Surgery Provider Perceptions on Telehealth Visits During the COVID-19 Pandemic: Room for Improvement.
Surgery Provider Perceptions on Telehealth Visits During the COVID-19 Pandemic: Room for Improvement.
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DOI：
10.1016/j.jss.2020.11.034
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Alam HB
中科院分区：
文献类型：
--
作者：
Kemp MT;Liesman DR;Williams AM;Brown CS;Iancu AM;Wakam GK;Biesterveld BE;Alam HB
新冠肺炎要求迅速采用远程医疗进行外科治疗。然而，许多外科提供者可能不熟悉远程医疗。这项研究评估了新冠肺炎期间实施远程医疗的手术提供者的观点，以帮助确定手术远程医疗优化的目标。在具有远程医疗功能的单一三级护理中心，所有外科提供者(主治医生、住院医生、研究员和高级实践提供者)都收到了一份自愿调查的电子邮件，重点是大流行期间的远程医疗。对回答进行描述性统计和Mann-Whitney U分析。文本回复按主题编码，以确定关键概念。完成率为41.3%(145/351)。提供者报告说，与大流行相关的远程保健使用有所增加(P<；0.001)。在受访者中，80%(116/145)没有接受过正式的远程医疗培训。提供者估计，新的患者视频访问比传统访问所需的时间更少(P=0.001)。对视频访问的几个方面的满意度很高。在进行体检(敏感和非敏感)和宣布坏消息的能力方面，满意度得分相对较低。有效视频访问的最大障碍是有限的体检(55.6%；45/81)和缺乏提供者或患者的互联网接入/设备/连接(34.6%；28/81)。其他障碍包括沟通不力和培养融洽关系的困难。关于视频到电话访问转换的担忧是失去体检/视觉提示(34.3%；24/70)，较少的个人互动(18.6%；13/70)，以及效率降低(18.6%；13/70)。远程医疗对手术提供者来说仍然是一种新的体验，尽管它有所扩大。优化战略应针对技术壁垒，并包括专门的虚拟考试和沟通培训。
COVID-19 has mandated rapid adoption of telehealth for surgical care. However, many surgical providers may be unfamiliar with telehealth. This study evaluates the perspectives of surgical providers practicing telehealth care during COVID-19 to help identify targets for surgical telehealth optimization. At a single tertiary care center with telehealth capabilities, all department of surgery providers (attending surgeons, residents, fellows, and advanced practice providers) were emailed a voluntary survey focused on telehealth during the pandemic. Descriptive statistics and Mann–Whitney U analyses were performed as appropriate on responses. Text responses were thematically coded to identify key concepts. The completion rate was 41.3% (145/351). Providers reported increased telehealth usage relative to the pandemic (P < 0.001). Of respondents, 80% (116/145) had no formal telehealth training. Providers estimated that new patient video visits required less time than traditional visits (P = 0.001). Satisfaction was high for several aspects of video visits. Comparatively lower satisfaction scores were reported for the ability to perform physical exams (sensitive and nonsensitive) and to break bad news. The largest barriers to effective video visits were limited physical exams (55.6%; 45/81) and lack of provider or patient internet access/equipment/connection (34.6%; 28/81). Other barriers included ineffective communication and difficulty with fostering rapport. Concerns regarding video-to-telephone visit conversion were loss of physical exam/visual cues (34.3%; 24/70), less personal interactions (18.6%; 13/70), and reduced efficiency (18.6%; 13/70). Telehealth remains a new experience for surgical providers despite its expansion. Optimization strategies should target technology barriers and include specialized virtual exam and communication training.
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影响因子：
3.8
作者：
Kemp, Michael T.;Williams, Aaron M.;Alam, Hasan B.
通讯作者：
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DOI：
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