TY - JOUR AU - Ramaswamy, Ashwin AU - Yu, Miko AU - Drangsholt, Siri AU - Ng, Eric AU - Culligan, Patrick J AU - Schlegel, Peter N AU - Hu, Jim C PY - 2020 DA - 2020/9/9 TI - COVID-19大流行期间远程医疗患者满意度:回顾性队列研究乔- J地中海互联网Res SP - e20786六世- 22 - 9千瓦,远程医疗KW -医学KW -流行病KW -病人满意度KW -远程咨询KW -颠覆性技术KW -医学信息学KW -医疗保健交付千瓦实践模式KW -医生KW -卫生政策KW -卫生服务研究KW -医疗改革KW - COVID-19 AB -背景:纽约的国际中心COVID-19大流行。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。结果:在2019冠状病毒病大流行期间，我们的视频访问利用率比去年同期增长了8729%。 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. SN - 1438-8871 UR - //www.mybigtv.com/2020/9/e20786/ UR - https://doi.org/10.2196/20786 UR - http://www.ncbi.nlm.nih.gov/pubmed/32810841 DO - 10.2196/20786 ID - info:doi/10.2196/20786 ER -