缩小数字沟:通过预访通信提高远程医疗的满意度
Connie C Shao1, Marshall Chandler McLeod2, Leah E Lawler3
1Ochsner Medical Center Department of Colon and Rectal Surgery, Jefferson, Louisiana, USA.
概括
从视频到电话的远程医疗访问转换表明数字访问障碍,导致患者满意度降低. 预览电话可以改善体验,并确保弱势群体获得公平的医疗保健.
科学领域:
- 获得医疗保健和公平的机会.
- 数字健康差异数字健康差异
- 远程医疗的利用
背景情况:
- 随着COVID-19的流行,远程医疗的普及加速了.
- 了解影响远程医疗模式选择和患者满意度的因素至关重要.
- 数字沟可能会加剧健康不平等.
研究的目的:
- 检查与远程医疗访问模式 (视频,电话,转换) 相关的患者特征.
- 评估访问模式对患者满意度的影响.
- 为了确定远程医疗访问转化和满意度的预测因素.
主要方法:
- 在第三级护理中心对成年患者的回顾性队列研究 (2020年3月至10月).
- 分析与社会人口统计数据和宽带接入相关的远程医疗满意度调查.
- 多变量后勤回归用于识别访问转化和满意度的预测因素.
主要成果:
- 视频访问最令人满意,其次是电话访问,然后是转换访问 (p < 0.0001).
- 转换到电话与年龄较大,医疗保险,收入较低和宽带接入不佳有关.
- 预览电话与所有方式的更高满意度相关.
结论:
- 远程医疗访问转换意味着数字访问障碍和满意度降低.
- 预先拨打支持电话可以提高患者的体验并减轻差异.
- 认可和报销电话访问确保了弱势患者的公平访问.
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