Satisfaction with modes of telemedicine delivery during COVID-19: A randomized, single-blind, parallel group, noninferiority trial.
Satisfaction with modes of telemedicine delivery during COVID-19: A randomized, single-blind, parallel group, noninferiority trial.
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DOI：
10.1016/j.amjms.2022.06.021
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发表时间：
2022-11
影响因子：
3.1
通讯作者：
Saag, Kenneth G.
中科院分区：
文献类型：
--
作者：
Danila, Maria I.;Sun, Dongmei;Jackson, Lesley E.;Cutter, Gary;Jackson, Elizabeth A.;Ford, Eric W.;DeLaney, Erin;Mudano, Amy;Foster, Phillip J.;Rosas, Giovanna;Melnick, Joshua A.;Curtis, Jeffrey R.;Saag, Kenneth G.
人们对不同的远程医疗服务方式的满意度知之甚少。这项研究的目的是确定患者对仅使用电话的满意度是否不逊于视频访问。我们在一个三级学术医学中心的多个专科诊所进行了一项平行分组、随机(1：1)、单盲、非劣势试验。年龄60岁或拥有联邦医疗保险/医疗补助保险的成年人有资格参加≥。主要结果是访问满意率(在0-10满意度评分中为9或10)。如果只使用电话(干预)与视频访问(对照)的满意度没有比指定的-15%的非劣势差更差，则确定非劣势。在根据年龄和保险进行调整后，我们进行了改良的意向治疗(MITT)和按方案分析。200名参与者，43%的黑人，68%的女性完成了调查。参观满意率很高。在MITT分析中，仅通过电话访问不是劣势，调整后的差异为3.2%(95%可信区间，-7.6%对14%)。在每种方案的分析中，仅使用电话的患者非劣势，调整后的差异为-4.1%(95%可信区间，-14.8%至6.6%)。表示他们更喜欢与下一次诊所就诊相同类型的远程医疗的参与者的比例相似(30.2%对27.9%视频与只使用电话，p=0.78)，大多数人表示他们的医疗关切得到了解决，并会建议进行远程医疗就诊。在一组不同的、成熟的老年患者或服务不足的患者中，仅使用电话的满意率不亚于视频访问。这些发现可能会影响远程医疗的实践和政策。
Little is known about satisfaction with different modes of telemedicine delivery. The objective of this study was to determine whether patient satisfaction with phone-only was noninferior to video visits. We conducted a parallel group, randomized (1:1), single-blind, noninferiority trial in multispecialty clinics at a tertiary academic medical center. Adults age ≥ 60 years or with Medicare/Medicaid insurance were eligible. Primary outcome was visit satisfaction rate (9 or 10 on a 0-10 satisfaction scale). Noninferiority was determined if satisfaction with phone-only (intervention) versus video visits (comparator) was no worse by a -15% prespecified noninferiority margin. We performed modified intent-to-treat (mITT) and per protocol analyses, after adjusting for age and insurance. 200 participants, 43% Black, 68% women completed surveys. Visit satisfaction rates were high. In the mITT analysis, phone-only visits were noninferior by an adjusted difference of 3.2% (95% CI, -7.6% to 14%). In the per protocol analysis, phone-only were noninferior by an adjusted difference of -4.1% (95% CI, -14.8% to 6.6%). The proportion of participants who indicated they preferred the same type of telemedicine visit as their next clinic visit were similar (30.2% vs 27.9% video vs phone-only, p = 0.78) and a majority said their medical concerns were addressed and would recommend a telemedicine visit. Among a group of diverse, established older or underserved patients, the satisfaction rate for phone-only was noninferior to video visits. These findings could impact practice and policies governing telemedicine.
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影响因子：
39.2
作者：
Kind AJ;Jencks S;Brock J;Yu M;Bartels C;Ehlenbach W;Greenberg C;Smith M
通讯作者：
Smith M
DOI：
10.1007/s10742-013-0111-8
发表时间：
2013-12-01
影响因子：
1.5
作者：
Mukherjee, Shubhabrata;Rodriguez, Hector P.;Crane, Paul K.
通讯作者：
Crane, Paul K.
影响因子：
13.3
作者：
Feldman, Candace H.;Ramsey-Goldman, Rosalind
通讯作者：
Ramsey-Goldman, Rosalind
影响因子：
2.5
作者：
Hayes, Burton L.;Curtis, Jeffrey R.;Carbone, Laura D.
通讯作者：
Carbone, Laura D.
影响因子：
4
作者：
Dell-Kuster S;Sanjuan E;Todorov A;Weber H;Heberer M;Rosenthal R
通讯作者：
Rosenthal R