远程医疗访问类型和癌症患者中患者报告的结果
Daniel S Carson1, Sam Simpson1, Adam J Gadzinski2
1Department of Urology, University of Washington, Seattle, WA.
Urologic oncology
|August 14, 2024
概括
尿道癌症治疗的远程医疗访问提供了与面对面访问相等的患者满意度,为新患者显著降低了成本和旅行负担. 持续的远程医疗接入可以确保高质量的护理,无论位置如何.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与COVID-19大流行相关的远程医疗豁免使各种访问类型的广泛使用成为可能.
- 这些豁免的到期需要对政策和临床指导的最佳远程医疗应用进行评估.
- 需要评估患者对远程医疗的经验,以及对新的和已建立的泌尿器癌症护理的面对面访问.
研究的目的:
- 评估和比较患者的满意度和体验之间的远程医疗和在人面访问尿道癌症护理.
- 评估访问模式对旅行时间,旅行费用和错过的工作日的影响.
- 为未来关于在泌尿外科瘤学中使用远程医疗的政策提供信息.
主要方法:
- 在2019年8月至2022年6月期间,对接受面对面或远程医疗泌尿癌治疗的患者进行了一项调查.
- 调查主题包括满意度,沟通感知,旅行负担和工作缺席.
- 用描述性统计数据分析了来自1,031次患者访问的调查响应 (494次新增,537次确诊).
主要成果:
- 在远程医疗和面对面的访问中观察到高满意度 (平均分数为59.9-60.7分之63分).
- 患者评级的护理质量在访问类型或方式之间没有显著差异.
- 与新的远程医疗访问 (平均26.60美元) 相比,新的面对面访问带来了更高的旅行费用 (平均496.10美元),增加了对航空旅行和酒店住宿的需求.
结论:
- 远程医疗为泌尿癌护理的新患者访问带来了与面对面访问相比的满意度,但成本要低得多.
- 这些发现支持将远程医疗豁免扩展到COVID-19豁免之外,包括新的患者咨询.
- 持续的远程医疗接入可以促进高质量的泌尿癌护理,无论患者的地理位置如何.
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