关键词: Patient visits Physician satisfaction Quality of care Regression Telemedicine

来  源:   DOI:10.1016/j.ijmedinf.2024.105541

Abstract:
OBJECTIVE: The objective of our study is to investigate the impacts of telemedicine technology and its specific tools on physicians\' overall satisfaction, quality of care, and percentage of patient visits in ambulatory care settings after the COVID-19 lockdowns.
METHODS: Data for our analysis was sourced from the 2021 annual National Electronic Health Records Survey (NEHRS), which included 1,875 complete questionnaire responses from physicians in the 2021 NEHRS. We used regression models to test the effects of telemedicine on physicians\' overall satisfaction, quality of care, and percentage of patients\' visits.
RESULTS: We report that telemedicine technology has significant positive effects on physicians\' satisfaction with telemedicine and quality of care evaluation, both at an aggregate level and at the disaggregate levels of individual telemedicine features, and partially significant effects on patients\' telemedicine visits.
CONCLUSIONS: Telemedicine features that contributed significantly to physician satisfaction and quality of care evaluation were telephone, videoconferencing, standalone telemedicine platform, and telemedicine platform integrated with EHR, while only telephone and integrated telemedicine platform contributed significantly to patients\' telemedicine visits.
CONCLUSIONS: For telemedicine research and practice, this study confirms that telemedicine improves physician satisfaction and quality of care perceptions and will therefore be preferred by physicians. However, telemedicine has a mixed impact on percentage of patient visits, which suggests that providers may have to work harder to regularize telemedicine acceptance among patients in the post-COVID era.
摘要:
目的:我们研究的目的是调查远程医疗技术及其特定工具对医生总体满意度的影响,护理质量,以及COVID-19封锁后门诊护理机构中患者就诊的百分比。
方法:我们分析的数据来自2021年年度国家电子健康记录调查(NEHRS),其中包括2021年NEHRS医生的1,875份完整问卷答复。我们使用回归模型来测试远程医疗对医生总体满意度的影响,护理质量,以及患者就诊的百分比。
结果:我们报告说,远程医疗技术对医生对远程医疗的满意度和护理质量评估具有显著的积极影响,无论是在个人远程医疗特征的总体水平还是分类水平,以及对患者远程医疗访问的部分显著影响。
结论:对医生满意度和护理质量评估有显著贡献的远程医疗特征是电话,视频会议,独立的远程医疗平台,和与EHR集成的远程医疗平台,而只有电话和综合远程医疗平台对患者的远程医疗访问做出了显著贡献。
结论:对于远程医疗研究和实践,这项研究证实,远程医疗提高了医师满意度和护理质量,因此将受到医师的青睐.然而,远程医疗对患者就诊比例的影响喜忧参半,这表明,在后COVID时代,提供者可能必须更加努力地规范患者对远程医疗的接受。
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