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新冠疫情后医务人员对远程医疗的满意度调查:新冠疫情期间与疫情后时期的比较

Satisfaction Survey of Medical Staff for Telemedicine after the COVID-19 Pandemic: A Comparison Between the COVID-Pandemic and Post-COVID Pandemic Periods.

作者信息

Jung Seung Eun, Kwon Young-Mi, Kwon Soon-Yong, Kim Young-Hoon, Park Hyung-Youl

机构信息

Department of Radiology, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

Customer Happiness Team, College of Medicine, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Telemed J E Health. 2025 Jan;31(1):50-58. doi: 10.1089/tmj.2024.0142. Epub 2024 Sep 30.

Abstract

: The role of telemedicine should be reassessed in the post-COVID-19 pandemic era. This study aimed to evaluate the perception and satisfaction of medical staff with telemedicine after the COVID-19 pandemic and compare these findings with those during the COVID-19 pandemic. Between January and February 2023, a questionnaire regarding the utilization, safety, and satisfaction with telemedicine was administered to 200 medical staff members (100 doctors and 100 nurses). Additionally, open-ended questions were included to gather insights on the strengths, weaknesses, and prerequisites of telemedicine. The satisfaction levels of the medical staff were compared with those from a previous study conducted during the COVID-19 pandemic. The response rate among medical staff was 60.0% (50 doctors and 70 nurses). Concerning patient safety, 83.3% of respondents indicated a risk of worsening symptoms in chronic patients, and 68.3% expressed concerns about emergencies related to patient safety. Eighty-two percent of doctors preferred in-person visits over telemedicine, while 48.6% of nurses reported equal or greater satisfaction with telemedicine ( = 0.003). The reported strengths of telemedicine included the convenience of outpatient clinics (67%), while its primary weakness was the incomplete assessment of patient conditions (73%). The likelihood of partial substitution of telemedicine for in-person visits was significantly higher in the post-COVID-19 pandemic period compared to during the pandemic (71.7% vs. 49.0%, < 0.001). In the post-COVID-19 pandemic era, telemedicine continues to offer significant benefits in enhancing patient access to medical care. However, medical staff remain concerned about its safety and show lower satisfaction compared to in-person visits. In response to these concerns, an effective telemedicine platform and legal standards, including practical guidelines, should be developed.

摘要

在新冠疫情后时代,远程医疗的作用应重新评估。本研究旨在评估新冠疫情后医务人员对远程医疗的认知和满意度,并将这些结果与新冠疫情期间的结果进行比较。2023年1月至2月,对200名医务人员(100名医生和100名护士)进行了一项关于远程医疗使用、安全性和满意度的问卷调查。此外,还设置了开放式问题,以收集有关远程医疗的优势、劣势和前提条件的见解。将医务人员的满意度与新冠疫情期间进行的一项先前研究的结果进行比较。医务人员的回复率为60.0%(50名医生和70名护士)。关于患者安全,83.3%的受访者表示慢性病患者症状有恶化风险,68.3%的人对与患者安全相关的紧急情况表示担忧。82%的医生更喜欢面对面就诊而非远程医疗,而48.6%的护士表示对远程医疗的满意度相同或更高(P = 0.003)。报告的远程医疗优势包括门诊便利(67%),而其主要劣势是对患者病情评估不全面(73%)。与疫情期间相比,新冠疫情后时期远程医疗部分替代面对面就诊的可能性显著更高(71.7%对49.0%,P < 0.001)。在新冠疫情后时代,远程医疗在增加患者获得医疗服务的机会方面继续提供显著益处。然而,医务人员仍对其安全性表示担忧,并且与面对面就诊相比满意度较低。针对这些担忧,应开发一个有效的远程医疗平台和法律标准,包括实用指南。

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