Ann Fam Med. 2022 Apr 1;20(20 Suppl 1):2645. doi: 10.1370/afm.20.s1.2645.
Context: The advent of COVID-19 pandemic in March of 2020 galvanized primary care practices into adopting telemedicine to be able to continue delivering care to patients safely. As recipients of care delivered virtually, capturing patients' experience is key to evaluating its success and shortcomings. Objective: To describe patients' experience and perceptions with virtual care during COVID-19 pandemic. Study Design/Population: A survey was distributed to 900 adult patients across primacy care practices in MW Minnesota and Arizona from September through October, 2020. Questions asked included: mode of virtual care received (virtual visit, phone visit, secured patient on-line portal or POL), device used, and likelihood of using virtual care for different visit reasons (acute visit, persistent problem, routine/wellness visit or chronic care). Results: Five hundred ninety surveys (65.5%) were returned. Majority (72%) of responders' experience with virtual care was through use of POL to view test results or messages from their care team; 43% of responders also sought clinic advice though this avenue. Thirty percent (n=177) had phone visits compared to 26% video visits. Those over 64 years had more phone than video visits. This age group which comprised 23 % (n=139) of responders, reported more negative experience with video visits compared to other age groups. Only five percent of all responders had negative experience with POL for clinical communications. Across all age groups, responders were "very likely" to engage in virtual visits for routine/wellness care such as medication refills; those in 30-64 age groups were more likely to utilize virtual visits from mental health and chronic disease care than the younger (18-29 years) and older (65 and up) groups. Interestingly, 84% (n=496) of responders had smart phones and only 28% had computers with video cameras. Conclusion: Patients have varying experiences in virtual care which should be taken into consideration as this method of care delivery becomes more integrated into primary care practice. Majority of patients surveyed had access to smartphones than computers with video camera which creates an opportunity for exploring the use of this modality to expand care delivered through telemedicine.
2020 年 3 月 COVID-19 大流行的出现，促使基层医疗机构采用远程医疗，以安全地继续为患者提供护理。作为虚拟护理的接受者，了解患者的体验是评估其成功和不足之处的关键。目的：描述 COVID-19 大流行期间患者对虚拟护理的体验和看法。研究设计/人群：2020 年 9 月至 10 月，在明尼苏达州和亚利桑那州的基层医疗实践中向 900 名成年患者分发了一份调查。问题包括：接受的虚拟护理模式（虚拟就诊、电话就诊、安全患者在线门户或 POL）、使用的设备，以及不同就诊原因（急性就诊、持续问题、常规/健康就诊或慢性病就诊）使用虚拟护理的可能性。结果：590 份（65.5%）调查回复。大多数（72%）受访者的虚拟护理体验是通过使用 POL 查看他们的护理团队的测试结果或消息；43%的受访者也通过该途径寻求诊所建议。30%（n=177）有电话就诊，而 26%有视频就诊。64 岁以上的人电话就诊多于视频就诊。这个年龄组占受访者的 23%（n=139），与其他年龄组相比，他们对视频就诊的体验更差。所有受访者中只有 5%对 POL 的临床通讯有负面体验。在所有年龄组中，受访者非常有可能进行虚拟就诊以进行常规/健康护理，如药物续方；30-64 岁年龄组比年轻（18-29 岁）和年长（65 岁及以上）年龄组更有可能利用心理健康和慢性病护理的虚拟就诊。有趣的是，84%（n=496）的受访者有智能手机，只有 28%有带视频摄像头的电脑。结论：患者在虚拟护理方面的体验各不相同，因此在这种护理提供方式更多地融入基层医疗实践时应予以考虑。接受调查的大多数患者都有智能手机，而不是带视频摄像头的电脑，这为探索使用这种模式扩大通过远程医疗提供的护理提供了机会。
