Kaiser Permanente Division of Research, Oakland, CA.
Department of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, GA.
Med Care. 2023 Nov 1;61(11):772-778. doi: 10.1097/MLR.0000000000001916. Epub 2023 Sep 19.
Patient perceptions of primary care telephone and video telemedicine and whether COVID-19 pandemic-related telemedicine exposure shifted patients' visit preference is unknown.
We examined patient surveys to understand the health care experience of patients seeking primary care through telemedicine and how patients expected their preferences to shift as a result of the COVID-19 pandemic.
RESEARCH DESIGN/SUBJECTS: In an integrated delivery system that shifted to a "telemedicine-first" health care model during the COVID-19 pandemic, we sampled monthly and collected 1000 surveys from adults with primary care telemedicine visits scheduled through the online patient portal between 3/16/2020 and 10/31/2020.
Participants reported their preferred primary care visit modality (telephone, video, or in-person visits) across 3 time points: before, during and (hypothetically) after the COVID-19 pandemic, and reported their general assessment of primary care visits during the pandemic.
The majority of participants preferred in-person visits before (69%) and after the COVID-19 pandemic (57%). However, most participants reported a preference for telemedicine visits during the pandemic and continue to prefer telemedicine visits at a 12% higher rate post-pandemic. Many participants (63%) expressed interest in using telemedicine at least some of the time. Among participants reporting a recent telemedicine visit, 85% agreed that the visit addressed their health needs.
As primary care visit modality preferences continue to evolve, patients anticipate that they will continue to prefer telemedicine visits, both video and telephone, at an increased rate than before the COVID-19 pandemic.
患者对初级保健电话和视频远程医疗的看法，以及 COVID-19 大流行相关远程医疗的接触是否改变了患者的就诊偏好尚不清楚。
我们通过患者调查来了解通过远程医疗寻求初级保健的患者的医疗体验，以及患者期望他们的偏好会因 COVID-19 大流行而发生怎样的转变。
研究设计/主体：在一个在 COVID-19 大流行期间转向“远程医疗优先”医疗模式的综合交付系统中，我们每月进行采样，并从通过在线患者门户预约初级保健远程医疗就诊的成年人中收集了 1000 份调查。这些调查是在 2020 年 3 月 16 日至 2020 年 10 月 31 日之间进行的。
参与者报告了他们在三个时间点的首选初级保健就诊方式（电话、视频或面对面就诊）：在 COVID-19 大流行之前、期间和（假设）之后，并报告了他们对大流行期间初级保健就诊的总体评估。
大多数参与者在大流行之前（69%）和之后（57%）都更喜欢面对面就诊。然而，大多数参与者在大流行期间报告了对远程医疗就诊的偏好，并且在大流行后仍继续以 12%的更高比例偏好远程医疗就诊。许多参与者（63%）表示有兴趣至少在某些时候使用远程医疗。在报告最近进行过远程医疗就诊的参与者中，85%的人同意该就诊满足了他们的健康需求。
随着初级保健就诊方式偏好的继续演变，患者预计他们将继续增加对视频和电话远程医疗就诊的偏好，比 COVID-19 大流行之前的偏好程度更高。
