Development and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha's Vineyard
Development and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha's Vineyard
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DOI：
10.1093/pm/pnw069
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发表时间：
2016-09-01
期刊：
影响因子：
3.1
通讯作者：
Gilligan, Christopher
中科院分区：
文献类型：
--
作者：
Hanna, George M.;Fishman, Irina;Gilligan, Christopher
客观的。偏远地区的患者无法获得专科护理和疼痛管理服务。为了向远离我们中心的患者提供疼痛管理护理，我们在马萨诸塞州波士顿的马萨诸塞州综合医院 (MGH) 创建了远程医疗疼痛诊所 (telepain)，将服务扩展到玛莎葡萄园岛。设计。在 13 个月的时间里，进行了 238 次 Telepain 视频诊所评估。一位疼痛医生每月访问该岛 1-2 天，并进行 121 次干预。鉴于远程医疗诊所的新颖性，我们对患者进行了调查，以评估满意度并找出我们的方法中可以解决的明显弱点。 49 名连续患者回答了一项 14 个问题、5 点平衡李克特量表调查，其中 1 分（不，绝对不是）最消极，5 分（是的，绝对）最积极。设置。玛莎葡萄园岛的患者通过远程医疗转诊寻求疼痛管理咨询服务。患者。通过远程医疗对四十九名连续患者进行评估。干预措施。实施李克特量表调查。措施。问题衡量了患者对医生视频就诊的印象、就诊的便利性、对隐私的担忧以及他们是否会推荐这样的就诊等。结果。每个问题的平均受访者得分 > 4.3，表明对 telepain 诊所体验的良好印象。当受访者被要求比较他们通过 Telepain 接受的护理与亲自就诊，或者他们是否能够与医生建立友好关系时，发现了最低的平均分。结论。结果表明，患者对 Telepain 总体上持积极态度，但也凸显了远程建立医患关系的挑战。
Objective. Patients in remote areas lack access to specialist care and pain management services. In order to provide pain management care to patients remote from our center, we created a telemedicine pain clinic ( telepain) at Massachusetts General Hospital ( MGH) in Boston, MA to extend services to the Island of Martha's Vineyard.Design. Over 13 months, 238 telepain video clinic evaluations were conducted. A pain physician visited the island 1-2 days per month and performed 121 interventions. Given the novelty of telemedicine clinics, we surveyed patients to gauge satisfaction and identify perceived weaknesses in our approach that could be addressed. Forty-nine consecutive patients answered a 14-question, 5-point balanced Likert-scale survey with 1 (no, definitely not) being most negative and 5 (yes, definitely) being most positive.Setting. Patients on Martha's Vineyard referred for pain management consultation services via telemedicine.Patients. Forty-nine consecutive patients evaluated via telemedicine.Interventions. Likert-scale survey administered.Measures. Questions measured patient impressions of video-based visits with their doctor, convenience of the visit, concerns about privacy, and whether they would recommend such a visit, among other items.Results. Mean respondent scores for each question were > 4.3 indicating a favorable impression of the telepain clinic experience. Lowest mean scores were found when respondents were asked to compare the care they received by telepain versus an in-person visit, or whether they were able to develop a friendly relationship with the doctor.Conclusions. The results suggest an overall positive reception of telepain by patients, yet highlight the challenge of building a patient-physician relationship remotely.