Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.
Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.
复制标题
使用期望否定理论来测试患者对异步远程医疗检测糖尿病视网膜病变的满意度。
DOI：
10.1155/2018/7015272
复制
发表时间：
2018
影响因子：
4.4
通讯作者：
Abràmoff,MichaelD
中科院分区：
文献类型：
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作者：
Serrano,ChristinaI;Shah,Vishal;Abràmoff,MichaelD
目的本研究的目的是通过采用期望否定理论（EDT）的理论框架，针对农村患者进行糖尿病视网膜病变筛查，扩展患者对远程医疗服务满意度的研究。方法从爱荷华州农村的一个家庭诊所招募成年糖尿病受试者（n = 220）。受试者在使用远程医疗检测糖尿病视网膜病变之前完成了一项关于他们对远程医疗的前瞻性看法的“预”调查，并在收到远程眼科医生的建议后完成了一项“后”调查。结果 EDT 模型的所有假设均得到支持。患者满意度受到患者期望 (P<.001) 和期望否定 (P<.001) 的影响，并且患者满意度对患者对远程医疗服务的偏好具有积极影响 (P<.001)。总体而言，接受远程医疗服务的患者对远程医疗非常满意，并对远程医疗服务产生了良好的态度。结论EDT模型是研究患者对远程医疗服务满意度的可行框架。虽然之前的可行性研究表明远程医疗用于糖尿病视网膜病变筛查具有诊断功效，但本研究应用理论框架来证明远程医疗在农村地区进行糖尿病视网膜病变筛查的可行性。
ObjectiveThe purpose of the study is to extend research on patient satisfaction with telemedicine services by employing the theoretical framework of Expectation Disconfirmation Theory (EDT) for diabetic retinopathy screenings focusing on rural patients.MethodAdult subjects (n=220) with diabetes were recruited from a single family practice office in rural Iowa. Subjects completed a “pre” survey concerning their forward‐looking perceptions of telemedicine prior to using telemedicine for detection of diabetic retinopathy and a “post” survey after they received recommendations from the distant ophthalmologists.ResultsAll hypotheses of the EDT model were supported. Patient satisfaction is influenced by both patients’ expectations (P<.001) and disconfirmation of expectations (P<.001), and patient satisfaction has a positive impact on patient preference for telemedicine services (P<.001). Overall, patients who received telemedicine services were highly satisfied with telemedicine and developed a favorable disposition towards telemedicine services.ConclusionsThe EDT model is a viable framework to study patient satisfaction of telemedicine services. While previous feasibility studies have shown that telemedicine for diabetic retinopathy screenings yields diagnostic efficacy, this study applies a theoretical framework to demonstrate the viability of telemedicine for diabetic retinopathy screenings in rural areas.