Vinadé Chagas Maria Eulália, Cristina Jacovas Vanessa, de Campos Moreira Taís, Rodrigues Moleda Constant Hilda Maria, Fernanda Rohden Simoni, Stiehl Alves Suelen, Santini Fernando, Dall'Agnol Sara, König Klever Emanuele, Cezar Cabral Felipe, da Silva Terres Mellina
Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.
Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Telemed J E Health. 2024 Jun;30(6):1522-1538. doi: 10.1089/tmj.2023.0530. Epub 2024 Mar 1.
Introduction:Telemedicine has gained significant attention as an effective means of providing health care remotely, particularly during the COVID-19 pandemic. Patient satisfaction is a critical aspect of implementing telemedicine, but we have no comprehensive understanding of satisfaction levels and the associated factors. The aim of this systematic review and meta-analysis was to assess patient satisfaction related to telemedicine consultations and to identify key factors influencing satisfaction levels.
Results:The search yielded a total of 147 cross-sectional studies, of which 107 met the criteria for inclusion in the meta-analysis. Overall, patient satisfaction with teleconsultations was found to be high, with satisfaction levels ranging from 38 to 100 on a scale of 0 to 100. Only a small percentage (2.72%) of the studies reported satisfaction levels below 75%. Surprisingly, most studies used nonvalidated satisfaction questionnaires, which highlight the need for the development of standardized measurement instruments.
Conclusions:This systematic review and meta-analysis provide evidence that patients generally exhibit high levels of satisfaction with telemedicine consultations. The use of nonvalidated satisfaction questionnaires in many studies, however, suggests a need for more standardized assessment tools. Factors such as the time interval between the consultation and the assessment were found to influence satisfaction levels. Understanding these factors can help health care providers improve telemedicine services and patient-provider relationships and optimize health care delivery in the context of telemedicine. Further research is warranted to develop validated satisfaction measurement instruments and explore any additional factors that influence patient satisfaction with telemedicine.
远程医疗作为一种远程提供医疗保健的有效手段，已受到广泛关注，尤其是在新冠疫情期间。患者满意度是实施远程医疗的一个关键方面，但我们对满意度水平及相关因素尚无全面了解。本系统评价和荟萃分析的目的是评估与远程医疗咨询相关的患者满意度，并确定影响满意度水平的关键因素。
检索共获得147项横断面研究，其中107项符合纳入荟萃分析的标准。总体而言，发现患者对远程会诊的满意度较高，满意度在0至100分的量表上为38至100分。只有一小部分（2.72%）的研究报告满意度低于75%。令人惊讶的是，大多数研究使用的是未经验证的满意度问卷，这凸显了开发标准化测量工具的必要性。
本系统评价和荟萃分析提供了证据，表明患者对远程医疗咨询总体表现出较高的满意度。然而，许多研究中使用未经验证的满意度问卷表明需要更标准化的评估工具。发现会诊与评估之间的时间间隔等因素会影响满意度水平。了解这些因素有助于医疗服务提供者改善远程医疗服务和医患关系，并在远程医疗背景下优化医疗服务提供。有必要进行进一步研究以开发经过验证的满意度测量工具，并探索影响患者对远程医疗满意度的任何其他因素。
