背景:2019年冠状病毒病(COVID-19)大流行影响了全球的医疗保健指南和患者咨询方式。智利频繁的隔离禁闭周期对患者和医生造成了行动限制,迫使LasHiguerasdeTalcahuano医院(HHT)用更经典的远程访问程序代替辅助的远程访问方式。在这里,我们已经描述了这种远程访问方式和门诊患者类型的变化是否可能影响患者的满意度。
方法:通过以前用西班牙语验证的自我管理调查问卷评估患者的满意度。根据以下两个关系模型对队列进行分组:(I)辅助远程访问,2018年至2019年,503名神经内科患者,以及(二)远程访问,2020年接受治疗的831名来自不同专科的患者。满意度的感知是按性别比较的,年龄,和远程访问的类型,并对内部一致性(Cronbachα)和可靠性(主成分的阶乘分析)进行了评估。最后,我们比较了两种模式的患者满意度.
结果:问卷调查显示出优异的内部一致性;所有项目均显示出大于0.30的点双材料相关性。辅助远程访问和远程访问队列包括64.2%和67.6%的女性,分别,65岁以下的患者分别为62.2%和75%,分别。辅助远程访问患者显示出非常高的94.4%(n=475)和高5.2%(n=26)满意度,而远程访问患者显示非常高的22.3%(n=185),63.9%(n=531),和中度13.1%(n=109)的满意度;这种差异在p<0.001具有统计学意义。
结论:由于远程访问关系模式的改变而导致的较低的满意度感强调了在辅助远程访问模式中支持专科医生的初级保健专业人员的重要性。然而,远程访问模式显示出很高的患者满意度,并建议根据每个位置的实际情况,这种模式可以是一个合理的选择。这项研究的结果表明,协助远程访问和远程访问有助于提供一个综合的解决方案,有助于减轻系统的碎片。
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has impacted healthcare guidelines and modalities of patient consultation worldwide. The frequent cycles of quarantine confinement in Chile have caused mobility restrictions for patients and physicians, forcing the Hospital Las Higueras de Talcahuano (HHT) to replace the assisted televisit modality with a more classic
televisit program. Here we have described if this change in
televisit modality and type of outpatient may have impacted patients\' satisfaction.
METHODS: The patient\'s perception of satisfaction was evaluated through self-administered survey questionnaires previously validated in Spanish. Cohorts were grouped according to the following two relational models: (i) assisted televisit, 503 neurology patients from 2018 to 2019, and (ii)
televisit, 831 patients from different specialties treated during 2020. Perception of satisfaction was compared by gender, age, and type of televisit, and internal consistency (Cronbach alpha) and reliability (factorial analysis of principal components) were assessed. Finally, we compared the patient satisfaction of both modalities.
RESULTS: Questionnaires showed excellent internal consistency; all items showed point biserial correlations greater than 0.30. Assisted
televisit and
televisit cohorts comprised 64.2% and 67.6% females, respectively, and patients under the age of 65 years were 62.2% and 75%, respectively. Assisted televisit patients showed very high 94.4% (n=475) and high 5.2% (n=26) satisfaction levels, while televisit patients showed very high 22.3% (n=185), high 63.9% (n=531), and moderate 13.1% (n=109) satisfaction levels; this difference was statistically significant at p<0.001.
CONCLUSIONS: Lower perception of satisfaction due to the change in televisit relational modality underscores the importance of primary care professionals who support the specialist in the assisted televisit model. However, the televisit modality showed high patient satisfaction and suggested that this modality can be a plausible alternative according to each location\'s reality. The results of this study indicate that both assisted
televisit and
televisit contribute to delivering an integrative solution that helps to alleviate the system\'s fragmentation.