From the Section of Physical Medicine and Rehabilitation, Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas (AHN, JT, JBF, EG, ZL); and Section of Palliative Medicine, Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas (EdB).
Am J Phys Med Rehabil. 2024 Sep 1;103(9):835-839. doi: 10.1097/PHM.0000000000002501. Epub 2024 Mar 19.
The purpose of this retrospective study was to examine the use of virtual visits (telemedicine) at our cancer rehabilitation outpatient clinics from March 2020 to August 2021, when virtual visits became more widely available, and to identify any demographic and clinical variables making patients more likely to favor virtual over in-person visits. There were 3971 outpatient encounters (2020 virtual and 1951 in-person visits from a total of 1638 patients) in our cancer rehabilitation outpatient clinics during this time frame. Significant findings in both the univariate and multivariate analyses were race ( P < 0.001 and P = 0.006, respectively), cancer type ( P < 0.001 for both), and distance to the clinic ( P < 0.001 for both). Our research showed that virtual visits were accepted by patients with cancer, and that younger age (62 compared to 65), non-White race/ethnicity, solid tumor, and shorter distance to the clinic were associated with a preference for virtual over in-person visits.
本回顾性研究的目的是检查在我们的癌症康复门诊从 2020 年 3 月到 2021 年 8 月(虚拟就诊变得更加广泛可用)期间使用虚拟就诊(远程医疗)的情况,并确定任何使患者更倾向于选择虚拟就诊而非面对面就诊的人口统计学和临床变量。在此期间,我们的癌症康复门诊共有 1638 名患者,共进行了 3971 次门诊就诊(2020 年虚拟就诊和 1951 次面对面就诊)。在单变量和多变量分析中都有显著发现的是种族(分别为 P < 0.001 和 P = 0.006)、癌症类型(两者均为 P < 0.001)和距离诊所的远近(两者均为 P < 0.001)。我们的研究表明,癌症患者接受了虚拟就诊,并且年龄较小(62 岁相比 65 岁)、非白种人/少数民族、实体瘤和距离诊所较近与更倾向于选择虚拟就诊而非面对面就诊相关。