评估患者报告的体验,以进行面对面和远程医疗的手术前评估
Amber L O'Connor1, Artem Shmelev1, Abigale Shettig1
1Division of Gastrointestinal and General Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA.
概括
手术前的远程医疗咨询,以修复,是安全的,有效的,并减少旅行时间和成本相比,在人面访问. 患者报告了类似的满意度,并更喜欢未来的远程医疗护理,强调其在手术咨询中的价值.
科学领域:
- 手术瘤学手术瘤学
- 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:
- 随着COVID-19大流行,医疗保健领域的远程医疗采用加速了.
- 远程医疗已被确立为术后护理的安全方法.
- 有限的数据存在于远程医疗的初始手术前的手术咨询.
研究的目的:
- 为了比较患者的特征,下游护理和体验,在中心进行面对面和远程医疗的初始咨询.
- 评估手术前远程医疗的可行性和患者报告的结果.
主要方法:
- 在腹壁重建中心对176名患者进行前性调查 (2021年8月至2022年8月).
- 远程医疗和面对面咨询小组之间的人口和疾病特征的比较.
- 评估旅行时间,下游护理利用,间接成本和患者报告的经验 (PREs).
主要成果:
- 远程医疗咨询 (50.6%) 与面对面访问相比显示出类似的患者人口统计和疾病严重程度.
- 远程医疗节省了每位患者平均47分钟的旅行时间.
- 远程医疗患者的间接成本明显较低,患者满意度相似.
- 在38.2%的远程医疗和55.2%的面对面接触中提出了操作建议.
结论:
- 手术前的远程医疗咨询可以节省大量的成本,并使患者满意度与面对面的访问相提并论.
- 卫生系统应该投资扩大外科手术期间的远程医疗服务.
- 远程医疗是专门中心初次手术咨询的可行和首选选择.
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