First Department of Cardiology, Medical University of Warsaw, 1a Banacha Street, 02-097 Warsaw, Poland.
Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland.
Medicina (Kaunas). 2022 Jan 21;58(2):160. doi: 10.3390/medicina58020160.
The COVID-19 pandemic has transformed the healthcare system, leading to the rapid implementation of telemedical solutions, especially in cardiology. The aim of this survey was to evaluate the patients (pts) with cardiac implantable electronic devices (CIED) perspectives on the telemedicine elements such as teleconsultation, telemonitoring, and e-prescription. An anonymous questionnaire was created and delivered to CIED pts who came to the ambulatory outpatient clinic. In this survey, we evaluated teleconsultation, home monitoring systems, and e-prescription in the 17 single-choice and multiple-choice questions and a rating on a scale of 0 to 10. During the four-month period, 226 pts (58% male) completed the questionnaire. Regular visits were most frequent in pts living in the urban area where the clinic was located, and least frequent in those living in rural areas ( = 0.0158). Moreover, 89 pts (39%) had teleconsultation before CIED interrogation, and satisfaction was 99%; 24 pts (11%) had home-monitoring control and 135 pts (60%) would have liked to have this opportunity; 88 pts (34.5%) would be able to pay additional costs for home-monitoring, with a mean amount of 65 PLN (±68.24). The e-prescription system was used by 203 pts (90%), and it was evaluated with 8.6 points (±2) on a scale from 0 to 10 points. The COVID-19 pandemic disrupted the previous functioning of the health system, and telemedicine became an alternative to traditional ambulatory visits and proved to be essential in the continuity of patient care. There is a substantial need for further development of telemedicine solutions in the healthcare system.
新型冠状病毒肺炎疫情改变了医疗体系，促使远程医疗解决方案迅速得到应用，尤其是在心脏病学领域。本研究旨在评估心脏植入式电子设备（CIED）患者对远程医疗元素（如远程咨询、远程监测和电子处方）的看法。我们创建了一份匿名问卷，并分发给前来门诊就诊的 CIED 患者。在这项调查中，我们在 17 个单项选择和多项选择问题中评估了远程咨询、家庭监测系统和电子处方，并对 0 到 10 分的量表进行了评分。在四个月的时间里，有 226 名患者（58%为男性）完成了问卷。居住在诊所所在地城区的患者常规就诊频次最高，而居住在农村地区的患者最低（=0.0158）。此外，89 名患者（39%）在 CIED 检查前进行过远程咨询，满意度为 99%；24 名患者（11%）进行过家庭监测控制，135 名患者（60%）希望有此机会；88 名患者（34.5%）愿意为家庭监测支付额外费用，平均金额为 65 波兰兹罗提（±68.24）。203 名患者（90%）使用了电子处方系统，他们对该系统的评分为 8.6 分（±2 分），满分为 0 到 10 分。新型冠状病毒肺炎疫情扰乱了之前的医疗体系运行模式，远程医疗成为传统门诊就诊的替代方式，在患者护理连续性方面被证明是至关重要的。医疗体系需要进一步发展远程医疗解决方案。
