Kozel Olivia A, Baskaran Archit B, Manjunath Anusha, Goel Chirag, Jones Michael R, Gibson William, Jahromi Babak S, Tate Matthew C, Dahdaleh Nader S, Rosenow Joshua M
Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Department of Neurology, The University of Chicago Hospitals, Chicago, Illinois, USA.
Neurosurg Pract. 2023 May 3;4(2):e00039. doi: 10.1227/neuprac.0000000000000039. eCollection 2023 Jun.
Throughout the COVID-19 pandemic, the medical community has been saturated by the necessity for telemedicine, or "telehealth", appointments. With limited prior exposure, the many challenges that accompany telehealth visits have affected how physicians conduct daily tasks and how patients perceive healthcare experiences. In the early stages of the COVID-19 pandemic, telemedicine was new to most neurosurgical patients. This study seeks to evaluate the overall neurosurgical patient experience with telemedicine.
To assess overall neurosurgical patient satisfaction with telemedicine to build an understanding of the effectiveness of these encounters for future planning.
After a telemedicine appointment, patients received an electronic survey. Survey questions focused on demographic information, encounter type, medical history questions, and overall satisfaction with telemedicine. Responses for the survey questions were formulated using a 5-point Likert scale.
Two hundred seventy patients were seen via telemedicine by 1 of 4 providers included in this study. 43 patients returned the surveys, with a completion rate of 16%. Patients indicated higher scores for overall satisfaction and quality of appointment. Of note, 23% of participants responded that they would be willing to pay out of pocket for a telemedicine appointment, while 77% responded they would not be willing to pay out of pocket.
Our survey results show patients felt comfortable discussing healthcare issues using telehealth, that appropriate levels of care were received, and they would be willing to use telehealth again. Future efforts will be necessary to educate providers and patients about the utilization of technological devices, ensure patient access to telehealth, and standardize ethical guidelines.
在整个新冠疫情大流行期间,远程医疗或“远程健康”预约的需求充斥着医学界。由于此前接触有限,远程医疗就诊带来的诸多挑战影响了医生开展日常工作的方式以及患者对医疗体验的认知。在新冠疫情大流行的早期阶段,远程医疗对大多数神经外科患者来说是新事物。本研究旨在评估神经外科患者对远程医疗的总体体验。
评估神经外科患者对远程医疗的总体满意度,以便了解这些诊疗服务的有效性,为未来规划提供依据。
在一次远程医疗预约后,患者收到一份电子调查问卷。调查问题集中在人口统计学信息、诊疗类型、病史问题以及对远程医疗的总体满意度。调查问卷问题的回答采用5分李克特量表形式。
本研究纳入的4名医疗服务提供者之一通过远程医疗诊治了270名患者。43名患者回复了调查问卷,完成率为16%。患者对总体满意度和预约质量给出了较高分数。值得注意的是,23%的参与者表示愿意自掏腰包支付远程医疗预约费用,而77%的参与者表示不愿意自掏腰包支付。
我们的调查结果显示,患者对使用远程健康讨论医疗问题感到安心,认为获得了适当水平的护理,并且愿意再次使用远程健康服务。未来有必要努力对医疗服务提供者和患者进行技术设备使用方面的教育,确保患者能够使用远程医疗服务,并规范道德准则。