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COVID-19 大流行期间的远程医疗:内分泌外科患者视角。

Telemedicine During COVID-19 Pandemic: Endocrine Surgery Patient Perspective.

机构信息

Division of Endocrine Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.

Division of Endocrine Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida.

出版信息

J Surg Res. 2022 Jun;274:125-135. doi: 10.1016/j.jss.2021.12.014. Epub 2021 Dec 28.

DOI:10.1016/j.jss.2021.12.014
PMID:35150945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8712268/
Abstract

INTRODUCTION

In response to the COVID-19 pandemic, many medical providers have turned to telemedicine as an alternative method to provide ambulatory patient care. Perspectives of endocrine surgery patients regarding this mode of healthcare delivery remains unclear. The purpose of this study is to evaluate the opinions and perspectives of endocrine surgery patients regarding telemedicine.

METHODS

The first 100 adult patients who had their initial telemedicine appointment with two endocrine surgeons were contacted at the conclusion of their visit. The survey administered assessed satisfaction with telemedicine, the provider, and whether attire or video background played a role in their perception of the quality of care received using a 5-point Likert scale. Differences in responses between new and returning patients were also evaluated.

RESULTS

Telemedicine endocrine surgery patients stated excellent satisfaction with their visit (4.89 out of 5) and their provider (4.96 out of 5). Although there was less consensus that telemedicine was equivalent to in-person or face-to-face clinic visits (4.15 out of 5), patients would recommend a telemedicine visit to others and most agreed that this modality made it easier to obtain healthcare (4.7 out of 5). Attire of the provider and video background did not influence patient opinion in regard to the quality of care they received. Returning patients were more likely to be satisfied with this modality (4.94 versus 4.73, P = 0.02) compared to new patients.

CONCLUSIONS

This study shows that telemedicine does not compromise patient satisfaction or healthcare delivery for patients and is a viable clinic option for endocrine surgery.

摘要

简介

为应对 COVID-19 大流行,许多医疗服务提供者已将远程医疗作为提供门诊患者护理的替代方法。内分泌外科患者对这种医疗服务提供模式的看法尚不清楚。本研究的目的是评估内分泌外科患者对远程医疗的意见和看法。

方法

在两位内分泌外科医生进行首次远程医疗预约后,联系了前 100 名成年患者。评估了他们对远程医疗、医生的满意度,以及着装或视频背景是否对他们对所接受的护理质量的看法产生影响,采用 5 分制 Likert 量表进行评估。还评估了新患者和复诊患者之间的反应差异。

结果

远程医疗内分泌外科患者对他们的就诊(5 分制中得分为 4.89)和他们的医生(5 分制中得分为 4.96)表示非常满意。尽管对于远程医疗与面对面或现场诊所就诊相当的共识较少(5 分制中得分为 4.15),但患者会向他人推荐远程医疗就诊,并且大多数人认为这种模式使获得医疗保健更加容易(5 分制中得分为 4.7)。医生的着装和视频背景并没有影响患者对他们所接受的护理质量的看法。与新患者相比,复诊患者对这种模式更满意(4.94 分比 4.73 分,P=0.02)。

结论

本研究表明,远程医疗不会影响患者满意度或患者的医疗服务提供,并且是内分泌外科可行的诊所选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/0f8fcfdc2076/gr3ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/f0b1f4908820/gr1ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/51f7d7f0991c/gr2ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/0f8fcfdc2076/gr3ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/f0b1f4908820/gr1ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/51f7d7f0991c/gr2ab_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1345/8712268/0f8fcfdc2076/gr3ab_lrg.jpg

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Rapid Deployment of Inpatient Telemedicine In Response to COVID-19 Across Three Health Systems.COVID-19 大流行期间,三家医疗系统快速部署住院患者远程医疗服务。
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Interpreting COVID-19 and Virtual Care Trends: Cohort Study.解读 COVID-19 和虚拟医疗趋势:队列研究。
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J Am Med Inform Assoc. 2020 Jun 1;27(6):853-859. doi: 10.1093/jamia/ocaa037.
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Virtually Perfect? Telemedicine for Covid-19.近乎完美?用于新冠疫情的远程医疗
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