Pediatric surgery telehealth: patient and clinician satisfaction
Pediatric surgery telehealth: patient and clinician satisfaction
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DOI：
10.1007/s00383-010-2823-y
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发表时间：
2011-05-01
影响因子：
1.8
通讯作者：
Bratu, Ioana
中科院分区：
文献类型：
--
作者：
Shivji, Salma;Metcalfe, Peter;Bratu, Ioana
斯托勒里儿童医院服务于一个非常大的地理区域，至少超过65万平方公里(2)，来自埃德蒙顿以外的患者约占服务人口的50%。本研究的目的是记录患者和临床医生对各种儿科外科会诊和随访的远程医疗体验和意见，作为弥合距离差距的一种方式。我们观察了2008年至2009年最近实施远程保健的经验。通过针对患者和临床医生的问卷调查收集定性数据。共有259次儿科外科远程保健就诊，其中37%来自省外。产前多学科门诊42个，慢性疼痛门诊13个，普外科103个，骨科2个，泌尿外科63个，头形专科33个，神经外科3个。共完成83名患者和12名临床医生问卷。97%的患者和73%的临床医生对远程医疗会议表示满意。97%的患者居住在距离城市200公里以上的地方，77%的患者居住在距离城市400公里以上的地方。48%的受访者表示节省了500- 700美元的成本。远程医疗儿科外科服务作为一种可接受的、有效的、适当的方式，对生活在偏远地区的儿科患者进行咨询和随访，具有很高的临床医生和患者满意度。
The Stollery Children's Hospital serves a very large geographic region of over at least 650,000 kmA(2) with patients from outside of Edmonton accounting for approximately 50% of the service population. The aim of this study is to document the experience and opinion of the patient and clinician satisfaction with telehealth encounter for various pediatric surgical consultations and follow-up as a way to bridge the distance gap.We observe our experience with recent telehealth implementation from 2008 to 2009. Qualitative data were collected through questionnaires aimed at patients and clinicians.There were 259 pediatric surgical telehealth encounters, of which 37% were from outside the province. There were 42 antenatal multidisciplinary, 13 chronic pain, 103 general surgery, 2 orthopedic, 63 urology, 33 head and shape nurse practioner clinic, and 3 neurosurgery consults. 83 patient and 12 clinician questionnaires were completed. 97% of patients and 73% of clinicians reported satisfaction with having a telehealth session. 97% of the patients reside more than 200 km from the city and 77% live more than 400 km away. 48% reported a cost saving >$500-$700.Telehealth for pediatric surgical services is an alternative as an acceptable, effective, and appropriate way to consult and follow-up pediatric patients who live in significantly remote areas with great clinician and patient satisfaction.