Patient Perceptions of Telehealth Primary Care Video Visits
Patient Perceptions of Telehealth Primary Care Video Visits
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DOI：
10.1370/afm.2095
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发表时间：
2017-05-01
影响因子：
4.4
通讯作者：
Rising, Kristin L.
中科院分区：
文献类型：
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作者：
Powell, Rhea E.;Henstenburg, Jeffrey M.;Rising, Kristin L.
目的
远程医疗是一种医疗服务提供模式，有望提高医疗服务的灵活性和覆盖范围。我们的目的是描述患者与其固定的初级保健临床医生进行视频就诊的体验。
方法
我们在一家学术医疗中心对在与初级保健临床医生进行视频就诊后的成年患者进行了半结构化的深度定性访谈。采用内容分析方法对数据进行分析。
结果
在32名符合条件的患者中，19人成功接受了访谈。所有患者都对视频就诊表示总体满意，大多数患者有兴趣继续将视频就诊作为面对面就诊的替代方式。提到的主要益处是方便和成本降低。一些患者觉得视频就诊比门诊就诊更舒适，并表示更希望通过视频就诊接收未来的重要消息，因为他们可以在自己熟悉的支持性环境中。对视频就诊的主要担忧是隐私问题，包括工作同事可能听到谈话内容，以及对临床医生进行充分身体检查能力的质疑。
结论
初级保健视频就诊在多种情况下是可以接受的。患者认为在评估视频就诊与面对面就诊时，便利性、效率、沟通、隐私和舒适度是可能需要考虑的重要方面。未来的研究应探索哪些患者和病情最适合视频就诊。
PURPOSE Telehealth is a care delivery model that promises to increase the flexibility and reach of health services. Our objective is to describe patient experiences with video visits performed with their established primary care clinicians.METHODS We constructed semistructured, in-depth qualitative interviews with adult patients following video visits with their primary care clinicians at a single academic medical center. Data were analyzed with a content analysis approach.RESULTS: Of 32 eligible patients, 19 were successfully interviewed. All patients reported overall satisfaction with video visits, with the majority interested in continuing to use video visits as an alternative to in-person visits. The primary benefits cited were convenience and decreased costs. Some patients felt more comfortable with video visits than office visits and expressed a preference for receiving future serious news via video visit, because they could be in their own supportive environment. Primary concerns with video visits were privacy, including the potential for work colleagues to overhear conversations, and questions about the ability of the clinician to perform an adequate physical examination.CONCLUSIONS Primary care video visits are acceptable in a variety of situations. Patients identified convenience, efficiency, communication, privacy, and comfort as domains that are potentially important to consider when assessing video visits vs in-person encounters. Future studies should explore which patients and conditions are best suited for video visits.