Department Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
Department of Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
J Med Internet Res. 2024 Mar 27;26:e49058. doi: 10.2196/49058.
During the first lockdown of the COVID-19 pandemic, an exponential increase in video consultations replacing in-person outpatient visits was observed in hospitals. Insight into patients' experiences with this type of consultation is helpful for a broad, sustainable, and patient-centered implementation of video consultation.
This study aims to examine patients' experiences with video consultation during the COVID-19 pandemic and identify discriminative patient and consultation characteristics to determine when video consultation is most feasible.
A cross-sectional survey study was conducted. Patients aged ≥18 years and scheduled for a video consultation at the outpatient clinic of a Dutch university medical center from August 2020 to December 2020 for all medical specialties were eligible. Patients' experiences were explored through a study-specific survey using descriptive quantitative statistics. Open-ended questions were qualitatively analyzed and thematically categorized into appreciated aspects and aspects for improvement. Discriminative patient and consultation characteristics were identified using 3 distinctive survey items. Characteristics of patients who scored and those who did not score all 3 items positively were analyzed using binary logistic regression.
A total of 1054 patients were included in the analysis. Most patients (964/1054, 91.46%) were satisfied with their video consultation, with a mean overall grade of 8.6 (SD 1.3) of 10. In the qualitative analyses, 70.02% (738/1054) of the patients cited aspects they appreciated and 44.97% (474/1054) mentioned aspects for improvement during their consultation. Patients with better self-rated health reported a positive evaluation significantly more often (P=.001), which also held true for other medical specialties (vs surgical and nonsurgical specialties; P<.001).
Video consultation was perceived as highly satisfactory by patients during the COVID-19 pandemic, with the best experience reported by healthy participants and those undergoing their first consultation. Appreciated aspects are mainly at the individual professional level, organizational level, and innovation level itself. The aspects that were mentioned for improvement can be changed for the better.
在 COVID-19 大流行的第一次封锁期间，医院中观察到视频咨询取代了门诊就诊，呈指数级增长。了解患者对这种咨询方式的体验有助于广泛、可持续和以患者为中心地实施视频咨询。
本研究旨在研究患者在 COVID-19 大流行期间对视频咨询的体验，并确定有区别的患者和咨询特征，以确定何时视频咨询最可行。
进行了一项横断面调查研究。符合条件的患者为 2020 年 8 月至 12 月期间在荷兰大学医学中心的门诊预约视频咨询的年龄≥18 岁的所有医学专业患者。使用特定于研究的调查，通过描述性定量统计来探索患者的体验。对开放式问题进行定性分析，并按照赞赏方面和改进方面进行主题分类。使用 3 个独特的调查项目确定有区别的患者和咨询特征。使用二元逻辑回归分析对所有 3 个项目评分均为阳性和未评分均为阳性的患者的特征进行分析。
共纳入 1054 例患者进行分析。大多数患者（964/1054，91.46%）对他们的视频咨询感到满意，总体评分为 10 分中的 8.6（SD 1.3）。在定性分析中，70.02%（738/1054）的患者列举了他们赞赏的方面，44.97%（474/1054）提到了咨询过程中的改进方面。自我报告健康状况较好的患者报告的评估明显更积极（P=.001），其他医学专业（与外科和非外科专业相比；P<.001）也是如此。
在 COVID-19 大流行期间，患者对视频咨询的满意度很高，健康参与者和首次咨询的参与者体验最佳。赞赏的方面主要在个人专业水平、组织水平和创新水平本身。提到的改进方面可以得到改善。
