在COVID-19大流行期间,患者对远程医疗的看法:一种混合方法的社区研究
Marije J Splinter1, M Kamran Ikram2,3, Charles W Helsper4
1Department of Epidemiology, Erasmus MC - University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, The Netherlands. m.splinter@erasmusmc.nl.
BMC health services research
|July 27, 2023
概括
患者对远程医疗和亲临医疗的偏好差异很大. 诸如沟通,检查需求和个人情况等因素影响虚拟咨询是否优先于传统护理.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 有限的基于社区的数据存在于患者远程医疗体验.
- 了解患者的观点对于评估远程医疗在COVID-19等大流行期间和之后的临床效用至关重要.
研究的目的:
- 探索患者对虚拟与面对面咨询的看法.
- 确定影响患者偏好远程医疗或面对面护理的因素.
主要方法:
- 在以人口为基础的鹿特丹研究中,向5864名参与者分发了一份经过验证的问卷.
- 该研究评估了医生接触,医疗保健利用和整体健康的偏好.
- 通过专题分析,检查了752名参与者关于他们虚拟咨询体验的自由文本评论.
主要成果:
- 超过4500名参与者完成了调查,其中24.4%的人报告了虚拟咨询经验.
- 有虚拟体验的参与者中有一半发现他们比面对面的访问不那么愉快 (50.4%).
- 影响偏好的关键主题包括缺乏非语言沟通,体检,安排,个人情况和语言障碍.
结论:
- 患者对虚拟或面对面咨询的偏好受个人和情境因素的影响.
- 在选择虚拟咨询之前,医疗保健提供者应考虑个体患者的需求,特别是非语言暗示和体检的重要性.
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