Department of Otolaryngology-Head & Neck Surgery, University of Texas Southwestern, Dallas, TX, USA.
Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ann Otol Rhinol Laryngol. 2023 Feb;132(2):155-163. doi: 10.1177/00034894221082739. Epub 2022 Mar 2.
To determine provider and patient attitudes toward telemedicine in Otolaryngology-Head and Neck Surgery (OHNS).
Otolaryngology practitioners conducting outpatient clinics at an academic tertiary referral center were provided with a pre-Study Provider Perception Questionnaire (pre-PPQ) designed to evaluate pre-study perception of telemedicine in otolaryngology. A post-study Provider Perception Questionnaire (post-PPQ) designed to evaluate elements similar to those constituting the PrePPQ was completed at 6 weeks. Additionally, following each visit, providers and patients completed Individual Encounter Survey Questionnaires (IESQ) to evaluate the virtual clinical encounter experience.
The pre-PPQ was completed by 29 providers, while the post-PPQ was completed by 12 providers. A total of 236 post-visit provider IESQs were completed, of which 208 were deemed successful. Audio/visual (AV) difficulties and limited server connectivity for the patient were most common causes for unsuccessful encounters. Providers reported that the most appropriate use of telemedicine, on both pre-PPQ and post-PPQ, was triaging patients to determine the need for in-person visits. The inability to perform a physical exam was rated as the primary barrier to telemedicine in OHNS on both pre-PPQ and post-PPQ. Patients strongly agreed with the statements, "My healthcare provider was able to understand my healthcare condition" and, "I felt comfortable communicating with my healthcare provider" 92.0% and 95.4% of the time, respectively.
Both providers and patients demonstrated an overall positive attitude toward the use of telemedicine in the provision of otolaryngologic care.
确定耳鼻喉头颈外科学（OHNS）中医疗服务提供者和患者对远程医疗的态度。
在一家学术性三级转诊中心进行门诊的耳鼻喉科医生，提供了一份预研究提供者感知问卷（pre-PPQ），旨在评估耳鼻喉科远程医疗的预先研究感知。完成了一份 6 周后设计的相似元素评估的研究提供者感知问卷（post-PPQ）。此外，每次就诊后，提供者和患者都填写了个别就诊调查问卷（IESQ），以评估虚拟临床就诊体验。
共有 29 名提供者完成了预-PPQ，而 12 名提供者完成了后-PPQ。共完成了 236 份后就诊提供者 IESQ，其中 208 份被认为是成功的。音频/视频（AV）困难和患者有限的服务器连接是不成功就诊的最常见原因。提供者报告称，远程医疗最合适的用途，无论是在预-PPQ 还是后-PPQ 上，都是通过分诊来确定患者是否需要亲自就诊。在预-PPQ 和后-PPQ 上，无法进行体格检查都被认为是耳鼻喉科远程医疗的主要障碍。患者分别以 92.0%和 95.4%的比例强烈同意“我的医疗服务提供者能够理解我的医疗状况”和“我与我的医疗服务提供者沟通感到舒适”这两个陈述。
提供者和患者都对在提供耳鼻喉科护理中使用远程医疗表现出总体积极的态度。
