Telemedicine in the Northern Territory: An assessment of patient perceptions in the preoperative anaesthetic clinic
Telemedicine in the Northern Territory: An assessment of patient perceptions in the preoperative anaesthetic clinic
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DOI：
10.1111/ajr.12140
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发表时间：
2015-06-01
影响因子：
1.8
通讯作者：
Tay, Stanley
中科院分区：
文献类型：
--
作者：
Roberts, Simon;Spain, Brian;Tay, Stanley
目的：我们调查了患者对连接皇家达尔文医院和凯瑟琳医院的虚拟术前麻醉评估诊所的看法。设计：描述性研究，横断面调查。设置：澳大利亚北领地的区域和农村地区。参与者：样本包括27名受访者，5名土著，18名非土著和4名未知。干预措施：引入术前麻醉评估诊所。主要结果测量：我们设计了一个10项5分制的Likert量表问卷，评估患者在四个领域的感知：（i）技术质量;（ii）感知疗效;（iii）情感患者体验;（iv）患者偏好。定性的反应也reported.Results：27的35例（77%）完成了问卷。98%的人对技术质量持肯定态度，平均得分为1.35（标准差：0.53）; 95%认为有效，1.35（SD：0.65）; 84%的患者对情感体验持否定态度81%的患者对患者的偏好（阴性感知项目）表示否定，4.23（SD：1.14）。土著（5例）和非土著患者（18例）之间的答案没有显着差异。结论：我们的研究证实了远程医疗的可接受性在远程评估术前患者在北领地，在所有四个领域的积极看法。
Objective: We investigated patient perceptions of a virtual preoperative anaesthesia evaluation clinic linking Royal Darwin Hospital to Katherine Hospital.Design: Descriptive study, cross-sectional survey.Setting: Regional and rural areas of Northern Territory, Australia.Participants: Sample includes 27 respondents, five Indigenous, 18 non-Indigenous and four unknown.Interventions: Introduction of a preoperative anaesthesia evaluation clinic.Main outcome measures: We designed a 10-item, 5-point Likert scale questionnaire assessing patient perceptions in four domains: (i) technical quality; (ii) perceived efficacy; (iii) affective patient experience; and (iv) patient preference. Qualitative responses are also reported.Results: Twenty-seven out of 35 patients (77%) completed the questionnaire. Ninety-eight per cent were in positive agreement on technical quality with a mean score of 1.35 (SD: 0.53); Ninety-five per cent on perceived efficacy, 1.35 (SD: 0.65); Eighty-four per cent in negative agreement on affective patient experience (negative perception item), 4.19 (SD: 1.07); Eighty-one per cent in negative agreement on patient preference (negative perception item), 4.23 (SD: 1.14). There were no significant differences in the answers between Indigenous (five patients) and non-Indigenous patients (18 patients).Conclusion: Our study confirms the acceptability of telemedicine in the remote assessment of preoperative patients in the Northern Territory, with positive perceptions in all four domains.