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描述在澳大利亚使用远程医疗接受矫形/假肢服务的人群、他们的体验和满意度:一项定量和定性调查。

Describe the population receiving orthotic/prosthetic services using telehealth in Australia, and their experience and satisfaction: a quantitative and qualitative investigation.

作者信息

Dillon Michael P, Bishop Katie, Ridgewell Emily, Clarke Leigh, Kumar Saravana

机构信息

Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Bundoora, Australia.

Australian Orthotic Prosthetic Association, Camberwell, Australia.

出版信息

Disabil Rehabil. 2024 Mar;46(6):1188-1203. doi: 10.1080/09638288.2023.2196094. Epub 2023 Apr 18.

Abstract

PURPOSE

Telehealth may help meet the growing demand for orthotic/prosthetic services. Despite the resurgence of telehealth due to COVID-19, there is limited evidence to inform policy and funding decisions, nor guide practitioners.

METHODS

Participants were adult orthosis/prosthesis users or parents/guardians of child orthosis/prosthesis users. Participants were convenience sampled following an orthotic/prosthetic telehealth service. An online survey included: demographics, and the A subsample of participants took part in a semi-structured interview.

RESULTS

Most participants were tertiary educated, middle-aged, female, and lived in metropolitan or regional centres. Most telehealth services were for routine reviews. Most participants chose to use telehealth given the distance to the orthotic/prosthetic service, irrespective of whether they lived in metropolitan cities or regional areas. Participants were highly satisfied with the telehealth mode and the clinical service they received telehealth.

UNLABELLED

While orthosis/prosthesis users were highly satisfied with the clinical service received, and the telehealth mode, technical issues affected reliability and detracted from the user experience. Interviews highlighted the importance of high-quality interpersonal communication, agency and control over the decision to use telehealth, and a degree of health literacy from a lived experience of using an orthosis/prosthesis.

摘要

目的

远程医疗可能有助于满足对矫形/假肢服务日益增长的需求。尽管由于COVID-19远程医疗再度兴起,但为政策和资金决策提供信息以及指导从业者的证据有限。

方法

参与者为成年矫形器/假肢使用者或儿童矫形器/假肢使用者的父母/监护人。在接受矫形/假肢远程医疗服务后,对参与者进行便利抽样。一项在线调查包括:人口统计学信息,以及……参与者的一个子样本参加了半结构化访谈。

结果

大多数参与者受过高等教育,为中年女性,居住在大城市或地区中心。大多数远程医疗服务用于常规复查。无论居住在大城市还是地区,大多数参与者鉴于到矫形/假肢服务机构的距离而选择使用远程医疗。参与者对远程医疗模式以及他们通过远程医疗获得的临床服务高度满意。

未标注

虽然矫形器/假肢使用者对所接受的临床服务和远程医疗模式高度满意,但技术问题影响了可靠性并降低了用户体验。访谈强调了高质量人际沟通、自主决定权以及对使用远程医疗决策的掌控,以及从使用矫形器/假肢的实际经历中获得一定程度健康素养的重要性。

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