Lin-Brande Michael, Janoff Celia, Chase Tyler, Wusirika Raghav, Duty Brian, Metzler Ian
Department of Urology, Oregon Health & Science University, Portland, OR, USA.
Clinical Nutrition Services, Oregon Health & Science University, Portland, OR, USA.
Transl Androl Urol. 2024 Oct 31;13(10):2174-2179. doi: 10.21037/tau-24-248. Epub 2024 Oct 28.
With the dramatic rise of telemedicine in the post coronavirus disease 2019 (COVID-19) pandemic, our objective was to develop a totally virtual multidisciplinary kidney stone clinic and assess patient satisfaction of this format.
The virtual multidisciplinary stone clinic began July 2021 and continued monthly. Prior to the beginning of each clinic, providers from the urology, nephrology, and dietitian teams meet virtually to discuss the patients. Patients would then log into WebEx virtual platform and providers would subsequently log into the patient's virtual room, to review radiology, laboratory results, and dietary logs then provide counseling. Patients were then sent a survey via electronic mail regarding their experience. A 5-point Likert scale was used for responses ranging from strongly disagree to strongly agree. Scores were averaged to rank results.
A total of 122 patients were sent surveys, and a total of 31 surveys were completed. Sixty-one percent of patients strongly agree and 13% agree that they felt comfortable using the virtual platform. When asked if they prefer using the virtual platform for their visit, 70% of patients agreed or strongly agreed and only 16% of patients disagreed or strongly disagreed. In regards to potential advantages of a virtual visit, the Likert scores were averaged and ranked from most to least important with improved timeliness (3.7) and ease of scheduling into day (3.6) the highest rated advantages. Most patients did not find any concerns using the virtual platform, however the ability to see the provider in-person and connecting personally was of highest concern with an average Likert score of 2.3. Overall, 83% of patients agreed or strongly agreed that the multidisciplinary stone clinic satisfied their kidney stone related questions regarding treatment and prevention.
A virtual multidisciplinary kidney stone clinic can be implemented with high patient satisfaction scores and help overcome the limitations of physical clinic space and provider schedule coordination. There are few disadvantages to using the platform.
在2019冠状病毒病（COVID-19）大流行后远程医疗急剧兴起的背景下，我们的目标是建立一个完全虚拟的多学科肾结石诊所，并评估患者对这种形式的满意度。
虚拟多学科结石诊所于2021年7月开始，每月持续进行。在每次诊所开始前，泌尿外科、肾内科和营养师团队的医护人员进行线上会议讨论患者情况。患者随后登录WebEx虚拟平台，医护人员随后登录患者的虚拟房间，查看放射学、实验室检查结果和饮食记录，然后提供咨询。之后通过电子邮件向患者发送关于他们体验的调查问卷。采用5分李克特量表进行回答，范围从强烈不同意到强烈同意。对分数进行平均以对结果进行排名。
共向122名患者发送了调查问卷，共完成了31份。61%的患者强烈同意，13%的患者同意他们对使用虚拟平台感到舒适。当被问及是否更喜欢使用虚拟平台进行就诊时，70%的患者同意或强烈同意，只有16%的患者不同意或强烈不同意。关于虚拟就诊的潜在优势，对李克特分数进行平均并从最重要到最不重要进行排名，及时性提高（3.7）和易于安排到当天（3.6）是评分最高的优势。大多数患者在使用虚拟平台时没有发现任何问题，然而，最担心的是无法亲自见到医护人员以及缺乏面对面的交流，平均李克特评分为2.3。总体而言，83%的患者同意或强烈同意多学科结石诊所解答了他们关于肾结石治疗和预防的相关问题。
可以实施虚拟多学科肾结石诊所，患者满意度较高，有助于克服实体诊所空间和医护人员日程协调方面的限制。使用该平台的缺点很少。
