背景:在COVID-19大流行期间,远程医疗(TELE)的使用呈指数增长。虽然TELE的患者经验已经在其他医学学科中进行了研究,其对综合医学实践的影响和适用性仍然未知。
目的:本研究的目的是评估就诊方式的影响,TELE与面对面(F2F)相遇,关于在单一学术医学中心进行综合医学实践的患者体验。鉴于医患关系的重要作用,治疗存在,在综合医学中的接触,我们假设与传统的F2F接触相比,TELE会导致患者体验减少.
方法:对出版社Ganey调查的回顾性研究,协商,并进行了综合医学实践。患者完成的匿名调查,年龄超过18岁,包括从2020年4月1日至2023年3月31日进行TELE或F2F任命的人。在我们的医疗中心,患者通常从州外进入进行复杂的护理。我们检查了“机顶盒”分数的百分比(即,在调查中选择最积极反应类别的受访者百分比,\“非常好\”),跨越各种体验指标。完成了方差分析和卡方分析,显著性阈值为P<.05。
结果:在过去的36个月中,共完成并返回了1066项调查(TELE:n=333;F2F:n=733).总的来说,73%(n=778)的受访者为女性,平均年龄为57.6(SD13.84)岁。大多数患者说英语(n=728,99.3%),白色(n=1059,92.7%),而不是西班牙裔或拉丁裔(n=985,92.4%)。与F2F访视相比,对TELE访视的满意度明显更高。对护理提供者的满意度或总体经验没有差异。在TELE访问期间检查使用技术的特定方面时,音频质量没有差异,视觉质量,或者基于性别与护理提供者交谈的便利性。有,然而,基于年龄的视频质量差异,与所有其他年龄组相比,80岁及以上的人的视频质量明显较低。
结论:通过TELE综合医学访问可以获得顶级患者体验。其他研究,特别是那些将积极的经验发现与TELE访问期间使用的特定行为相关联的人,这将进一步加深我们对中西医结合患者体验的理解。同时,应努力确保一项政策,促进在综合医学中持续提供TELE。
BACKGROUND: The use of telemedicine (
TELE) increased exponentially during the COVID-19 pandemic. While patient experience with
TELE has been studied in other medical disciplines, its impact and applicability to integrative medicine practices remain unknown.
OBJECTIVE: The aim of this study is to assess the impact of visit modality, TELE versus face-to-face (F2F) encounters, on patient experience at an integrative medicine practice at a single academic medical center. Given the significant role of the patient-physician relationship, therapeutic presence, and touch in integrative medicine, we hypothesized that TELE would result in reduced patient experience compared to traditional F2F encounters.
METHODS: A retrospective examination of Press Ganey surveys at an academic, consultative, and integrative medicine practice was conducted. Anonymous surveys completed by patients, older than 18 years of age, who had
TELE or F2F appointments from April 1, 2020, to March 31, 2023, were included. At our medical center, patients commonly travel in from out of state for complex care. We examined percentage \"top box\" scores (ie, the percentage of respondents who selected the most positive response category on the survey, \"very good\"), across a variety of experience metrics. ANOVA and chi-square analyses were completed, with a significance threshold of P<.05.
RESULTS: Over the 36 months, a total of 1066 surveys were completed and returned (
TELE: n=333; F2F: n=733). Overall, 73% (n=778) of respondents were female with an average age of 57.6 (SD 13.84) years. Most patients were English-speaking (n=728, 99.3%), White (n=1059, 92.7%), and not Hispanic or Latino (n=985, 92.4%). There was significantly higher satisfaction with access to care for TELE visits compared to F2F visits. There were no differences in satisfaction with the care provider or in overall experience. When examining the specific aspects of using technology during
TELE visits, there were no differences in audio quality, visual quality, or ease of talking to the care provider based on sex. There was, however, a difference in video quality based on age, where those 80 years and older rated significantly lower video quality compared to all other age groups.
CONCLUSIONS: Top-level patient experience can be attained with TELE integrative medicine visits. Additional studies, particularly those correlating positive experience findings with specific behaviors used during TELE visits, would further our understanding of the integrative medicine patient experience. In the meantime, efforts should be made to ensure a policy that promotes the ongoing provision of TELE in integrative medicine.