新冠肺炎大流行期间患者对远程医疗的满意度:卡塔尔世界杯8强波胆分析回顾性队列研究%A Ramaswamy,Ashwin %A Yu,Miko %A Drangsholt,Siri %A Ng,Eric %A Culligan,Patrick J %A Schlegel,Peter N %A Hu,Jim C %+威尔康奈尔医学院泌尿科，纽约东68街525号，NY, 10065，美国，1 646 962 9600;asr9066@nyp.org %K远程医疗%K医学%K流行病%K患者满意度%K远程会诊%K颠覆性技术%K医学信息学%K卫生保健服务%K实践模式%K医生%K卫生政策%K卫生服务研究%K卫生保健改革%K COVID-19 %D 2020 %7 9.9.2020 %9原论文%J J医学互联网研究%G英语%X背景:纽约市是COVID-19大流行的国际震中。卫生保健提供者的反应是迅速从面对面咨询转变为视频咨询。远程医疗(即视频就诊)是一种潜在的颠覆性创新;然而，很少知道病人满意这种新兴的替代传统的临床遭遇。目的:本研究旨在确定患者满意度在视频和亲自就诊之间是否存在差异。方法:在这项回顾性观察队列研究中，我们分析了2019年4月1日至2020年3月31日期间，纽约市一家单一机构、城市、第四学术医疗中心18岁患者的38,609名Press Ganey患者满意度调查结果(620次视频就诊vs 37,989次亲自就诊)。时间分为新冠病毒前和新冠病毒后(2020年3月4日之前和之后)。分别采用Wilcoxon-Mann-Whitney检验和多变量线性回归进行假设检验和统计建模。 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. %M 32810841 %R 10.2196/20786 %U //www.mybigtv.com/2020/9/e20786/ %U https://doi.org/10.2196/20786 %U http://www.ncbi.nlm.nih.gov/pubmed/32810841