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远程医疗:医疗保健系统的未来及其对患者满意度的影响:文献综述

Telemedicine: Future of the healthcare system and its impact on patient satisfaction: A literature review.

作者信息

Salman Malik, Kimball Ryan, Bromley Sarah, Belleville Troy, Jabbar Ali B A, Mirza Mohsin, Hayat Shagufta, Sood Akshat, Tauseef Abubakar

机构信息

Department of Internal Medicine, Creighton University School of Medicine, Nebraska, United States.

出版信息

J Family Med Prim Care. 2024 Nov;13(11):4810-4814. doi: 10.4103/jfmpc.jfmpc_830_24. Epub 2024 Nov 18.

Abstract

BACKGROUND AND OBJECTIVES

The utilization of telemedicine has increased dramatically since the onset of the COVID-19 pandemic. In this review, we examined studies published within the past five years that investigated the impact of telemedicine on patient satisfaction.

METHODS

Four investigators utilized PubMed and Google Scholar to find studies published within the past five years that assessed patient satisfaction with telemedicine in the field of adult primary care, using either the Press Ganey or CAHPS surveys. Studies that compared cost and quality of care between telemedicine and in-patient healthcare were also included to address the secondary aims of this study.

RESULTS

A total of 11 studies out of the 405 that were investigated were selected for this review. Five studies found no significant difference in patient satisfaction between telemedicine and in-person medicine, with one of those showing a patient preference for telemedicine. One study demonstrated significantly higher satisfaction with in-person medicine vs. telemedicine. Another study found that most physicians and patients reported no perceived difference in quality of care between telemedicine and in-person visitation. One study found no difference in patient satisfaction with telemedicine between immigrants and non-immigrants. Another study showed that patients have higher satisfaction when using telemedicine with their PCP vs. an unfamiliar provider. Two studies found telemedicine to be cost-effective.

CONCLUSIONS

Our review concludes that patient satisfaction with telemedicine is not inferior to that with in-person visits. However, further research should be conducted to determine various factors that may affect patient perception and satisfaction.

摘要

背景与目的

自新冠疫情爆发以来,远程医疗的使用急剧增加。在本综述中,我们研究了过去五年内发表的调查远程医疗对患者满意度影响的研究。

方法

四名研究人员利用PubMed和谷歌学术搜索过去五年内发表的使用Press Ganey或CAHPS调查问卷评估成人初级保健领域患者对远程医疗满意度的研究。还纳入了比较远程医疗与住院医疗之间成本和护理质量的研究,以实现本研究的次要目标。

结果

在调查的405项研究中,共有11项被选入本综述。五项研究发现远程医疗与面对面医疗在患者满意度上无显著差异,其中一项显示患者更倾向于远程医疗。一项研究表明,与远程医疗相比,面对面医疗的满意度显著更高。另一项研究发现,大多数医生和患者报告称,远程医疗与面对面就诊在护理质量上没有明显差异。一项研究发现移民和非移民对远程医疗的患者满意度没有差异。另一项研究表明,患者在与自己的初级保健医生进行远程医疗时比与不熟悉的医疗服务提供者进行远程医疗时满意度更高。两项研究发现远程医疗具有成本效益。

结论

我们的综述得出结论,患者对远程医疗的满意度并不低于面对面就诊。然而,应进行进一步研究以确定可能影响患者认知和满意度的各种因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15a0/11668441/ac5cb48e9126/JFMPC-13-4810-g001.jpg

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