Opioid use disorder patients' perceptions of healthcare delivery platforms
Opioid use disorder patients' perceptions of healthcare delivery platforms
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DOI：
10.1177/2050312116670405
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发表时间：
2016-01-01
影响因子：
2.3
通讯作者：
Cavacuiti, Chris
中科院分区：
文献类型：
--
作者：
Rakita, Uros;Giacobbe, Peter;Cavacuiti, Chris
目的：评估 TrueNorth 医疗中心基于网络的视频会议远程医疗咨询平台治疗阿片类药物使用障碍的可接受性和质量。方法：我们使用研究者设计的问卷进行基于访谈的质量改进计划。该调查问卷包括 17 个同意/不同意问题，采用 7 点李克特量表进行衡量，还有 2 个问题，患者能够定性地阐述他们对远程医疗服务的看法和体验。对定性反应进行内容风格分析。结果：大多数患者 (n=14; 47%) 更喜欢面对面咨询而不是远程医疗咨询。与面对面咨询相比，更喜欢远程医疗咨询的患者数量较少（n=6；20%）。大量患者（n=10；33%）表示对远程医疗或面对面咨询没有具体偏好。喜欢面对面咨询的患者对远程医疗咨询后的临床结果和医患关系的评价与喜欢远程医疗咨询的患者类似。喜欢远程医疗的患者对服务的体验和总体看法的评价明显高于喜欢面对面咨询的患者。喜欢远程医疗咨询的患者将远程医疗咨询的高效和省时性视为主要优势，而那些喜欢面对面咨询的患者则将远程医疗咨询期间医生的同理心水平较低视为主要劣势。结论：TrueNorth 医疗中心的大多数患者将远程医疗咨询视为可接受的治疗方式。喜欢远程医疗咨询的患者和喜欢面对面咨询的患者以类似的方式评估了大多数护理测量指标。
Objectives: To assess the acceptability and quality of web-based videoconferencing telemedicine consultation platform in the treatment of opioid use disorder at TrueNorth Medical Centre.Methods: We conducted an interview based quality improvement initiative using an investigator-designed questionnaire. The questionnaire consisted of 17 Agree/Disagree questions, measured on a 7-point Likert scale and 2 questions where patients had the ability to elaborate qualitatively on their perceptions and experiences with their telemedicine service. Content-style analysis was performed on qualitative responses.Results: The majority of patients (n=14; 47%) preferred face-to-face over telemedicine consultations. The number of patients that preferred telemedicine consultations over face-to-face consultations was lower (n=6; 20%). A notable number of patients (n=10; 33%) indicated no specific preference for either telemedicine or face-to-face consultations. Patients preferring face-to-face consultations rated their clinical outcome and patient-physician relationship following telemedicine consultations similarly as those who preferred telemedicine consultations. Patients preferring telemedicine rated their experience and overall perceptions of the service significantly higher than those preferring face-to-face consultations. Patients who preferred telemedicine consultations identified the efficient and timesaving nature of telemedicine consultations as primary advantages whereas those preferring face-to-face consultations reported lower levels of empathy from their physician during telemedicine consultations as a major disadvantage.Conclusions: The majority of patients at TrueNorth Medical Centre viewed telemedicine consultations as an acceptable treatment modality. Patients preferring telemedicine consultations and those preferring face-to-face consultations evaluated the majority of the measured indices of care in a similar fashion.