-5. Epub 2021 Aug 2.
The COVID-19 pandemic has made us to respond to the needs of the community. Telemedicine has gained worldwide acceptance. We describe our experience with teleconsultation in surgical patients during the first wave of the COVID-19 pandemic and evaluate patient satisfaction and the feasibility of maintaining it as a future strategy in selected patients.
An observational, retrospective, single-site cohort study was carried out by reviewing electronic medical records and conducting a telephone survey.
During this time, 1706 teleconsultations have been carried out: 59.5% of patients were rescheduled, 26.1% have been solved and of these 57.3% (255 patients) have been discharged; 12.19% were not contacted. The 73.6% considered that teleconsultation was able to fully or partially resolve the reason for their medical appointment; 61.6% were willing to continue with teleconsultation; 15.2% of the patients needed some kind of help or required a second call to speak with a family member, and 37.2% would prefer a face-to-face visit because of difficulties with the teleconsultation. The overall satisfaction was 8.7 out of 10.
Telemedicine has demonstrated to be a useful tool even for surgical patients during COVID-19 pandemic. A high proportion of patients can be managed by telephone call. Patients reported a high degree of satisfaction. Teleconsultation is a feasible strategy not also during the current COVID-19 pandemic but also for future.
COVID-19 大流行使我们不得不应对社区的需求。远程医疗已在全球范围内得到认可。我们描述了在 COVID-19 大流行的第一波期间对手术患者进行远程咨询的经验，并评估了患者的满意度以及将其作为未来策略在选定患者中维持的可行性。
通过回顾电子病历和进行电话调查，进行了一项观察性、回顾性、单站点队列研究。
在此期间，共进行了 1706 次远程咨询：59.5%的患者被重新安排，26.1%的患者得到了解决，其中 57.3%（255 名患者）已出院；12.19%未联系。73.6%的患者认为远程咨询能够完全或部分解决他们就诊的原因；61.6%愿意继续进行远程咨询；15.2%的患者需要某种帮助或需要第二次打电话与家属交谈，37.2%的患者因为远程咨询有困难而更愿意进行面对面就诊。总体满意度为 10 分中的 8.7 分。
即使在 COVID-19 大流行期间，远程医疗也已证明是一种有用的工具，可用于治疗外科患者。通过电话咨询可以管理很大一部分患者。患者报告满意度很高。远程咨询不仅在当前的 COVID-19 大流行期间，而且在未来也是一种可行的策略。
