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一项关于家长对新冠疫情远程医疗咨询满意度水平的单中心研究。

A single centre study of the level of parents' satisfaction with the COVID-19 telemedicine consultation.

作者信息

Tan Lay Ong, Ganapathy Sashikumar

机构信息

Department of Paediatrics, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore, Singapore.

出版信息

Eur J Pediatr. 2024 Jan;183(1):213-218. doi: 10.1007/s00431-023-05276-7. Epub 2023 Oct 20.

Abstract

Telemedicine is an effective tool for video consultation of COVID-19 patients in the setting of the COVID-19 pandemic. We prospectively determined the level of parents' satisfaction with the COVID-19 telemedicine consultation. This was a single centre prospective study. COVID-19 paediatric patients who were seen in the children's emergency department of KK Women's and Children's Hospital, Singapore, and deemed fit for home recovery were discharged with a COVID-19 telemedicine follow-up in two to three days' time. Paediatric patients who were seen in the COVID-19 telemedicine visits were included in the parents' satisfaction survey. We excluded patients who defaulted their telemedicine visits. The telemedicine satisfaction survey was conducted using an online form consisting of 16 Likert scale questions, sent via text messaging. Our primary outcome was telemedicine satisfaction scores. Our secondary outcome was children's emergency department reattendance or hospital admission within 10 days after the telemedicine consultation. 1238 patients attended the COVID-19 video consultation clinic from 15 December 2021 till 25 March 2022, out of which 476 parents of the COVID-19 patients completed the survey questionnaire. The mean age of the COVID-19 patients was 3.6 years. There was a high level of overall satisfaction among parents of the COVID-19 patients, with a mean score of 6.1 out of 7. 12 out of 16 questions had a positive response (mean score of 6 or more). There was a total of 9 reattendances to children's emergency department, out of which 3 cases needed hospital admission.    Conclusion: There was a high level of overall satisfaction with the use of telemedicine in symptomatic COVID-19 paediatric patients. What is Known: • Telemedicine is a cost-effective and feasible mode of delivering health care for conditions such as diabetes, heart disease, and depressive disorder, especially in the setting of the COVID-19 pandemic. What is New: • To gauge the parents' satisfaction with the COVID-19 telemedicine visit, in order to improve the patient and caregiver experience with telemedicine, and to improve the telemedicine service delivery. • Information from this study is crucial in order to prevent unnecessary hospital reattendance due to parental concern from poor telemedicine delivery.

摘要

在新冠疫情背景下,远程医疗是对新冠患者进行视频会诊的有效工具。我们前瞻性地确定了家长对新冠远程医疗会诊的满意度水平。这是一项单中心前瞻性研究。在新加坡KK妇女儿童医院急诊科就诊且被认为适合居家康复的新冠儿科患者,在两到三天后接受新冠远程医疗随访出院。参加新冠远程医疗就诊的儿科患者被纳入家长满意度调查。我们排除了未按预约进行远程医疗就诊的患者。远程医疗满意度调查通过在线表格进行,该表格包含16个李克特量表问题,通过短信发送。我们的主要结果是远程医疗满意度得分。次要结果是远程医疗会诊后10天内儿童急诊科复诊或住院情况。2021年12月15日至2022年3月25日期间,1238名患者参加了新冠视频会诊门诊,其中476名新冠患者的家长完成了调查问卷。新冠患者的平均年龄为3.6岁。新冠患者家长的总体满意度较高,平均得分为6.1分(满分7分)。16个问题中有12个得到了积极回应(平均得分6分或更高)。共有9名患者到儿童急诊科复诊,其中3例需要住院治疗。结论:有症状的新冠儿科患者对远程医疗的总体满意度较高。已知信息:• 远程医疗是为糖尿病、心脏病和抑郁症等疾病提供医疗服务的一种经济高效且可行的模式,尤其是在新冠疫情背景下。新发现:• 评估家长对新冠远程医疗就诊的满意度,以改善患者和护理人员的远程医疗体验,并改善远程医疗服务的提供。• 这项研究的信息对于防止因远程医疗服务不佳导致家长担忧而造成不必要的医院复诊至关重要。

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