Patients' perceptions of a telemedicine specialty clinic

Patients' perceptions of a telemedicine specialty clinic
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DOI:
10.1258/1357633001933925
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发表时间:
2000-01-01
影响因子:
4.7
通讯作者:
Doolittle, GC
Doolittle, GC
中科院分区:
医学3区
文献类型:
--
作者:
Mair, F;Whitten, P;Doolittle, GC

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我们研究了患者对远程医疗(交互式视频)作为提供肿瘤/血液学专科护理手段的看法。对22名在堪萨斯州远程肿瘤学/血液学诊所就诊的患者进行半结构化电话访谈。对采访进行了录音,并对笔录进行了专题内容分析。有效率为96%。与会者均对远程会诊表示满意。对于50%的受访者来说,远程肿瘤学/血液学诊所的满意度是由两个因素决定的:参与者有时也会亲自见到专家,诊所被认为主要提供“监测”功能。此外,22名病人中有9名对护士代替医生进行体检的某些部分表示关注。总的来说,与会者重视改善获得专家服务的机会,但对这种服务的局限性有明确的看法。随着电信技术使用的增长,患者的观点值得更多的关注。
We studied patients' perceptions of telemedicine (interactive video) as a means of delivering specialist oncology/haematology care. Semistructured telephone interviews were performed with 22 patients attending a tele-oncology/haematology clinic in Kansas. Interviews were audio-taped and thematic content analysis of the transcripts was done. The response rate was 96%. All participants expressed satisfaction with their teleconsultations. For 50% of respondents, satisfaction with the tele-oncology/haematology clinic was qualified by two factors: participants also saw the specialist in person on occasions and the clinic was perceived as providing mainly a 'monitoring' function. In addition, 9 of the 22 patients expressed concern about the role of the nurse as a proxy for the doctor in performing certain parts of the physical examination. Overall, participants valued improved access to specialist services but had clear views as to the limitations of such a service. As the use of telecommunications technology grows, patient perspectives merit greater attention.