Brooks Rehabilitation, Brooks Center for Research Analytics and Outcomes, Jacksonville, FL, USA.
Madonna Rehabilitation Hospitals, Institute for Rehabilitation Science and Engineering, Lincoln, NE, USA.
Inquiry. 2024 Jan-Dec;61:469580231222334. doi: 10.1177/00469580231222334.
The COVID-19 pandemic compelled rapid healthcare adaptations including increased use of telehealth (TH) and virtual care (VC) to provide rehabilitation services. This multi-site cross-sectional survey study examined rehabilitation patients' and providers' experiences with service delivery during the COVID-19 pandemic, including the use of TH/VC. Patients and providers who received or provided rehabilitation services were recruited from 1 of 3 large, post-acute rehabilitation systems located in the Southeastern and Midwestern United States during the COVID-19 pandemic. Participants rated personal satisfaction with rehabilitation services received or rendered during the pandemic and willingness to use TH/VC in the future. Questions also addressed accessibility, ease of use, and perceived barriers to TH/VC use. The adoption and personal satisfaction of TH/VC for rehabilitation care varied between patients and providers. Patients reported higher levels of satisfaction compared to providers ( < .001). Patients who did not use TH/VC had higher satisfaction than those who did ( < .05). Patients were less willing than providers to use TH/VC ( < .001). Those who used TH/VC prior to the pandemic were more willing to use post-pandemic ( < .001). Patients reported TH/VC was useful in increasing health services accessibility yet were neutral as to the ability of TH/VC to improve outcomes. Patients and providers agreed that TH/VC was easy to learn and use. Medical providers found TH/VC more useful than therapy providers. Participants who used TH/VC during the pandemic are more willing to use the service again in the future. Understanding patient and provider preferences and perspectives is key to the continued use of TH/VC in rehabilitation care.
新冠疫情促使医疗保健领域迅速做出调整,包括更多地使用远程医疗(TH)和虚拟护理(VC)来提供康复服务。这项多地点横断面调查研究考察了康复患者和服务提供者在新冠疫情期间的服务提供体验,包括 TH/VC 的使用情况。在新冠疫情期间,从美国东南部和中西部的 3 个大型康复后机构中招募了接受或提供康复服务的患者和服务提供者。参与者对疫情期间接受或提供的康复服务的个人满意度以及未来使用 TH/VC 的意愿进行了评分。问题还涉及 TH/VC 使用的可及性、易用性和感知障碍。TH/VC 在康复护理中的采用和个人满意度在患者和服务提供者之间存在差异。与服务提供者相比,患者报告的满意度更高( < .001)。未使用 TH/VC 的患者满意度高于使用过的患者( < .05)。患者比服务提供者更不愿意使用 TH/VC( < .001)。那些在疫情前使用过 TH/VC 的人在疫情后更愿意使用( < .001)。患者报告说,TH/VC 有助于增加卫生服务的可及性,但对改善结果的能力持中立态度。患者和服务提供者都认为 TH/VC 易于学习和使用。医疗服务提供者认为 TH/VC 比治疗服务提供者更有用。在疫情期间使用过 TH/VC 的参与者更愿意在未来再次使用该服务。了解患者和服务提供者的偏好和观点是在康复护理中继续使用 TH/VC 的关键。