Clinical Excellence Queensland, Queensland Health, Brisbane, Level 2, 15 Butterfield Street, Herston, Qld 4006, Australia.
Aust Health Rev. 2023 Oct;47(5):559-568. doi: 10.1071/AH23116.
Objective Telehealth has for many years been identified as a potential contributor to reducing healthcare access inequality. For these benefits to be realised, patients must be accepting and satisfied with the delivery of healthcare in this manner. Measuring patient satisfaction across a large geographical area is important to ensure that investments in telehealth are delivering the benefits that are intended. Methods A brief survey was automatically issued on completion of a patient's telehealth appointment, requesting patient feedback on their experience and information on the location of where they participated in the appointment. These results were compared to an article review which sought examples of other patient satisfaction measures that compared rural and urban populations. Results No significant correlations between survey responses and established demographic indices were found. When stratified by the Modified Monash Model band from which the patient participated in their telehealth appointment from, an ANOVA test determined that rurality was not a predictor of survey response. A review of articles found four articles that compared rural and urban satisfaction responses. Conclusion No evidence of a patient's location influencing their satisfaction with telehealth was observed. This may be attributed to a variety of technical improvements introduced over the past 5-10 years that have made participating in telehealth appointments less technically demanding and more accessible. Telehealth is likely to be contributing to a reduction in healthcare access inequality in Queensland.
目的 多年来，远程医疗被认为是减少医疗保健获取不平等的潜在手段。为了实现这些好处，患者必须接受并满意这种医疗保健的提供方式。在很大的地理区域内衡量患者满意度对于确保对远程医疗的投资能够带来预期的好处非常重要。
方法 在患者远程医疗预约完成后，会自动发出一份简短的调查，征求患者对其体验的反馈意见以及他们参与预约的地点的信息。将这些结果与一篇文章综述进行比较，该综述寻求了比较农村和城市人群的其他患者满意度衡量标准的例子。
结果 未发现调查答复与既定人口统计学指标之间存在显著相关性。当按患者参与远程医疗预约的莫纳什模式改良模型带分层时，方差分析测试确定农村地区不是调查答复的预测因素。对文章的综述发现了四篇比较农村和城市满意度反应的文章。
结论 没有观察到患者的位置影响他们对远程医疗的满意度。这可能归因于过去 5-10 年来引入的各种技术改进，这些改进使得参与远程医疗预约的技术要求降低，更易于访问。远程医疗可能有助于减少昆士兰州医疗保健获取的不平等。
