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新冠疫情期间和之后的远程医疗:神经外科患者和医生的观点。

Telemedicine during and post-COVID 19: The insights of neurosurgery patients and physicians.

机构信息

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Department of Pathology, Anatomy, and Cell Biology, Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

J Clin Neurosci. 2022 May;99:204-211. doi: 10.1016/j.jocn.2022.03.006. Epub 2022 Mar 4.

Abstract

OBJECTIVE

COVID-19 has caused a massive surge in telemedicine utilization as patients and physicians tried to minimize in-person contact to avoid the spread and impact of the pandemic. This study aims to expand on the knowledge of telemedicine during and beyond the COVID-19 era as it pertains to its use, efficacy, and patient and provider satisfaction through surveys.

METHODS

This is a retrospective study involving 93 patients and 33 Neurosurgery physicians who anonymously participated in the survey about their experience with telemedicine visits.

RESULTS

Most respondents indicated extreme satisfaction with their telemedicine encounters during the pandemic (77%). As for how comfortable physicians are in providing a diagnosis via telemedicine compared to clinic visits, 7 (21.9%) physicians felt extremely comfortable, 13 (40.6%) felt somewhat comfortable, 2 (6.4%) were neutral, 9 (28.1%) felt somewhat uncomfortable and 1 (3.1%) felt extremely uncomfortable. Physical examination was the main tool that telemedicine didn't provide (n = 21, 100%).

CONCLUSION

Telemedicine has become a major force in the health care system under the circumstances the world is witnessing. Physicians and patients have displayed high levels of satisfaction with telemedicine which could be pivotal to improving healthcare access to underprivileged areas beyond the pandemic.

摘要

目的

由于患者和医生试图尽量减少面对面接触以避免大流行的传播和影响,因此 COVID-19 导致远程医疗的使用大量激增。本研究旨在通过调查来扩展与 COVID-19 时代及其使用、疗效以及患者和提供者满意度有关的远程医疗知识。

方法

这是一项回顾性研究,涉及 93 名患者和 33 名神经外科医生,他们匿名参与了有关远程医疗访问体验的调查。

结果

大多数受访者表示在大流行期间对他们的远程医疗接触非常满意(77%)。至于与就诊相比,医生通过远程医疗提供诊断的舒适度,7 名(21.9%)医生感到非常舒适,13 名(40.6%)感到有些舒适,2 名(6.4%)中立,9 名(28.1%)感到有些不舒服,1 名(3.1%)感到非常不舒服。远程医疗无法提供的主要工具是体格检查(n=21,100%)。

结论

在世界正在见证的情况下,远程医疗已成为医疗保健系统的主要力量。医生和患者对远程医疗表现出了高度的满意度,这对于改善大流行以外贫困地区的医疗保健可及性可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203d/8894734/b6e115f679cf/gr1_lrg.jpg

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