People's Experiences and Satisfaction With Telehealth During the COVID-19 Pandemic in Australia: Cross-Sectional Survey Study.
People's Experiences and Satisfaction With Telehealth During the COVID-19 Pandemic in Australia: Cross-Sectional Survey Study.
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DOI：
10.2196/24531
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发表时间：
2020-12-10
影响因子：
7.4
通讯作者：
McCaffery KJ
中科院分区：
文献类型：
--
作者：
Isautier JM;Copp T;Ayre J;Cvejic E;Meyerowitz-Katz G;Batcup C;Bonner C;Dodd R;Nickel B;Pickles K;Cornell S;Dakin T;McCaffery KJ
为应对2019冠状病毒病疫情，远程医疗已迅速在全球范围内被采用，以提供医疗保健服务。迄今为止，研究尚未将澳大利亚大流行病期间人们获得远程保健服务的经历与他们获得传统的亲自就诊的经历进行比较。这项研究旨在比较参与者对远程保健咨询的看法与他们对传统的面对面访问的看法，并调查人们是否认为远程保健服务在大流行后有用。2020年6月5日至6月12日在澳大利亚进行了一项全国性的跨部门社区调查。通过社交媒体（即Facebook和Instagram）上的定向广告，共招募了1369名年龄≥18岁且居住在澳大利亚的参与者。参与者回答了有关其远程医疗体验的调查问题，其中包括一个自由文本回答选项。一个广义线性模型被用来估计调整后的相对风险，有一个更差的远程医疗经验比传统的人访问的经验。进行内容分析，以确定为什么远程保健的经验比传统的人访问的经验差的原因。在596名远程保健用户中，大多数受访者（n=369，61.9%）表示，他们的远程保健体验“与传统的面对面医疗预约体验一样好”或“更好”。平均而言，受访者认为，在COVID-19疫情结束后，远程医疗对医疗预约将是中等有用到非常有用的（平均值3.67，SD 1.1）。男性（P= 0.007）、有抑郁和焦虑病史（P= 0.016）和较低的患者激活评分（即，个人愿意承担管理其健康/医疗保健的角色）（P= 0.036）与不良的远程医疗体验显著相关。总的来说，从自由文本答复中确定了6个首要主题，说明为什么参与者的远程保健体验不如他们传统的面对面医疗预约体验，具体如下：沟通不那么有效，技术限制，获得处方和病理结果的问题，对医生的信心降低，复杂护理的额外负担，以及无法进行身体检查。根据我们的样本的反应，远程医疗预约的经验，可与传统的人的医疗预约经验。在大流行病持续期间，远程保健作为一种保健提供模式可能是值得的，在大流行病之后，它可能继续是值得的。
In response to the COVID-19 pandemic, telehealth has rapidly been adopted to deliver health care services around the world. To date, studies have not compared people’s experiences with telehealth services during the pandemic in Australia to their experiences with traditional in-person visits. This study aimed to compare participants’ perceptions of telehealth consults to their perceptions of traditional in-person visits and investigate whether people believe that telehealth services would be useful after the pandemic. A national, cross-sectional, community survey was conducted between June 5 and June 12, 2020 in Australia. In total, 1369 participants who were aged ≥18 years and lived in Australia were recruited via targeted advertisements on social media (ie, Facebook and Instagram). Participants responded to survey questions about their telehealth experience, which included a free-text response option. A generalized linear model was used to estimate the adjusted relative risks of having a poorer telehealth experience than a traditional in-person visit experience. Content analysis was performed to determine the reasons why telehealth experiences were worse than traditional in-person visit experiences. Of the 596 telehealth users, the majority of respondents (n=369, 61.9%) stated that their telehealth experience was “just as good as” or “better than” their traditional in-person medical appointment experience. On average, respondents perceived that telehealth would be moderately useful to very useful for medical appointments after the COVID-19 pandemic ends (mean 3.67, SD 1.1). Being male (P=.007), having a history of both depression and anxiety (P=.016), and lower patient activation scores (ie, individuals’ willingness to take on the role of managing their health/health care) (P=.036) were significantly associated with a poor telehealth experience. In total, 6 overarching themes were identified from free-text responses for why participants’ telehealth experiences were poorer than their traditional in-person medical appointment experiences, as follows: communication is not as effective, limitations with technology, issues with obtaining prescriptions and pathology results, reduced confidence in their doctor, additional burden for complex care, and inability to be physically examined. Based on our sample’s responses, telehealth appointment experiences were comparable to traditional in-person medical appointment experiences. Telehealth may be worthwhile as a mode of health care delivery while the pandemic continues, and it may continue to be worthwhile after the pandemic.
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影响因子：
7.4
作者：
Norman, Cameron D.;Skinner, Harvey A.
通讯作者：
Skinner, Harvey A.
DOI：
10.1177/0272989x17753392
发表时间：
2018-04
期刊：
Medical decision making : an international journal of the Society for Medical Decision Making
影响因子：
--
作者：
Wolf MS;Smith SG;Pandit AU;Condon DM;Curtis LM;Griffith J;O'Conor R;Rush S;Bailey SC;Kaplan G;Haufle V;Martin D
通讯作者：
Martin D
影响因子：
4.4
作者：
McCaffery, Kirsten J.;Dodd, Rachael H.;Wolf, Michael S.
通讯作者：
Wolf, Michael S.
影响因子：
7.4
作者：
Silva, Danilo De Oliveira;Pazzinatto, Marcella F.;Barton, Christian J.
通讯作者：
Barton, Christian J.
影响因子：
4.7
作者：
Thomas, Emma E.;Haydon, Helen M.;Smith, Anthony C.
通讯作者：
Smith, Anthony C.