Provider Satisfaction and Patient Outcomes Associated with a Statewide Prison Telemedicine Program in Louisiana
Provider Satisfaction and Patient Outcomes Associated with a Statewide Prison Telemedicine Program in Louisiana
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DOI：
10.1089/tmj.2009.0169
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发表时间：
2010-05-01
期刊：
影响因子：
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通讯作者：
Magnus, Manya
中科院分区：
文献类型：
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作者：
Glaser, Michelle;Winchell, Tom;Magnus, Manya
包括远程医疗在内的健康信息技术提供了改善患者护理结果的潜力。作为 2005 年卡特里娜飓风和丽塔飓风应对措施的一部分，路易斯安那州立大学医疗保健服务部扩大了其全州范围内的远程医疗计划。本研究的目的是评估用于囚犯医疗护理管理时与远程医疗相关的提供者满意度和患者结果。医疗服务提供者在每次接触患者后实时完成一项调查；问题改编自标准满意度指数。统计方法包括单变量、双变量和多变量，包括序数回归方法，用于表征与远程医疗使用和提供者满意度以及患者结果相关的未调整和调整因素。数据收集于 2007 年 12 月至 2008 年 5 月期间，并使用 SAS 和 Stata 进行分析。在 737 名患者就诊中，大多数患者是非裔美国人 (68.6%)、男性 (92.9%)，因传染病或精神健康问题就诊（46.2% 和 50.2%），大多数调查由医生完成（63.1%）。大多数远程医疗就诊已完成（92.8%），制定了治疗计划（97.0%），提供者认为技术足以进行就诊（93.4%），并要求进行后续远程医疗预约（90.8%）。大多数提供者对整体就诊的远程医疗感到满意（87.0%），认为远程医疗改善了患者预后（88.2%），并认为患者感到满意（83.0%）。这项研究表明远程医疗是一种有效且被接受的医疗保健提供方法。
Health information technology including telemedicine offers potential to improve patient care outcomes. As part of the response to Hurricanes Katrina and Rita in 2005, the Louisiana State University Health Care Services Division expanded its statewide telemedicine program. The aim of this study was to evaluate provider satisfaction and patient outcomes associated with telemedicine when used for the administration of prisoner medical care. Providers completed a survey following each patient encounter in real-time; questions were adapted from standard satisfaction indices. Statistical methods included uni-, bi-, and multivariable including ordinal regression methods to characterize unadjusted and adjusted factors associated with telemedicine use and provider satisfaction, and patient outcomes. Data were collected between December 2007 and May 2008 and were analyzed using SAS and Stata. Out of 737 patient visits, the majority of patients were African American (68.6%), men (92.9%), seen for either infectious disease or mental health (46.2% and 50.2%), with most surveys completed by a physician (63.1%). Most telemedicine encounters were completed (92.8%), a treatment plan was established (97.0%), the provider perceived that the technology was adequate to conduct visit (93.4%), and a follow-up telemedicine appointment was requested (90.8%). Most providers were satisfied with telemedicine for the visit overall (87.0%), believed that telemedicine improved patient prognosis (88.2%), and perceived that the patient was satisfied (83.0%). This study suggests that telemedicine was an effective and accepted method of healthcare provision.