州际远程医疗用于泌尿癌护理
Adam J Gadzinski1, Erin M Dwyer2, Jason Reynolds2
1Department of Urology, Beaumont Hospital, Royal Oak, Michigan.
The Journal of urology
|October 13, 2023
概括
远程医疗提供了可比的患者满意度,以在人面访问尿道癌症护理. 州际远程医疗可以降低旅行费用并增加接入,特别是对于农村患者来说,支持在COVID-19豁免之外继续使用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 美国各州在COVID-19期间放宽了远程医疗许可,使州际护理成为可能.
- 过期的豁免需要对远程医疗的最佳使用进行政策和临床实践的评估.
- 了解患者的体验和财务负担对于未来的医疗保健服务至关重要.
研究的目的:
- 为了比较患者的体验和满意度之间的远程医疗和在人面访问尿道癌症护理.
- 评估州际与州内护理对患者体验和财务负担的影响.
- 为制定有关继续提供州际远程医疗服务的政策决策提供信息.
主要方法:
- 对接受面对面或远程医疗尿道癌症治疗的患者进行了一项调查.
- 从2019年8月到2022年6月收集的数据包括满意度,沟通感知,旅行时间,成本和错过的工作.
- 分析按州内与州外居住和护理方式分层分析.
主要成果:
- 在所有访问类型 (面对面,州内远程医疗,州际远程医疗) 中都观察到高满意度.
- 州际远程医疗患者更有可能重复该模式 (71%),而不是州际面对面 (61%) 或州内远程医疗 (57%).
- 州际护理的旅行费用显著增加 (州内平均为200美元,州内为0美元),其中55%需要乘飞机,60%需要酒店进行亲自的州际访问.
结论:
- 远程医疗改善了获得泌尿癌治疗的机会,尤其对农村患者来说.
- 州际远程医疗提供与州内护理相比的满意度,成本要低得多.
- 在COVID-19后延长州际远程医疗豁免可以确保为服务不足的人群提供持续的高质量护理.
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