دورية أكاديمية
أعرض في EDS

Telemedicine and Patient Experience Ratings at an Academic Integrative Medicine Practice: Retrospective Examination.

التفاصيل البيبلوغرافية
العنوان: Telemedicine and Patient Experience Ratings at an Academic Integrative Medicine Practice: Retrospective Examination.
المؤلفون: Meltzer E; Division of General Internal Medicine, Department of Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States.; Office of Experience, Mayo Clinic Arizona, Scottsdale, AZ, United States.; Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Wilshusen L; Mayo Clinic Quality Management Services, Mayo Clinic, Scottsdale, AZ, United States., Abdulwadood I; Mayo Clinic Alix School of Medicine, Scottsdale, AZ, United States., Yee C; Quantitative Health Sciences, Mayo Clinic Arizona, Scottsdale, AZ, United States., Sherman A; Mayo Clinic Quality Management Services, Mayo Clinic, Scottsdale, AZ, United States., Strader K; Mayo Clinic Quality Management Services, Mayo Clinic, Scottsdale, AZ, United States., Thomley B; Division of General Internal Medicine, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Millstine D; Mayo Clinic Women's Health Center, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Tilburt J; Division of General Internal Medicine, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Fields H; Mayo Clinic Community Internal Medicine, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Bergstrom L; Division of General Internal Medicine, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Patchett D; Mayo Clinic Family Medicine, Section of Integrative Medicine, Mayo Clinic Arizona, Scottsdale, AZ, United States., Camoriano J; Hematology/Oncology, Section of Integrative Medicine, Mayo Clinic Arizona, Phoenix, AZ, United States., Bauer B; Division of General Internal Medicine, Section of Integrative Medicine, Mayo Clinic, Rochester, MN, United States.
المصدر: JMIR formative research [JMIR Form Res] 2024 Jul 22; Vol. 8, pp. e56312. Date of Electronic Publication: 2024 Jul 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]-
مستخلص: Background: The use of telemedicine (TELE) increased exponentially during the COVID-19 pandemic. While patient experience with TELE has been studied in other medical disciplines, its impact and applicability to integrative medicine practices remain unknown.
Objective: The aim of this study is to assess the impact of visit modality, TELE versus face-to-face (F2F) encounters, on patient experience at an integrative medicine practice at a single academic medical center. Given the significant role of the patient-physician relationship, therapeutic presence, and touch in integrative medicine, we hypothesized that TELE would result in reduced patient experience compared to traditional F2F encounters.
Methods: A retrospective examination of Press Ganey surveys at an academic, consultative, and integrative medicine practice was conducted. Anonymous surveys completed by patients, older than 18 years of age, who had TELE or F2F appointments from April 1, 2020, to March 31, 2023, were included. At our medical center, patients commonly travel in from out of state for complex care. We examined percentage "top box" scores (ie, the percentage of respondents who selected the most positive response category on the survey, "very good"), across a variety of experience metrics. ANOVA and chi-square analyses were completed, with a significance threshold of P<.05.
Results: Over the 36 months, a total of 1066 surveys were completed and returned (TELE: n=333; F2F: n=733). Overall, 73% (n=778) of respondents were female with an average age of 57.6 (SD 13.84) years. Most patients were English-speaking (n=728, 99.3%), White (n=1059, 92.7%), and not Hispanic or Latino (n=985, 92.4%). There was significantly higher satisfaction with access to care for TELE visits compared to F2F visits. There were no differences in satisfaction with the care provider or in overall experience. When examining the specific aspects of using technology during TELE visits, there were no differences in audio quality, visual quality, or ease of talking to the care provider based on sex. There was, however, a difference in video quality based on age, where those 80 years and older rated significantly lower video quality compared to all other age groups.
Conclusions: Top-level patient experience can be attained with TELE integrative medicine visits. Additional studies, particularly those correlating positive experience findings with specific behaviors used during TELE visits, would further our understanding of the integrative medicine patient experience. In the meantime, efforts should be made to ensure a policy that promotes the ongoing provision of TELE in integrative medicine.
(©Ellen Meltzer, Laurie Wilshusen, Isra Abdulwadood, Claire Yee, Amy Sherman, Kelli Strader, Barbara Thomley, Denise Millstine, Jon Tilburt, Heather Fields, Larry Bergstrom, David Patchett, John Camoriano, Brent Bauer. Originally published in JMIR Formative Research (https://formative.jmir.org), 22.07.2024.)
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فهرسة مساهمة: Keywords: F2F; TELE; communication skills; encounters; face-to-face; integrative medicine; patient experience; telemedicine
تواريخ الأحداث: Date Created: 20240722 Latest Revision: 20240808
رمز التحديث: 20240808
مُعرف محوري في PubMed: PMC11301109
DOI: 10.2196/56312
PMID: 39037767
قاعدة البيانات: MEDLINE
الوصف
تدمد:2561-326X
DOI:10.2196/56312