@文章{信息:doi/10.2196/20786，作者=“Ramaswamy, Ashwin and Yu, Miko and Drangsholt, Siri and Ng, Eric and Culligan, Patrick J and Schlegel, Peter N and Hu, Jim C”，标题=“COVID-19大流行期间远程医疗患者满意度:回顾性队列研究”，期刊=“J Med Internet Res”，年=“2020”，月=“Sep”，日=“9”，卷=“22”，数=“9”，页=“e20786”，关键词=“远程医疗;医学;大流行;病人满意度;远程会诊;颠覆性技术;医学信息学;提供保健服务;实践模式;医生; health policy; health services research; health care reform; COVID-19", abstract="Background: New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. Objective: This study aimed to determine if patient satisfaction differs between video and in-person visits. Methods: In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre--COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. Results: We experienced an 8729{\%} increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9{\%} vs 92.5{\%}; P<.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95{\%} CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95{\%} CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE --2.05; 95{\%} CI --2.66 to --1.22), female gender (PE --0.73; 95{\%} CI --0.96 to --0.50), and new visit type (PE --0.75; 95{\%} CI --1.00 to --0.49) were associated with lower patient satisfaction. Conclusions: Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine. ", issn="1438-8871", doi="10.2196/20786", url="//www.mybigtv.com/2020/9/e20786/", url="https://doi.org/10.2196/20786", url="http://www.ncbi.nlm.nih.gov/pubmed/32810841" }