2019冠状病毒病大流行期间虚拟皮肤科诊所体验的评估、优势和劣势

IF 0.2 Q4 DERMATOLOGY
Eman Almukhadeb, Hend Alotaibi, A. Alturki, Asma AlKheraiji, Amal AlBalbessi, A. Bukhari
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引用次数: 0

摘要

简介在2019冠状病毒病(新冠肺炎)大流行导致的当前封锁期间,应修改医疗系统,以向大量患者提供有效服务。虚拟诊所是应对新冠肺炎大流行期间全球医疗系统面临的挑战的一种可能解决方案。目的评估哈立德国王大学医院皮肤科虚拟诊所的经验,评估其优缺点,以及该服务在未来的应用是否实用。患者和方法为了评估患者对虚拟诊所的态度,2020年5月,1220名患者接受了电话咨询。起草了一份问卷,其中23个问题通过手机短信发送给所有患者。其中7个问题与患者人口统计有关。剩下的问题评估了患者满意度、职业效率和护理质量。使用R v 3.6.3进行统计分析。社会地理特征被纳入为自变量。有序逻辑回归用于评估患者满意度。多变量逻辑回归用于评估与满意度相关的因素。结果只有115名患者对调查做出了回应。其中约34.8%的人认为虚拟诊所比面对面访问更舒适,65.2%的人对通过这些诊所获得的护理感到满意。然而,34.8%的患者不知道合适的治疗方法,37.4%的患者认为他们没有收到关于健康状况的所有必要信息。总体而言,71.3%的患者对所提供的诊断感到满意。对虚拟诊所不满意的最常见原因是缺乏临床检查(62.39%)和与医生沟通困难(42.94%)。这些服务具有最佳的职业效率、患者满意度和护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of virtual dermatology clinic experience during coronavirus disease 2019 pandemic, advantages, and disadvantages
Introduction During the current lockdown due to the coronavirus disease 2019 (COVID-19) pandemic, the healthcare system should be modified to reach out to a large number of patients with effective service. Virtual clinics are one possible solution to the challenges healthcare systems face worldwide during the COVID-19 pandemic. Aim To evaluate the experience of the virtual clinic in Dermatology Department at King Khaled University Hospital and to evaluate its advantages and disadvantages, and whether or not this service is practical to apply in the future. Patients and methods To assess the patients’ attitude toward virtual clinics, 1220 patients were offered a phone consultation during May 2020. A questionnaire was drafted with 23 questions sent to all the patients via cellular text. Seven of these questions were related to patient demographics. The remaining questions assessed patient satisfaction, occupational efficiency, and quality of care. Statistical analysis was performed using R v 3.6.3. Sociodemographic characteristics were included as independent variables. Ordinal logistic regression was used to assess patient satisfaction. Multivariate logistic regression was used to assess factors associated with satisfaction. Results Only 115 patients responded to the survey. About 34.8% of them found virtual clinics more comfortable compared with face-to-face visits, and 65.2% were satisfied with the care received through these clinics. However, 34.8% of the patients could not know the appropriate treatment, and 37.4% thought they did not receive all the needed information about their health condition. Overall, 71.3% of the patients were satisfied with the provided diagnosis. The most common reason for nonsatisfaction with virtual clinics was the lack of clinical examination (62.39%) and difficulty communicating with the physician (42.94%). Conclusion Virtual dermatology clinics can provide satisfactory dermatology care services to the patients during COVID-19 and can reduce the risk of exposure and transmission of the virus. These services have optimal occupational efficiency, patient-satisfaction rate, and quality of care.
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