对 COVID-19 大流行期间肿瘤患者和医生使用远程会诊的满意度和体验进行评估。
Evaluation of the satisfaction and experiences of oncology patients and doctors using teleconsultation during the COVID-19 pandemic.
发表日期:2024 Feb 07
作者:
Myrto Kastrisiou, Maryam Karimi, Evangelos Aa Christou, Alexandra Bizot, Marie-Alix Ropers, Anne De-Jesus, Meriem Mokdad-Adi, Thi Hong Van To, Alessandro Viansone, Suzette Delaloge, Benjamin Besse, Maria Kfoury
来源:
JOURNAL OF TELEMEDICINE AND TELECARE
摘要:
在 2019 年冠状病毒病 (COVID-19) 大流行期间,古斯塔夫·鲁西癌症中心推出了电话远程会诊,作为面对面咨询的替代方案,以减少患者医院就诊次数。本研究旨在评估大流行期间及之后患者和医生对肿瘤患者护理中这种护理方式的满意度。我们根据经过验证的分数设计了两份调查问卷,以评估患者对远程会诊的满意度(EORTC OUT-PATSAT 35 和远程医疗满意度调查问卷 [TSQ] 分数)和医生(远程医疗可用性调查问卷 [TUQ]),以及两组的焦虑水平(医院焦虑和抑郁量表 [HADS] 的焦虑部分,HADS-A)。这些数据以电子方式发送给在第一波 COVID-19 大流行期间至少有过一次远程咨询经验的患者和医生。239 名患者和 32 名医生有资格参与分析。在患者组中,EORTC OUT-PATSAT 35 和 TSQ 的平均满意度评分分别为 79.5 (SD 18.1) 和 74.92 (SD 15.3)。在医生组中,TUQ 和 Skype for Business 的平均满意度得分分别为 67.1 (SD 12.7) 和 64.9 (SD 13.9)。 65.7% 的患者和 81.2% 的医生没有/轻度焦虑。对患者的单变量分析显示 EORTC OUT-PATSAT 35 和 TSQ 评分与焦虑和性别相关,女性的平均评分低于男性。多变量分析显示 EORTC OUT-PATSAT 35 和 TSQ 评分与患者和医生的焦虑相关。通过电话进行远程会诊是肿瘤患者可接受的护理方式,患者和医生报告称,在大流行期间实施远程会诊的满意度很高。这在具有不同特征的响应者群体中是一致的。应对患者采取个体化方法,以便在大流行之后安全有效地使用肿瘤学远程会诊。
During the coronavirus disease 2019 (COVID-19) pandemic, the Gustave Roussy Cancer Center introduced teleconsultation via telephone, as an alternative to face-to-face consultation to reduce patient hospital visits. This study was designed to assess patient and doctor satisfaction with this modality of care in oncology patient care during the period of the pandemic and beyond.We designed two questionnaires based on validated scores to assess satisfaction from teleconsultation in patients (EORTC OUT-PATSAT 35 and Telemedicine Satisfaction Questionnaire [TSQ] scores) and doctors (Telehealth Usability Questionnaire [TUQ]), and anxiety levels in both groups (anxiety section of the Hospital Anxiety and Depression Scale [HADS], HADS-A). These were electronically sent to patients and doctors with experience of at least one remote consultation during the first wave of the COVID-19 pandemic.239 patients and 32 doctors were eligible for the analyses. In the patient group, the mean satisfaction scores were 79.5 (SD 18.1) and 74.92 (SD 15.3) for EORTC OUT-PATSAT 35 and TSQ, respectively. In the doctor group, the mean satisfaction scores were 67.1 (SD 12.7) and 64.9 (SD 13.9) for TUQ and TUQ for Skype for Business, respectively. 65.7% of patients and 81.2% of doctors had no/low anxiety. Univariable analyses in patients showed correlation of the EORTC OUT-PATSAT 35 and TSQ scores with anxiety and gender, with lower mean scores in women compared to men. Multivariable analysis showed correlation of the EORTC OUT-PATSAT 35 and TSQ scores to anxiety in both patients and doctors.Teleconsultation via telephone is an acceptable modality of care for oncology patients, with high satisfaction from its implementation during the pandemic reported by patients and doctors. This was consistent across responder groups with different characteristics. An individualized approach to patients should be implemented for the safe and effective use of teleconsultation in oncology beyond the pandemic.