远程医疗提高了炎性肠病患者在三级护理炎性肠病中心的滞留率。

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Jeffrey Olson, Dawn Beaulieu, Audrey Bennett, Robin Dalal, Baldeep Pabla, David A Schwartz, Elizabeth Scoville, Allison McCoy, Sara Horst
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引用次数: 0

摘要

远程医疗在管理慢性疾病患者,包括炎症性肠病(IBD)患者方面越来越重要。本研究评估远程医疗对IBD患者保留和获得三级护理的影响。方法:我们分析了一家三级保健IBD中心的患者数据,比较了covid前(2018年1月至2020年3月)和covid后(2020年8月至2023年1月)的模式,因为只有covid后患者可以远程回访。根据患者的就诊类型和开车到诊所的时间对患者进行分类。分类变量采用Pearson χ 2分析,多重检验采用Mann-Whitney U和Kruskal-Wallis统计检验,Bonferroni校正。结果共纳入7040例患者。在新冠肺炎后的时期,62%的回访患者选择了远程医疗,导致保留率上升(未回访患者从14%下降到8%)。返诊患者滞留时间增加2 ~ 3小时和3小时以上(+10%和+14%)。远程复诊患者的驾车时间(中位数56.1分钟)明显高于未复诊患者(中位数45.7分钟,p = 0.007),而在远程复诊前亲自复诊患者(中位数38.8分钟,p = 0.007)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telecare enhances the retention of patients with inflammatory bowel disease within a tertiary care inflammatory bowel disease center.

BackgroundTelecare is increasingly important in managing patients with chronic diseases, including patients with inflammatory bowel disease (IBD). This study evaluates the impact of telecare on patient retention and access to tertiary care for patients with IBD.MethodsWe analyzed patient data from a tertiary care IBD center, comparing patterns pre-COVID (January 2018 to March 2020) and post-COVID (August 2020 to January 2023) as only post-COVID patients had availability of telecare for return visits. Patients were classified based on their visit types and drive times to the clinic. Statistical analyses were conducted using Pearson Chi Square analysis for categorical variables as well as Mann-Whitney U and Kruskal-Wallis statistical tests with Bonferroni correction for multiple tests.ResultsA total of 7040 patients were included. In the post-COVID period, 62% of return visit patients chose telecare, leading to increased retention rates (nonreturning patients decreased from 14% to 8%). Returning patient retention increased for 2 to 3 hours and more than 3 hours of drive time (+10% and +14%). Telecare return patients had significantly longer drive times (median 56.1 minutes) than nonreturn (median 45.7 minutes, p = 0.007) and in-person return prior to telecare availability (median 38.8, p < 0.001) patients. Patient satisfaction scores were high for both telecare and in-person visits. Telecare patients had lower rates of emergency department visits and hospital admissions.ConclusionTelecare significantly enhances patient retention and access to tertiary IBD care, particularly for patients living at greater distances. The study demonstrates that telecare is an effective strategy for maintaining multidisciplinary IBD care without compromising patient satisfaction or outcomes.

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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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