Validation of Newly Developed Surveys to Evaluate Patients' and Providers' Satisfaction with Telehealth Obstetric Services
Validation of Newly Developed Surveys to Evaluate Patients' and Providers' Satisfaction with Telehealth Obstetric Services
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DOI：
10.1089/tmj.2019.0156
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发表时间：
2019-11-04
影响因子：
4.7
通讯作者：
Lowery, Curtis L.
中科院分区：
文献类型：
--
作者：
Bhandari, Naleen Raj;Payakachat, Nalin;Lowery, Curtis L.
背景：患者和/或提供者的满意度和体验是包括远程医疗在内的医疗保健服务质量保证的最重要指标之一。为此目的，应使用经过验证的调查，为项目评估提供可靠的信息。目的：验证新开发的满意度调查，报告患者和提供者对产前和新生儿指南、教育和学习系统(Angels)远程医疗服务的满意度。方法：由一个多学科团队开发了两个自我管理的纸质调查。这些调查在2016年接受远程医疗服务的产科患者和2017年7月至8月在阿肯色州的提供者中得到了验证。进行心理测量测试，以确定两项调查的信度和效度。描述性统计用于描述患者和提供者的满意度。结果：总共分析了89个患者和66个提供者的调查。结构效度和内部一致性信度(Cronbach‘s Alpha>；0.7)在两次调查中均得到确认。大多数患者对远程医疗服务非常满意，并报告了对未来服务使用的积极看法。在过去12个月中，远程医疗(78.6%)是提供者使用最多的Angels服务。最后，90%的医疗服务提供者对远程医疗服务的满意度很高，并将其评为“优秀”。结论：新开发的患者和提供者远程健康调查是可靠和有效的。调查还表明，远程保健服务在产科患者和提供者的样本中得到了很好的接受和高度重视。由于这两项调查都很短，它们可以用于常规评估患者和提供者对该国类似远程医疗计划的满意度。
Background: Patient and/or provider satisfaction and experience are among the most important indicators for quality assurance of health care services, including telehealth. Validated surveys should be used for this purpose to provide reliable information for a program evaluation. Objective: To validate the newly developed satisfaction surveys, report patient, and provider satisfaction with Antenatal and Neonatal Guidelines, Education and Learning Systems (ANGELS) telehealth services. Methods: Two self-administered paper surveys were developed by a multidisciplinary team. The surveys were validated among obstetric patients who received telehealth services in 2016 and providers in Arkansas from July to August 2017. Psychometric testing was performed to establish reliability and validity of both the surveys. Descriptive statistics was performed to describe patient and provider satisfaction. Results: A total of 89 patient- and 66 provider surveys were analyzed. Construct validity and internal consistency reliability (Cronbach's alpha >0.7) were confirmed on both the surveys. The majority of patients were highly satisfied with telehealth services and reported positive perceptions toward future use of services. In the past 12 months, telehealth (78.6%) was the most used ANGELS service by providers. Finally, >90% of the providers reported high satisfaction and rated telehealth services as "excellent." Conclusions: The newly developed patient and provider telehealth surveys were reliable and valid. The surveys also demonstrated that the telehealth services were well-accepted and highly valued in a sample of obstetric patients and providers. As both surveys are short, they can be used in routine evaluation of patient and provider satisfaction with similar telehealth programs in the country.