Systematic review of studies of patient satisfaction with telemedicine
Systematic review of studies of patient satisfaction with telemedicine
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DOI：
10.1136/bmj.320.7248.1517
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发表时间：
2000-06-03
影响因子：
105.7
通讯作者：
Whitten, P
中科院分区：
文献类型：
--
作者：
Mair, F;Whitten, P
目的回顾远程会诊患者满意度的研究，特别是医疗服务提供者和患者之间的临床咨询，涉及真实的时间互动video.Design远程医疗满意度研究的系统评价。检索的电子数据库包括Medline、Embase、Science Citation Index、Social Sciences Citation Index、Arts and Humanities Citation Index和TIE（Telemedicine Information Exchange）database.Subjects Studies在全球范围内进行，并在1966年至1998年期间发表。使用的研究方法是简单的调查工具（26项研究），未指定的确切方法（5）和定性方法（1）。研究设计为随机对照试验（1项试验）;随机患者选择（2）;病例对照（1）;选择标准未指定或参与者代表连续转诊，方便样本或志愿者（28）。样本量小于或等于20（10次试验），小于或等于100（14次），> 100（7次），未指定（1次）。所有研究均报告患者满意度良好。定性分析显示，所有已发表的工作方法上的问题。即便如此，还是强调了值得进一步调查的重要问题。有一个缺乏的数据检查患者的看法或这种模式的医疗服务提供者和客户之间的互动的影响。结论方法上的缺陷（低样本量，背景和研究设计）发表的研究限制了调查结果的普遍性。研究表明，远程会诊是可以接受的病人在各种情况下，但有关病人满意度的问题需要进一步探讨从客户和供应商的角度。
Objective To review research into patient satisfaction with teleconsultation, specifically clinical consultations between healthcare providers and patients involving real time inter active video.Design Systematic review of telemedicine satisfaction studies. Electronic databases searched include Medline, Embase, Science Citation Index, Social Sciences Citation Index, Arts and Humanities Citation Index, and the TIE (Telemedicine Information Exchange) database.Subjects Studies conducted worldwide and published between 1966 and 1998.Main outcome measures Quality of evidence about patient satisfaction.Results 32 studies were identified. Study methods used were simple survey instruments (26 studies), exact methods not specified (5), and qualitative methods (1). Study designs were randomised controlled trial (1 trial); random patient selection (2); case-control (1); and selection criteria not specified or participants represented consecutive referrals, convenience samples, or volunteers (28). Sample sizes were less than or equal to 20 (10 trials), less than or equal to 100 (14), > 100 (7), and not specified (1). All studies reported good levels of patient satisfaction. Qualitative analysis revealed methodological problems with all the published work. Even so, important issues were highlighted that merit further investigation. There is a paucity of data examining patients' perceptions or the effects of this mode of healthcare delivery on the interaction between providers and clients.Conclusions Methodological deficiencies (low sample sizes, context, and study designs) of the published research limit the generalisability of the findings. The studies suggest that teleconsultation is acceptable to patients in a variety of circumstances, but issues relating to patient satisfaction require further exploration from the perspective of both clients and providers.