Telemedicine: The New "Virtual Reality" of Female Pelvic Medicine and Reconstructive Surgery?
Telemedicine: The New "Virtual Reality" of Female Pelvic Medicine and Reconstructive Surgery?
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DOI：
10.1097/spv.0000000000001149
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发表时间：
2022-03-01
影响因子：
1.6
通讯作者：
Lowder JL
中科院分区：
文献类型：
--
作者：
Morsy H;Scott C;Jairath R;Ghetti C;Chu C;Sutcliffe S;Lowder JL
了解女性接受远程医疗作为盆底疾病（PFDs）护理模式的情况，可以使女性盆腔医学和重建外科更加以患者为中心的方法得到广泛实施。大流行引发了远程医疗的迅速和广泛实施。我们的目标是评估寻求pfd护理的妇女对远程医疗的接受度、满意度和未来使用的愿望。我们对接受视频访问的新患者进行了结构化的电话调查，并建立了接受视频或电话访问的患者，当非紧急的亲自访问暂停时。我们的调查评估了以下几个方面：满意度；远程医疗的未来使用；舒适程度；感知效用;以及科技带来的便利和舒适。在2020年4月至7月期间，我们对221名患者进行了远程医疗访问，其中131名（占符合条件的患者的63%）同意参加我们的调查（63名（74%）电话和68名（56%）视频，包括35名老患者和33名新患者）。总体而言，大多数参与者（96.3%）表示对远程医疗解决他们的需求“非常”或“有些满意”，并且在远程医疗访问时与提供者分享个人信息“很舒服”（94.7%）。然而，视频参与者（包括新参与者和老参与者）比电话参与者更有可能认为远程医疗是有价值的（p=0.02）。此外，视频参与者比电话参与者感知到更高的护理质量（p=0.01）。视频远程医疗是一种被广泛接受的辅助护理模式，有可能扩大对pfd妇女有价值的高质量亚专科护理的范围。
Understanding women's acceptance of telemedicine as a model of care for pelvic floor disorders (PFDs) allows for a more patient-centered approach to widespread implementation in Female Pelvic Medicine and Reconstructive surgery. The pandemic sparked rapid and widespread implementation of telemedicine. Our goal was to assess acceptance, satisfaction, and desire for future use of telemedicine among women seeking care for PFDs. We performed a structured telephone survey of new patients who underwent video visits, and established patients who underwent video or telephone visits, when non-urgent, in-person visits were suspended. Our survey assessed the following domains: satisfaction; future use of telemedicine; level of comfort; perceived utility; and access and comfort with technology. Between April and July 2020, we conducted telemedicine visits with 221 patients, 131 (63% of eligible patients) of whom agreed to participate in our survey (63 (74%) telephone and 68 (56%) video, including 35 established and 33 new patients). Overall, most participants (96.3%) described being “very” or “somewhat satisfied” with telemedicine in addressing their needs and “comfortable” sharing personal information with providers in a telemedicine visit (94.7%). However, video participants (both new and established) were more likely to view telemedicine as valuable (p=0.02) than telephone participants. Furthermore, established video participants perceived greater quality care of care (p=0.01) than telephone participants. Video telemedicine is a well-accepted adjunct model of care with the potential to expand the reach of quality subspecialty care of value to women with PFDs.