PDF(Pubmed)
Abstract：
BACKGROUND: Since the COVID-19 pandemic, the use of video consultation (VC) in primary care has expanded considerably in many countries. VC and other telehealth formats are often touted as a solution to improved health care access, with numerous studies showing high satisfaction with this care format among health professionals and patients. However, operationalization and measurement of patient satisfaction with VC varies across studies and often lacks consideration of dynamic contextual factors (eg, convenience, ease-of-use, or privacy) and doctor-patient relational variables that may influence patient satisfaction.
OBJECTIVE: We aim to develop a comprehensive and evidence-based questionnaire for assessing patient satisfaction with VC in general practice.
METHODS: The vCare Patient-Satisfaction Questionnaire (the vCare-PSQ) was developed according to the COSMIN (Consensus-Based Standards for the Selection of Health Measurement Instruments) guidelines. To achieve our overall objective, we pursued three aims: (1) a validation analysis of an existing patient-satisfaction scale (the PS-14), (2) an assessment of extrinsic contextual factors that may impact patient satisfaction, and (3) an assessment of pertinent intrinsic and relational satisfaction correlates (eg, health anxiety, information technology literacy, trust in the general practitioner, or convenience). For validation purposes, the questionnaire was filled out by a convenience sample of 188 Danish adults who had attended at least 1 VC.
RESULTS: Our validation analysis of the PS-14 in a Danish population produced reliable results, indicating that the PS-14 is an appropriate measure of patient satisfaction with VC in Danish patient populations. Regressing situational and doctor-patient relational factors onto patient satisfaction further suggested that patient satisfaction is contingent on several factors not measured by the PS-14. These include information technology literacy and patient trust in the general practitioner, as well as several contextual pros and cons.
CONCLUSIONS: Supplementing the PS-14 with dynamic measures of situational and doctor-patient relational factors may provide a more comprehensive understanding of patient satisfaction with VC. The vCare-PSQ may thus contribute to an enhanced methodological approach to assessing patient satisfaction with VC. We hope that the vCare-PSQ format may be useful for future research and implementation efforts regarding VC in a general practice setting.
OBJECTIVE: We aim to develop a comprehensive and evidence-based questionnaire for assessing patient satisfaction with VC in general practice.
METHODS: The vCare Patient-Satisfaction Questionnaire (the vCare-PSQ) was developed according to the COSMIN (Consensus-Based Standards for the Selection of Health Measurement Instruments) guidelines. To achieve our overall objective, we pursued three aims: (1) a validation analysis of an existing patient-satisfaction scale (the PS-14), (2) an assessment of extrinsic contextual factors that may impact patient satisfaction, and (3) an assessment of pertinent intrinsic and relational satisfaction correlates (eg, health anxiety, information technology literacy, trust in the general practitioner, or convenience). For validation purposes, the questionnaire was filled out by a convenience sample of 188 Danish adults who had attended at least 1 VC.
RESULTS: Our validation analysis of the PS-14 in a Danish population produced reliable results, indicating that the PS-14 is an appropriate measure of patient satisfaction with VC in Danish patient populations. Regressing situational and doctor-patient relational factors onto patient satisfaction further suggested that patient satisfaction is contingent on several factors not measured by the PS-14. These include information technology literacy and patient trust in the general practitioner, as well as several contextual pros and cons.
CONCLUSIONS: Supplementing the PS-14 with dynamic measures of situational and doctor-patient relational factors may provide a more comprehensive understanding of patient satisfaction with VC. The vCare-PSQ may thus contribute to an enhanced methodological approach to assessing patient satisfaction with VC. We hope that the vCare-PSQ format may be useful for future research and implementation efforts regarding VC in a general practice setting.
摘要：
背景：自COVID-19大流行以来，在许多国家，初级保健中视频咨询（VC）的使用已大大扩展。VC和其他远程医疗格式经常被吹捧为改善医疗保健访问的解决方案，大量研究表明，卫生专业人员和患者对这种护理形式的满意度很高。然而,患者对VC满意度的操作和测量在研究中各不相同，并且通常缺乏对动态上下文因素的考虑(例如，便利性，易用性,或隐私)和可能影响患者满意度的医患关系变量。
目的：我们的目标是开发一个全面的、以证据为基础的问卷，用于评估一般实践中患者对VC的满意度。
方法：vCare患者满意度问卷（vCare-PSQ）是根据COSMIN（基于共识的健康测量仪器选择标准）指南制定的。为了实现我们的总体目标，我们追求三个目标：(1)对现有患者满意度量表(PS-14)进行验证分析，（2）评估可能影响患者满意度的外在环境因素，以及(3)对相关内在满意度和关系满意度的评估(例如，健康焦虑,信息技术素养,信任全科医生，或便利性)。出于验证目的，问卷是由188名参加过至少1次VC的丹麦成年人的便利样本填写的.
结果：我们对丹麦人群中PS-14的验证分析产生了可靠的结果，表明PS-14是丹麦患者人群中患者对VC满意度的适当衡量标准。将情境和医患关系因素回归到患者满意度上进一步表明，患者满意度取决于PS-14无法衡量的几个因素。这些包括信息技术素养和患者对全科医生的信任，以及几个上下文的利弊。
结论：将PS-14与情境和医患关系因素的动态测量相结合，可以更全面地了解患者对VC的满意度。因此，vCare-PSQ可能有助于增强方法学方法来评估患者对VC的满意度。我们希望vCare-PSQ格式可能对未来在一般实践环境中有关VC的研究和实施工作有用。
目的：我们的目标是开发一个全面的、以证据为基础的问卷，用于评估一般实践中患者对VC的满意度。
方法：vCare患者满意度问卷（vCare-PSQ）是根据COSMIN（基于共识的健康测量仪器选择标准）指南制定的。为了实现我们的总体目标，我们追求三个目标：(1)对现有患者满意度量表(PS-14)进行验证分析，（2）评估可能影响患者满意度的外在环境因素，以及(3)对相关内在满意度和关系满意度的评估(例如，健康焦虑,信息技术素养,信任全科医生，或便利性)。出于验证目的，问卷是由188名参加过至少1次VC的丹麦成年人的便利样本填写的.
结果：我们对丹麦人群中PS-14的验证分析产生了可靠的结果，表明PS-14是丹麦患者人群中患者对VC满意度的适当衡量标准。将情境和医患关系因素回归到患者满意度上进一步表明，患者满意度取决于PS-14无法衡量的几个因素。这些包括信息技术素养和患者对全科医生的信任，以及几个上下文的利弊。
结论：将PS-14与情境和医患关系因素的动态测量相结合，可以更全面地了解患者对VC的满意度。因此，vCare-PSQ可能有助于增强方法学方法来评估患者对VC的满意度。我们希望vCare-PSQ格式可能对未来在一般实践环境中有关VC的研究和实施工作有用。
