文摘
摘要目的:比较病人的满意度和偏好为未来远程医疗访问后面对面和虚拟访问(电话和视频)基于距离神经病学门诊部。首页
背景:由于COVID-19大流行,动态神经转移到现场和远程访问。首页了解病人的满意度和访问偏好相差距离可以通知保健流行后。
设计/方法:病人完成了虚拟访问2020年3月(早期流行)和虚拟或面对面访问2021年3月(大流行后期)3个月内通过电话联系。同意的患者完成定量评估满意度和渴望未来的远程医疗的访问。距离测量之间的“它”病人的家庭和诊所邮政编码。患者分为组:> 60英里,60-30mi, 30-15mi, < 15英里。
结果:3610步进行访问(1101,2509年底);1235名患者(34%)同意反馈。其中,57%是面对面,18%的视频,和23%的电话。一般来说,> 70%的患者报告“需求”不管访问类型。病人满意度明显更大的互访与中间的距离与远程访问(60-15mi)和最近的(< 15英里),最远的距离(> 60英里,p < 0.048)。满意的互访超过视频和电话访问只对病人30-15mi(分别为89%、76%和69%;p < 0.011)。大流行后期,患者期望的未来虚拟访问大大减少之间的互访后相比,视频和电话距离(p < 0.037)。从早期到后期流行的满意度并没有改变;然而,渴望未来虚拟访问电话访问显著增加(29 - 39%过早58 - 71%,p < 0.05)和保持高的视频(50 - 67%早期和后期54 - 67%,p > 0.05)。
结论:患者更容易接受远程医疗,特别是电话访问。满意度与虚拟访问之间的互访与距离和对病人特别高旅行最长的和最短的距离。
披露:安布罗西尼先生没有披露。Olszewski女士没有披露。汤姆逊小姐没有披露。印刷面积女士没有披露。考克斯女士没有披露。女士美林没有披露。菲什曼女士没有披露。Soltany先生已经收到个人赔偿作为联盟的员工卫生政策。Soltany先生已经收到个人补偿的范围为0 - 499美元作为卫生事务的顾问。Bognet女士没有披露。 Dr. Strauss has a non-compensated relationship as a Secretary with Southern Headache Society that is relevant to AAN interests or activities. Rachel Graham has nothing to disclose. Dr. Guzik has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Local law firms, available by request. Dr. Strowd has received personal compensation for serving as an employee of Kaplan. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Monteris Medical, Inc. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Novocure. Dr. Strowd has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Academy of Neurology. The institution of Dr. Strowd has received research support from Southeastern Brain Tumor Foundation. The institution of Dr. Strowd has received research support from Jazz Pharmaceuticals. The institution of Dr. Strowd has received research support from National Institutes of Health. The institution of Dr. Strowd has received research support from Alpha Omega Alpha. The institution of Dr. Strowd has received research support from American Board of Psychiatry and Neurology. Dr. Strowd has received publishing royalties from a publication relating to health care.
