BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective.

Tópicos

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Resumo

CKGROUND: Feedback from service users will provide insight into opportunities for improvement so that performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction with a teleneurophysiology service was examined during a 20 week pilot period.METHODS: Questionnaire surveys of referring clinicians and patients were conducted.RESULTS: Fifteen (58%) clinicians responded to the first part of a postal survey which examined their satisfaction with traditional clinical neurophysiology services. Nine (35%) responded to a second part which assessed their experience with the teleneurophysiology service. Teleneurophysiology improved satisfaction with waiting times, availability of results and impact on patient management. There was unanimous support from the clinicians for the permanent development of a teleneurophysiology service, although 2 cautioned this could delay establishing a neurology service in their region.Eighty-two percent (116/142) of patients responded to a survey of their satisfaction with teleneurophysiology. This was compared to a previous report of 322 patients' experience with traditional CN services in Ireland. Waiting times for appointment were shorter for the former group who supported the telemedicine model recognising that it reduced the travel burden and need for overnight journeys. The two groups were equally anxious about the investigation although the teleneurophysiology patients received more prior information.CONCLUSION: This study illustrates that teleneurophysiology is an acceptable model of service delivery for its primary customers. Their feedback is important in informing appropriate design and governance of such innovative models of health service provision.

Resumo Limpo

ckground feedback servic user will provid insight opportun improv perform can optimis context format evalu refer clinician patient satisfact teleneurophysiolog servic examin week pilot periodmethod questionnair survey refer clinician patient conductedresult fifteen clinician respond first part postal survey examin satisfact tradit clinic neurophysiolog servic nine respond second part assess experi teleneurophysiolog servic teleneurophysiolog improv satisfact wait time avail result impact patient manag unanim support clinician perman develop teleneurophysiolog servic although caution delay establish neurolog servic regioneightytwo percent patient respond survey satisfact teleneurophysiolog compar previous report patient experi tradit cn servic ireland wait time appoint shorter former group support telemedicin model recognis reduc travel burden need overnight journey two group equal anxious investig although teleneurophysiolog patient receiv prior informationconclus studi illustr teleneurophysiolog accept model servic deliveri primari custom feedback import inform appropri design govern innov model health servic provis

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