Patient and Health System Experience With Implementation of an Enterprise-Wide Telehealth Scheduled Video Visit Program: Mixed-Methods Study.
Patient and Health System Experience With Implementation of an Enterprise-Wide Telehealth Scheduled Video Visit Program: Mixed-Methods Study.
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DOI：
10.2196/medinform.8479
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发表时间：
2018-02-13
影响因子：
3.2
通讯作者：
Hollander JE
中科院分区：
文献类型：
--
作者：
Powell RE;Stone D;Hollander JE
实时视频就诊越来越多地用于在许多环境中提供护理，因为它们增加了护理的可及性和便利性，但很少有关于卫生系统经验的报告。本研究的目的是报告卫生系统和病人的经验与实施远程医疗计划视频访问整个卫生系统。这是一项混合方法研究，包括：(1)在一个大型城市学术附属卫生系统中实施远程医疗预定访问计划的回顾性描述性报告；(2)对参加预定远程医疗访问的患者进行调查。卫生系统和患者报告的调查措施与国家质量论坛远程医疗措施报告的可及性、经验和护理有效性领域保持一致。本研究描述了一项为期18个月的计划同步视频访问计划的实施。在多个临床科室共完成了3018次预定的视频就诊。在对764名参加远程保健访问的患者进行的调查中记录了患者的经历。在调查受访者中，91.6%（728/795）表示对预定的访问感到满意，82.7%（628/759）表示感觉质量与亲自访问相似。共有86.0%（652/758）的人回答说，使用预定的视频就诊更容易获得护理。近一半（46.7%,346/740）的患者估计节省1 ~ 3小时，40.8%（302/740）的患者报告节省3小时以上。衡量患者满意度的净启动分（net promoter score）达到了52分，非常高。一个大型城市多医院卫生系统实施了一项企业范围内的远程医疗视频访问计划，涵盖了一系列临床专业，具有积极的患者体验。患者发现，使用定期视频就诊更容易获得护理，大多数人认为节省了时间，这表明，使用远程医疗进行定期就诊可以在一系列临床情况下改善获得护理的可能性，并具有良好的患者体验。
Real-time video visits are increasingly used to provide care in a number of settings because they increase access and convenience of care, yet there are few reports of health system experiences. The objective of this study is to report health system and patient experiences with implementation of a telehealth scheduled video visit program across a health system. This is a mixed methods study including (1) a retrospective descriptive report of implementation of a telehealth scheduled visit program at one large urban academic-affiliated health system and (2) a survey of patients who participated in scheduled telehealth visits. Health system and patient-reported survey measures were aligned with the National Quality Forum telehealth measure reporting domains of access, experience, and effectiveness of care. This study describes implementation of a scheduled synchronous video visit program over an 18-month period. A total of 3018 scheduled video visits were completed across multiple clinical departments. Patient experiences were captured in surveys of 764 patients who participated in telehealth visits. Among survey respondents, 91.6% (728/795) reported satisfaction with the scheduled visits and 82.7% (628/759) reported perceived quality similar to an in-person visit. A total of 86.0% (652/758) responded that use of the scheduled video visit made it easier to get care. Nearly half (46.7%, 346/740) of patients estimated saving 1 to 3 hours and 40.8% (302/740) reported saving more than 3 hours of time. The net promoter score, a measure of patient satisfaction, was very high at 52. A large urban multihospital health system implemented an enterprise-wide scheduled telehealth video visit program across a range of clinical specialties with a positive patient experience. Patients found use of scheduled video visits made it easier to get care and the majority perceived time saved, suggesting that use of telehealth for scheduled visits can improve potential access to care across a range of clinical scenarios with favorable patient experiences.
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影响因子：
3.1
作者：
Hanna, George M.;Fishman, Irina;Gilligan, Christopher
通讯作者：
Gilligan, Christopher
影响因子：
3
作者：
ANDERSEN, R;ADAY, LA
通讯作者：
ADAY, LA
影响因子：
9.7
作者：
Uscher-Pines, Lori;Mehrotra, Ateev
通讯作者：
Mehrotra, Ateev
影响因子：
1.9
作者：
Buchanan, Adam H.;Datta, Santanu K.;Adams, Martha B.
通讯作者：
Adams, Martha B.
影响因子：
4.7
作者：
Bashshur, Rashid L.;Shannon, Gary W.;Yellowlees, Peter M.
通讯作者：
Yellowlees, Peter M.