School of Public Health, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India.
Department of Community Medicine & Family Medicine, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India.
BMC Health Serv Res. 2023 Feb 15;23(1):161. doi: 10.1186/s12913-022-09013-y.
This study aimed to explore the perception of doctors regarding telemedicine consultations and the level of patient satisfaction with the services received through teleconsultations.
This cross-sectional study was conducted on clinicians who provided teleconsultations and patients who received teleconsultations in an Apex healthcare institution in Western India. Semi-structured interview schedules were used to record the quantitative and qualitative information. Clinicians' perceptions and patients' satisfaction were assessed using two different 5-point Likert scales. Data were analyzed using SPSS v.23 using non-parametric tests (Kruskal Wallis and Mann-Whitney U).
A total of 52 clinicians who delivered teleconsultations and 134 patients who received teleconsultations from those doctors were interviewed in this study. For 69% of doctors, telemedicine was feasible to implement, and for the rest, it was challenging. Doctors believe telemedicine is convenient for patients (77%) and prevents the transmission of infection (94.2%). Difficulty in clinical evaluation (73%), communication (55.7%), network connectivity (34%), diagnosis and investigations (32%), and patients' e-illiteracy (32%) were the most common challenges faced by clinicians. Patients' experiences were positive in terms of ease of registration (82.1%), audio quality (100%), freedom to discuss medicine (94.8%), and comprehension of the diagnoses (88.1%). Patients expressed satisfaction with the length of the teleconsultation (81.4%), the advice and care they received (78.4%), and the manner and communication of the clinicians (78.4%).
Though there were some challenges in the implementation of telemedicine, the clinicians perceived it quite helpful. The majority of the patients were satisfied with teleconsultation services. Difficulty in registration, lack of communication, and a deep-rooted mindset of physical consultations were the primary concerns from the patient side.
本研究旨在探讨医生对远程医疗咨询的看法以及患者对通过远程咨询获得的服务的满意度。
本横断面研究在印度西部一家 Apex 医疗机构中对提供远程咨询的临床医生和接受远程咨询的患者进行。使用半结构式访谈表记录定量和定性信息。使用两种不同的 5 分李克特量表评估临床医生的看法和患者的满意度。使用 SPSS v.23 进行数据分析，采用非参数检验（Kruskal Wallis 和 Mann-Whitney U）。
本研究共访谈了 52 名提供远程咨询的临床医生和 134 名接受这些医生远程咨询的患者。对于 69%的医生来说，远程医疗是可行的，而对于其余的医生来说，这是具有挑战性的。医生认为远程医疗方便患者（77%）并防止感染传播（94.2%）。临床评估困难（73%）、沟通障碍（55.7%）、网络连接问题（34%）、诊断和检查（32%）以及患者的电子文盲（32%）是临床医生面临的最常见挑战。患者在注册便捷性（82.1%）、音频质量（100%）、自由讨论药物（94.8%）和对诊断的理解（88.1%）方面对远程咨询体验表示满意。患者对远程咨询的时长（81.4%）、接受的建议和护理（78.4%）以及临床医生的态度和沟通（78.4%）表示满意。
尽管远程医疗的实施存在一些挑战，但临床医生认为它非常有帮助。大多数患者对远程咨询服务感到满意。注册困难、沟通不畅以及对实体咨询根深蒂固的观念是患者主要关注的问题。
