Patient-reported Primary Care Video and Telephone Telemedicine Preference Shifts During the COVID-19 Pandemic.
Patient-reported Primary Care Video and Telephone Telemedicine Preference Shifts During the COVID-19 Pandemic.
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COVID-19 大流行期间患者报告的初级保健视频和电话远程医疗偏好转变。
DOI：
10.1097/mlr.0000000000001916
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发表时间：
2023
期刊：
影响因子：
3
通讯作者：
Reed,Mary
中科院分区：
文献类型：
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作者：
Millman,Andrea;Huang,Jie;Graetz,Ilana;Lee,Catherine;Shan,Judy;Hsueh,Loretta;Muelly,Emilie;Gopalan,Anjali;Reed,Mary
背景：患者对初级保健电话和视频远程医疗的看法以及与COVID-19流行病相关的远程医疗暴露是否改变了患者的就诊偏好尚不清楚。Objectives：我们检查了患者调查，以了解通过远程医疗寻求初级保健的患者的医疗保健体验，以及患者如何期望他们的偏好因COVID-19流行病而发生变化。研究设计/受试者：在COVID-19流行病期间转向“远程医疗优先”医疗保健模式的综合交付系统中，我们每月抽样并收集了1000份调查，来自2020年3月16日至2020年10月31日期间通过在线患者门户网站安排初级保健远程医疗就诊的成年人。参与者报告了他们在COVID-19大流行之前、期间和（假设）之后3个时间点上首选的初级保健就诊方式（电话、视频或亲自就诊），并报告了他们对大流行期间初级保健就诊的总体评估。结果：大多数参与者在COVID-19大流行之前（69%）和之后（57%）首选亲自就诊。然而，大多数参与者报告在大流行期间更喜欢远程医疗就诊，并且在大流行后继续以12%的高比例更喜欢远程医疗就诊。许多参与者（63%）表示有兴趣至少在某些时候使用远程医疗。在报告最近远程医疗就诊的参与者中，85%的人认为该就诊满足了他们的健康需求。结论：随着初级保健就诊方式偏好的不断发展，患者预计他们将继续偏好远程医疗就诊，包括视频和电话，比例高于COVID-19大流行之前。
Background:Patient perceptions of primary care telephone and video telemedicine and whether COVID-19 pandemic-related telemedicine exposure shifted patients’ visit preference is unknown.Objectives:We examined patient surveys to understand the health care experience of patients seeking primary care through telemedicine and how patients expected their preferences to shift as a result of the COVID-19 pandemic.Research Design/Subjects:In an integrated delivery system that shifted to a “telemedicine-first” health care model during the COVID-19 pandemic, we sampled monthly and collected 1000 surveys from adults with primary care telemedicine visits scheduled through the online patient portal between 3/16/2020 and 10/31/2020.Measures:Participants reported their preferred primary care visit modality (telephone, video, or in-person visits) across 3 time points: before, during and (hypothetically) after the COVID-19 pandemic, and reported their general assessment of primary care visits during the pandemic.Results:The majority of participants preferred in-person visits before (69%) and after the COVID-19 pandemic (57%). However, most participants reported a preference for telemedicine visits during the pandemic and continue to prefer telemedicine visits at a 12% higher rate post-pandemic. Many participants (63%) expressed interest in using telemedicine at least some of the time. Among participants reporting a recent telemedicine visit, 85% agreed that the visit addressed their health needs.Conclusion:As primary care visit modality preferences continue to evolve, patients anticipate that they will continue to prefer telemedicine visits, both video and telephone, at an increased rate than before the COVID-19 pandemic.