Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care.
Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care.
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DOI：
10.1001/jamanetworkopen.2021.36405
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发表时间：
2021-12-01
影响因子：
13.8
通讯作者：
Uscher-Pines L
中科院分区：
文献类型：
--
作者：
Predmore ZS;Roth E;Breslau J;Fischer SH;Uscher-Pines L
这项调查研究评估了与继续使用远程医疗服务相关的因素，包括成人患者基于视频的临床医生就诊的经验、成本和益处或障碍。美国成年人设想远程医疗在他们未来的医疗保健中扮演什么角色？在这项对2080名成年人的调查研究中，大多数受访者愿意在未来使用视频访问，但当在非紧急护理中选择亲自或视频访问时，大多数人更喜欢亲自护理。对于那些喜欢亲自护理的人来说，支付首选访问方式的意愿更高，而那些喜欢视频访问的人对自付费用更敏感。这项研究的结果表明，对患者偏好的认识将有助于确定远程医疗在COVID-19大流行后美国医疗保健中的作用。2020年，在COVID-19大流行的第一年，远程医疗的使用大幅增加。患者对远程医疗或现场护理的偏好是确定远程医疗在大流行后世界中的作用的一个重要因素。确定在持续的COVID-19公共卫生紧急事件后患者对视频就诊的偏好，并确定患者对视频就诊价值的看法以及自付费用在改变患者对每种就诊方式的偏好中的作用。这项调查研究是使用兰德美国生活小组的全国代表性成年成员样本进行的。这些数据来自美国生活小组综合调查，该调查于2021年3月8日至19日进行。在调查中分析了视频访问与亲自护理的偏好。第一个问题是关于参与者对非紧急健康问题的面对面或视频访问的基线偏好。第二个问题需要在费用为30美元的首选就诊方式和费用为10美元的另一种方式之间进行选择。问题还涉及人口特征、视频就诊经验、使用视频就诊的意愿以及COVID-19大流行后对远程医疗使用量的偏好。在3391名抽样调查对象中，共有2080人完成了调查（参与率为61.3%）。加权样本中的参与者平均（SE）年龄为51.1（0.67）岁，主要为女性（1079 [51.9%]）。大多数参与者（66.5%）倾向于在未来至少进行一些视频访问，但当面临面对面或视频访问之间的选择时，超过一半的受访者（53.0%）倾向于面对面访问。在那些最初在自付费用不是一个因素时更喜欢亲自就诊的人中，49.8%的人仍然更喜欢亲自护理，23.5%的人在面临亲自护理的相对成本更高时转向视频就诊。相比之下，在那些最初喜欢视频访问的人中，只有18.9%仍然喜欢视频访问，61.7%在面临视频访问的相对成本较高时转向亲自访问。这项调查研究发现，参与者普遍愿意使用视频访问，但更喜欢亲自护理，而那些喜欢视频访问的人对支付自付费用更敏感。这些结果表明，了解病人的喜好将有助于确定远程医疗的作用，在未来的医疗保健服务。
This survey study assesses the factors associated with continued use of telehealth services, including experience with, cost of, and benefits or barriers to video-based clinician visits among adult patients. What role do US adults envision for telehealth in their future medical care? In this survey study of 2080 adults, most respondents were willing to use video visits in the future but, when presented with the choice between an in-person or a video visit for nonemergency care, most preferred in-person care. Willingness to pay for preferred visit modality was higher for those who preferred in-person care, and those who preferred video visits were more sensitive to out-of-pocket cost. The findings of this study suggest that awareness of patient preferences will help define telehealth’s role in US health care after the COVID-19 pandemic. Telehealth use greatly increased in 2020 during the first year of the COVID-19 pandemic. Patient preferences for telehealth or in-person care are an important factor in defining the role of telehealth in the postpandemic world. To ascertain patient preferences for video visits after the ongoing COVID-19 public health emergency and to identify patient perceptions of the value of video visits and the role of out-of-pocket cost in changing patient preference for each visit modality. This survey study was conducted using a nationally representative sample of adult members of the RAND American Life Panel. The data were obtained from the American Life Panel Omnibus Survey, which was fielded between March 8 and 19, 2021. Preferences for video visits vs in-person care were analyzed in the survey. The first question was about participants’ baseline preference for an in-person or a video visit for a nonemergency health issue. The second question entailed choosing between the preferred visit modality with a cost of $30 and another modality with a cost of $10. Questions also involved demographic characteristics, experience with video visits, willingness to use video visits, and preferences for the amount of telehealth use after the COVID-19 pandemic. A total of 2080 of 3391 sampled panel members completed the survey (participation rate, 61.3%). Participants in the weighted sample had a mean (SE) age of 51.1 (0.67) years and were primarily women (1079 [51.9%]). Most participants (66.5%) preferred at least some video visits in the future, but when faced with a choice between an in-person or a video visit for a health care encounter that could be conducted either way, more than half of respondents (53.0%) preferred an in-person visit. Among those who initially preferred an in-person visit when out-of-pocket costs were not a factor, 49.8% still preferred in-person care and 23.5% switched to a video visit when confronted with higher relative costs for in-person care. In contrast, among those who initially preferred a video visit, only 18.9% still preferred a video visit and 61.7% switched to in-person visit when confronted with higher relative costs for video visits. This survey study found that participants were generally willing to use video visits but preferred in-person care, and those who preferred video visits were more sensitive to paying out-of-pocket cost. These results suggest that understanding patient preferences will help identify telehealth’s role in future health care delivery.
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影响因子：
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