Beamish Paul, McNeill Kylie, Arnaout Amel, Malcolm Janine
Division of Endocrinology and Metabolism, Department of Medicine, The Ottawa Hospital Riverside Campus, The University of Ottawa, Ottawa, Ontario, Canada; Department of Medicine, The University of Ottawa, Ottawa, Ontario, Canada.
Department of Medicine, The University of Ottawa, Ottawa, Ontario, Canada.
Can J Diabetes. 2023 Dec;47(8):636-642. doi: 10.1016/j.jcjd.2023.07.001. Epub 2023 Jul 10.
The aim of this study was to characterize patient perspectives on the quality of diabetes care at The Ottawa Hospital Endocrinology and Metabolism multidisciplinary clinic delivered virtually during the COVID-19 pandemic.
An online survey was developed to collect quantitative and qualitative data on patients' experiences with virtual diabetes clinic visits between March 2020 and April 2021.
A total of 333 patients were included in this study; 45% were female and had a mean age of 60 years. Seventy-nine percent were born in Canada and 87% identified as Caucasian. Thirty-six percent were treated for type 1 diabetes and 62% for type 2 diabetes. Eighty-seven percent of virtual visits occurred by phone, with 12% of these on Zoom. Overall, 83% were "very satisfied" or "satisfied" with their virtual care experience. Most respondents perceived all treatment-related factors to be equally well addressed virtually as in person, except for physical examination. Auxiliary factors like travel, cost, and time spent were rated more favourably with virtual care. Qualitative findings provided further contextualization and identified gaps in virtual care delivery. For future visits, 44% wanted in-person visits only as needed, 36% wanted a hybrid of in-person and virtual appointments, and 11% preferred in-person appointments only.
Patients perceive that virtual care provides high-fidelity diabetes management while reducing their pandemic risks as well as minimizing travel and time associated with in-person care. Virtual care is an important medium for diabetes care delivery that should be used according to patient preference and intermixed with in-person appointments.
本研究旨在描述患者对渥太华医院内分泌与代谢多学科诊所于新冠疫情期间提供的虚拟糖尿病护理质量的看法。
开展了一项在线调查，以收集2020年3月至2021年4月期间患者虚拟糖尿病门诊就诊经历的定量和定性数据。
本研究共纳入333名患者；45%为女性，平均年龄60岁。79%在加拿大出生，87%为白种人。36%患有1型糖尿病，62%患有2型糖尿病。87%的虚拟就诊通过电话进行，其中12%通过Zoom进行。总体而言，83%的患者对其虚拟护理体验“非常满意”或“满意”。除体格检查外，大多数受访者认为所有与治疗相关的因素在虚拟就诊中和亲自就诊时得到了同样好的处理。虚拟护理在出行、成本和花费时间等辅助因素方面得到了更高评价。定性研究结果提供了进一步的背景信息，并确定了虚拟护理提供方面的差距。对于未来就诊，44%的患者希望仅在必要时进行亲自就诊，36%的患者希望采用亲自就诊和虚拟预约相结合的方式，11%的患者仅希望进行亲自预约。
患者认为虚拟护理可提供高质量的糖尿病管理，同时降低其在疫情期间的风险，并将与亲自就诊相关的出行和时间降至最低。虚拟护理是糖尿病护理提供的一种重要方式，应根据患者偏好使用，并与亲自预约相结合。
