Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia; and Centre for Digital Transformation of Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Vic. 3010, Australia.
Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Vic. 3010, Australia.
Aust J Prim Health. 2022 Jun;28(3):224-231. doi: 10.1071/PY21193.
This study examined consumers' experiences and opinions of a videoconference with a primary healthcare professional, and estimated the value of travel and time savings for consumers compared with face-to-face consultations. The online survey was conducted in Melbourne, Australia, between October 2020 and May 2021. The sample (n = 499) was highly educated (Bachelor degree or higher, 79%; 393/499), predominately female (70%; 347/499), mainly spoke English at home (78%; 390/499) and had a mean age of 31.8 years (s.d. 11.40). Reduced travel time (27%; 271/499) and avoiding exposure to COVID-19 (23%; 228/499) were the main reasons consumers chose a videoconference. Mental health and behavioural issues were the main reason for the consultation (38%; 241/499) and 69% (346/499) of consultations were with a general practitioner. Perceptions of the quality of care were uniformly high, with 84% (419/499) of respondents believing videoconference was equivalent to a face-to-face consultation. No association was found between reporting that telehealth was equivalent to a face-to-face consultation and education, language, health status, reason for consultation or provider type. The average time saved per consultation was 1 h and 39 min, and the average transport-related saving was A$14.29. High rates of acceptance and substantial cost savings observed in this study warrant further investigation to inform the longer-term role of videoconferences, and telehealth more broadly, in the Australian primary care system.
本研究调查了消费者对与初级保健专业人员进行视频会议的体验和看法,并估计了与面对面咨询相比,消费者在旅行和时间节省方面的价值。这项在线调查于 2020 年 10 月至 2021 年 5 月在澳大利亚墨尔本进行。样本(n=499)受教育程度较高(学士学位或以上,79%;393/499),主要为女性(70%;347/499),主要在家讲英语(78%;390/499),平均年龄为 31.8 岁(标准差 11.40)。减少旅行时间(27%;271/499)和避免接触 COVID-19(23%;228/499)是消费者选择视频会议的主要原因。心理健康和行为问题是咨询的主要原因(38%;241/499),69%(346/499)的咨询是与全科医生进行的。对护理质量的看法普遍较高,84%(419/499)的受访者认为视频会议等同于面对面咨询。报告远程医疗等同于面对面咨询与教育、语言、健康状况、咨询原因或提供者类型之间没有关联。每次咨询节省的平均时间为 1 小时 39 分钟,平均交通相关节省为 14.29 澳元。本研究观察到的高接受率和大量成本节省值得进一步研究,以更广泛地了解视频会议在澳大利亚初级保健系统中的长期作用,以及远程医疗的作用。