Evaluating the Telehealth Experience of Patients With COVID-19 Symptoms: Recommendations on Best Practices.

Evaluating the Telehealth Experience of Patients With COVID-19 Symptoms: Recommendations on Best Practices.
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DOI:
10.1177/2374373520952975
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发表时间:
2020-10
影响因子:
1.5
通讯作者:
Gianforcaro R
Gianforcaro R
中科院分区:
其他
文献类型:
--
作者:
Khairat S;Pillai M;Edson B;Gianforcaro R

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积极的患者体验与疾病康复和坚持用药有关。评估以 COVID-19 症状为主要主诉的患者的虚拟护理体验。我们在虚拟诊所对第一批出现 COVID-19 症状的患者进行了横断面研究。这项研究的主要终点是就诊量、等待时间、就诊持续时间、患者诊断、收到的处方和满意度。在 1139 次虚拟就诊中,212 名 (24.6%) 患者出现了 COVID-19 症状。所有就诊的平均等待时间 (SD) 为 75.5 (121.6) 分钟。访问的平均访问持续时间为 10.5 (4.9) 分钟。虚拟访问量最高的是周六(39 次),最低量是周五(19 次)。患者在工作日的等待时间 (SD) 缩短为 67.1 (106.8) 分钟,而周末则为 90.3 (142.6) 分钟。有 COVID-19 症状的患者最常见的诊断是上呼吸道感染。远程医疗就诊的患者等待时间因预约时间和日期而异。漫长的等待时间是患者体验的一个主要缺点。根据患者报告的经验,我们提出了一份一般、提供者和患者远程医疗最佳实践列表。
Positive patient experiences are associated with illness recovery and adherence to medication. To evaluate the virtual care experience for patients with COVID-19 symptoms as their chief complaints. We conducted a cross-sectional study of the first cohort of patients with COVID-19 symptoms in a virtual clinic. The main end points of this study were visit volume, wait times, visit duration, patient diagnosis, prescriptions received, and satisfaction. Of the 1139 total virtual visits, 212 (24.6%) patients had COVID-19 symptoms. The average wait time (SD) for all visits was 75.5 (121.6) minutes. The average visit duration for visits was 10.5 (4.9) minutes. The highest volume of virtual visits was on Saturdays (39), and the lowest volume was on Friday (19). Patients experienced shorter wait times (SD) on the weekdays 67.1 (106.8) minutes compared to 90.3 (142.6) minutes on the weekends. The most common diagnoses for patients with COVID-19 symptoms were upper respiratory infection. Patient wait times for a telehealth visit varied depending on the time and day of appointment. Long wait times were a major drawback in the patient experience. Based on patient-reported experience, we proposed a list of general, provider, and patient telehealth best practices.
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