Patients' perceptions of telehealth services for outpatient treatment of substance use disorders during the COVID-19 pandemic.
Patients' perceptions of telehealth services for outpatient treatment of substance use disorders during the COVID-19 pandemic.
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DOI：
10.1111/ajad.13207
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Greenfield SF
中科院分区：
文献类型：
--
作者：
Sugarman DE;Busch AB;McHugh RK;Bogunovic OJ;Trinh CD;Weiss RD;Greenfield SF
在新冠肺炎大流行期间，针对物质使用障碍(SUDS)的远程医疗服务迅速扩大，为调查患者的远程医疗体验提供了独特的机会。这项研究考察了在提供个人治疗、团体治疗和药物管理的门诊SUD治疗计划中，患者对远程健康的看法。270名接受SUD门诊治疗的成年人有资格完成由临床医生分发的23项在线调查；58名患者完成/部分完成了调查。采用描述性统计方法对数据进行汇总。参与者主要是男性、白人和受过良好教育的人。大多数人(86.2%)对远程医疗服务的质量“非常满意”或“满意”。对个别治疗的“非常满意”评分最高(90%)，其次是药物治疗(75%)和集体治疗(58%)。喜欢远程医疗的主要原因包括能够在家进行远程医疗(90%)和不需要花费时间通勤(83%)。不喜欢远程保健的主要原因是在团体治疗中与其他成员联系不好(28%)，以及远程保健在家中或工作中被打断的能力(26%)。对于接受门诊SUD护理的大多数受访者来说，远程医疗访问是一种令人满意的治疗方式，特别是那些从事个别治疗的受访者。远程医疗团体治疗的挑战依然存在。这是第一项按治疗服务类型调查新冠肺炎大流行期间患者对门诊SUD治疗的远程健康感知的研究。重要的是，虽然许多参与者发现远程保健比面对面治疗更容易获得，但在首选的治疗提供方式方面存在差异。
The rapid scale‐up of telehealth services for substance use disorders (SUDs) during the COVID‐19 pandemic presented a unique opportunity to investigate patient experiences with telehealth. This study examined patient perceptions of telehealth in an outpatient SUD treatment program offering individual therapy, group therapy, and medication management. Two hundred and seventy adults receiving SUD outpatient treatment were eligible to complete a 23‐item online survey distributed by clinicians; 58 patients completed/partially completed the survey. Data were summarized with descriptive statistics. Participants were predominately male, White, and well‐educated. The majority (86.2%) were “very satisfied” or “satisfied” with the quality of telehealth care. “Very satisfied” ratings were highest for individual therapy (90%), followed by medication management (75%) and group therapy (58%). Top reasons for liking telehealth included the ability to do it from home (90%) and not needing to spend time commuting (83%). Top reasons for disliking telehealth were not connecting as well with other members in group therapy (28%) and the ability for telehealth to be interrupted at home or work (26%). Telehealth visits were a satisfactory treatment modality for most respondents receiving outpatient SUD care, especially those engaging in individual therapy. Challenges remain for telehealth group therapy. This is the first study examining patients' perceptions of telehealth for outpatient SUD treatment during the COVID‐19 pandemic by treatment service type. Importantly, while many participants found telehealth more accessible than in‐person treatment, there was variability with respect to the preferred mode of treatment delivery.
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