Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer.
Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer.
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随访期间的视频会诊：对结直肠癌患者的护理质量以及患者和提供者态度的影响。
DOI：
10.1007/s00464-020-07499-3
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Schijven MP
中科院分区：
文献类型：
--
作者：
Barsom EZ;Jansen M;Tanis PJ;van de Ven AWH;Blussé van Oud-Alblas M;Buskens CJ;Bemelman WA;Schijven MP
视频咨询（VC）作为一种可能的替代门诊就诊的方式越来越受到关注。然而，很少有人知道的态度，满意度和质量的护理使用VC在一个面对面的（F2 F）咨询。这项观察性调查研究的目的是比较的态度和满意度与VC之间的结直肠癌患者和他们的治疗外科医生在门诊外科护理诊所在三级转诊中心。根据共同决策的概念，选择了患者偏好模型。共有50例结直肠癌患者在门诊手术护理诊所随访期间被要求在VC或F2 F接触之间进行选择，随后被分配到VC组或F2 F组。两组患者及其外科医生的态度和满意度在咨询后立即进行问卷调查。在50名患者中，42%的患者选择VC作为首选随访方式。患者的人口统计学资料无显著差异。在个人生活中使用视频通话的患者比缺乏此类经验的患者更经常选择VC（p = 0.010）。这些患者在VC后问卷的态度和满意度量表上得分很高。选择F2 F接触的患者似乎质疑外科医生通过更多地使用视频连接正确评估其医疗状况的能力（p = 0.024）。外科医生对VC的使用非常满意。根据患者偏好，VC在患者满意度和感知护理质量方面等同于F2 F咨询。关于随访期间使用哪种联系方式，首选共同决策。为了便于在其他环境中使用，建议使用电子患者门户网站促进VC。本文的在线版本（10.1007/s 00464 -020-07499-3）包含补充材料，可供授权用户使用。
Video consultation (VC) is gaining attention as a possible alternative to out-patient clinic visits. However, little is known in terms of attitude, satisfaction and quality of care using VC over a face-to-face (F2F) consultation. The aim of this observational survey study was to compare the attitude and satisfaction with VC amongst patients suffering from colorectal cancer and their treating surgeons at the outpatient surgical care clinic in a tertiary referral centre. A patient-preference model was chosen following the concept of shared decision making. A total of fifty patients with colorectal cancer were asked to choose between VC- or a F2F-contact during their follow up at the outpatient surgical care clinic and were subsequently assigned to either the VC-group or the F2F-group. Attitude and satisfaction rates of both groups and their surgeons were measured using a questionnaire administered immediately after the consultation. Out of the 50 patients, 42% chose VC as their preferred follow-up modality. Patients demographics did not differ significantly. Patients who use video calling in their personal life choose VC significantly more often than patients lacking such experience (p = 0.010). These patients scored high on both the attitude- and satisfaction scale of the post-VC questionnaire. Patients who chose a F2F-contact seemed to question the ability of the surgeon to properly assess their healthcare condition by using a video connection more (p = 0.024). Surgeons were highly satisfied with the use of VC. Based on patient preference, VC is equivalent to a F2F consultation in terms of patient satisfaction and perceived quality of care. Shared decision making is preferred with regard to which contact modality is used during follow up. For easy uptake in other environments it is to be recommended to facilitate VC using the electronic patient portal. The online version of this article (10.1007/s00464-020-07499-3) contains supplementary material, which is available to authorized users.
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