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患者与医疗服务提供者在军事环境中进行远程医疗随访护理的体验。

Patients and Provider Experiences with Telemedicine for Follow-up Care in Military Settings.

作者信息

Heboyan Vahe, De Leo Gianluca

机构信息

Health Management Economics and Policy, School of Public Health, Augusta University, Augusta GA, USA.

出版信息

Telemed Rep. 2025 Aug 27;6(1):220-227. doi: 10.1177/26924366251372619. eCollection 2025.

Abstract

BACKGROUND

Telemedicine offers patients and physicians the opportunity to advance health care delivery to active duty and retired military personnel. Assessing the efficacy and feasibility of performing post-surgery follow-up assessment through telemedicine at a large military hospital, while examining patient and provider experience and satisfaction with the telemedicine follow-up visit and estimating patients' willingness-to-use and willingness-to-pay for telemedicine consultations may help to shape the future use of telemedicine in the military settings.

METHODS

We administered surveys to 96 unique patients who agreed to perform a follow-up telemedicine visit, rather than a traditional face-to-face visit, after undergoing a minor surgery at a large army military hospital in the southeast region of the United States. We also administered a survey to six physicians.

RESULTS

Most of the patients strongly agreed (86.5%) or somewhat agreed (10.8%) that their medical problems were adequately addressed during the telemedicine visit. Most physicians were either satisfied (7.5%) or extremely satisfied (75.5%) with the overall experience. Less than half of the patients were willing to use a similar telemedicine visit for a fee in the future and only two patients were willing to pay $100 for such visit.

CONCLUSION

After minor surgery, follow-up telemedicine visits may be an effective, efficient, and convenient alternative to face-to-face visits for active duty and retired military personnel.

摘要

背景

远程医疗为患者和医生提供了向现役和退役军人提供医疗服务的机会。评估在一家大型军事医院通过远程医疗进行术后随访评估的有效性和可行性,同时考察患者和医疗服务提供者对远程医疗随访就诊的体验和满意度,并估计患者使用远程医疗咨询的意愿和付费意愿,可能有助于塑造未来远程医疗在军事环境中的应用。

方法

我们对96名在美国东南部地区一家大型陆军军事医院接受小手术后同意进行远程医疗随访就诊而非传统面对面就诊的患者进行了调查。我们还对6名医生进行了调查。

结果

大多数患者强烈同意(86.5%)或 somewhat 同意(10.8%)他们的医疗问题在远程医疗就诊期间得到了充分解决。大多数医生对总体体验感到满意(7.5%)或极其满意(75.5%)。不到一半的患者愿意在未来付费进行类似的远程医疗就诊,只有两名患者愿意为这样的就诊支付100美元。

结论

对于现役和退役军人来说,小手术后的远程医疗随访就诊可能是面对面就诊的一种有效、高效且便捷的替代方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0339/12411896/39a43fd487b9/26924366251372619_figure1.jpg

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