Kumar Sandeep, Kumar Arvind, Sinha Siddhartha, Qureshi Owais A, Aggarwal Neel, Khan Kafeel, Jameel Javed
Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.
Indian J Orthop. 2022 Sep 22;56(12):2202-2209. doi: 10.1007/s43465-022-00750-0. eCollection 2022 Dec.
Telemedicine has been evolving over the last two decades; however, with the advent of the COVID 19 pandemic, its utility and acceptance have drastically increased. Most studies report increasing acceptability and satisfaction rates. This study aimed to assess patient preferences regarding telemedicine to in-person consultations and to attempt to assess the factors driving these preferences.
A questionnaire-based cross-sectional study was conducted for patients who had both teleconsultation and in-person consultation in the orthopedic outpatient. After obtaining consent to participate in the study, the patients were divided into broad clinical categories and responses were recorded regarding the treatment of illness by the doctor and opinions regarding telemedicine. Most questions were in yes/no or a Likert-based questionnaire. Mean, median, percentage and proportions were used for statistical analysis of the data.
The study group included 264 patients, with the majority with fractures and dislocations. Most patients (55.7%) were comfortable using the software for teleconsultation, and half the respondents found telemedicine convenient. A large percentage of the study group preferred in-person consultation to teleconsultation (58.7%), and the primary reasons for discontinuing teleconsultation were dissatisfaction during the interaction with the doctor and poor connectivity to telecommunication networks.
Telecommunication has high acceptance and satisfaction, but many factors limit its acceptance in developing countries.
远程医疗在过去二十年中不断发展;然而,随着新冠疫情的出现,其效用和接受度大幅提高。大多数研究报告称接受度和满意度在上升。本研究旨在评估患者对远程医疗与面对面咨询的偏好,并试图评估驱动这些偏好的因素。
对在骨科门诊同时进行过远程咨询和面对面咨询的患者开展了一项基于问卷的横断面研究。在获得患者参与研究的同意后,将患者分为广泛的临床类别,并记录他们对医生治疗疾病的反馈以及对远程医疗的看法。大多数问题采用是/否或基于李克特量表的问卷形式。使用均值、中位数、百分比和比例对数据进行统计分析。
研究组包括264名患者,大多数患有骨折和脱位。大多数患者(55.7%)对使用远程咨询软件感到满意,一半的受访者认为远程医疗方便。很大比例的研究组患者更喜欢面对面咨询而非远程咨询(58.7%),停止远程咨询的主要原因是与医生互动时不满意以及电信网络连接不佳。
远程通信具有较高的接受度和满意度,但许多因素限制了其在发展中国家的接受度。