利用期望不确认理论测试患者对异步远程医疗糖尿病视网膜病变检测的满意度。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2018-10-11 eCollection Date: 2018-01-01 DOI:10.1155/2018/7015272
Christina I Serrano, Vishal Shah, Michael D Abràmoff
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引用次数: 0

摘要

研究目的本研究的目的是运用期望不确认理论(EDT)的理论框架,扩展有关远程医疗服务患者满意度的研究,重点关注农村患者的糖尿病视网膜病变筛查:方法:从爱荷华州农村地区的一家家庭诊所招募成年糖尿病受试者(220 人)。受试者在使用远程医疗检测糖尿病视网膜病变之前,填写了一份关于他们对远程医疗的前瞻性看法的 "前 "调查,在收到远方眼科医生的建议之后,填写了一份 "后 "调查:结果:EDT 模型的所有假设均得到支持。结果:EDT 模型的所有假设都得到了支持,患者满意度受到患者期望值(PPP)的影响:EDT模型是研究远程医疗服务患者满意度的可行框架。以往的可行性研究表明,远程医疗在糖尿病视网膜病变筛查中具有诊断效果,而本研究则运用理论框架证明了远程医疗在农村地区糖尿病视网膜病变筛查中的可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.

Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.

Use of Expectation Disconfirmation Theory to Test Patient Satisfaction with Asynchronous Telemedicine for Diabetic Retinopathy Detection.

Objective: The purpose of the study is to extend research on patient satisfaction with telemedicine services by employing the theoretical framework of Expectation Disconfirmation Theory (EDT) for diabetic retinopathy screenings focusing on rural patients.

Method: Adult subjects (n=220) with diabetes were recruited from a single family practice office in rural Iowa. Subjects completed a "pre" survey concerning their forward-looking perceptions of telemedicine prior to using telemedicine for detection of diabetic retinopathy and a "post" survey after they received recommendations from the distant ophthalmologists.

Results: All hypotheses of the EDT model were supported. Patient satisfaction is influenced by both patients' expectations (P<.001) and disconfirmation of expectations (P<.001), and patient satisfaction has a positive impact on patient preference for telemedicine services (P<.001). Overall, patients who received telemedicine services were highly satisfied with telemedicine and developed a favorable disposition towards telemedicine services.

Conclusions: The EDT model is a viable framework to study patient satisfaction of telemedicine services. While previous feasibility studies have shown that telemedicine for diabetic retinopathy screenings yields diagnostic efficacy, this study applies a theoretical framework to demonstrate the viability of telemedicine for diabetic retinopathy screenings in rural areas.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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