Karthik Naveen, Shields Ryan A, Brown Meghan M, Aoun Mariam, Wolfe Jeremy D, Drenser Kimberly A, Capone Antonio, Williams George A
Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Associated Retinal Consultants, Royal Oak, MI, USA.
J Vitreoretin Dis. 2021 Mar 31;5(5):382-388. doi: 10.1177/24741264211003427. eCollection 2021 Sep-Oct.
This work investigated interest in telehealth services for patients with chronic retinal conditions.
A single-center, multi-office study was conducted of patients with chronic retinal conditions who were seen by 1 of 4 physicians during June 2020. Patients whose next appointment was 6 months or later were telephoned. Patients completed a phone interest survey about their interest in a hybrid telehealth evaluation instead of a complete office evaluation with their provider.
Of 2136 patients reviewed, 453 met eligibility to participate in the survey. A total of 159 patients (35.1%) participated, of whom 91 (57.2%) indicated an interest in telehealth at their next follow-up visit. Of the 68 (42.8%) patients without a current interest in telehealth, 13 (19.1%) expressed interest in pursuing telehealth in the future. Age ( = .19), sex ( = .22), race ( = .79), office location ( = .19), number of prior visits ( = .58), and median household income by patient's zip code ( = .14) were not predictors of telehealth interest. Among diagnoses, dry age-related macular degeneration was associated ( = .04) with increased interest in telehealth. An increased number of ocular diagnoses were also found to predict a decreased ( = .04) interest in telehealth. multivariable analysis revealed healthcare provider as the only significant predictor for interest in telehealth ( = .03).
Most patients with chronic retinal conditions may be interested in incorporating telehealth into routine care. Considerations should be made to evaluate interest in telehealth to guide patients to clinical experiences that best suit their needs.
本研究调查了慢性视网膜疾病患者对远程医疗服务的兴趣。
对2020年6月期间由4名医生中的1名诊治的慢性视网膜疾病患者进行了一项单中心、多科室研究。对下次预约时间在6个月或更晚的患者进行了电话随访。患者完成了一项关于他们对混合远程医疗评估而非与医生进行全面门诊评估的兴趣的电话调查。
在审查的2136名患者中,453名符合参与调查的条件。共有159名患者(35.1%)参与,其中91名(57.2%)表示对下次随访时的远程医疗感兴趣。在目前对远程医疗不感兴趣的68名(42.8%)患者中,13名(19.1%)表示未来有兴趣采用远程医疗。年龄(P = 0.19)、性别(P = 0.22)、种族(P = 0.79)、科室位置(P = 0.19)、既往就诊次数(P = 0.58)以及患者邮政编码对应的家庭收入中位数(P = 0.14)均不是远程医疗兴趣的预测因素。在诊断中,干性年龄相关性黄斑变性与对远程医疗兴趣增加相关(P = 0.04)。还发现眼部诊断数量增加预示着对远程医疗的兴趣降低(P = 0.04)。多变量分析显示医疗服务提供者是远程医疗兴趣的唯一显著预测因素(P = 0.03)。
大多数慢性视网膜疾病患者可能有兴趣将远程医疗纳入常规护理。应考虑评估对远程医疗的兴趣,以引导患者获得最适合其需求的临床体验。