患者和提供者对异步与同步远程精神病学在初级保健中的满意度:随机对照试验的二次混合方法分析
Peter M Yellowlees1, Michelle M Burke1, Alvaro D Gonzalez1
1Department of Psychiatry and Behavioral Sciences, University of California, Sacramento, California, USA.
概括
患者对异步远程精神病学 (ATP) 和同步远程精神病学 (STP) 的满意度很高. 虽然STP显示了更高的患者满意度,但这两种方法都改善了临床结果,而不需要提供者偏好.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 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:
- 异步远程精神病学 (ATP) 是精神病学咨询的一个新兴模式.
- 有限的研究存在,比较ATP和同步远程精神病学 (STP) 之间的患者和提供者的满意度.
研究的目的:
- 为了比较患者和初级保健提供者 (PCP) 对ATP与STP的满意度.
- 在一个随机临床试验中分析患者和PCP经验,比较ATP和STP.
主要方法:
- 一项随机临床试验的二次分析,涉及患者和PCP满意度调查以及定性反.
- 混合效应物流回归用于定量满意度数据和主题分析用于定性反.
主要成果:
- 对于ATP (84%) 和STP (97%) 的总体患者满意度都很高.
- 患者报告说,与ATP相比,STP的满意度,舒适度和推可能性更高 (p <0.05).
- 在ATP和STP之间感知到的临床结果变化没有显著差异 (p = 0.51).
结论:
- 患者通常对两种远程精神病学模式都感到满意.
- 与STP相比,有关ATP的担忧与反过程的速度较慢有关.
- PCP没有表现出任何偏好,并执行了两种模式的建议,支持它们的实用性.
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