Telemed J E Health - Sleep telemedicine: patient satisfaction and treatment adherence.

Tópicos

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Resumo

JECTIVE: Obstructive sleep apnea is common, but access to diagnosis remains limited. Telemedicine may allow greater access to care; however, its effect on patient satisfaction and treatment adherence is unknown. This study compares patient satisfaction and continuous positive airway pressure (CPAP) adherence of patients seen by videoconference with those seen in person.MATERIALS AND METHODS: New patients seen via video or in person at a sleep center completed a survey, with three questions pertaining to satisfaction with the provider. Questions were scored 1-5; the sum was the patient satisfaction score. CPAP adherence was retrospectively analyzed in patients who met the physician via video or in person. Percentage of nights CPAP was used for =4 h and average minutes of CPAP use per night over 2 consecutive weeks were compared.RESULTS: A Mann-Whitney test compared patient satisfaction of the 90 subjects (of whom, 56 met physician in person and 34 via video). Mean scores (in person, 14.82; video, 14.91; p=0.851) did not differ between groups. Mann-Whitney tests compared CPAP adherence in the 172 subjects (of whom, 111 met physician in person and 61 via video). Mean percentage of nights CPAP was used =4 h (in person, 71%; video, 65%; p=0.198) and the average minutes per night of CPAP use (in person, 340.55; video, 305.31; p=0.153) did not differ between groups.CONCLUSIONS: The findings indicate that patients were equally satisfied with their provider and adherent to CPAP treatment whether they were seen in person or via video. Videoconferencing may improve access to patient care without reducing patient satisfaction or treatment adherence.

Resumo Limpo

jectiv obstruct sleep apnea common access diagnosi remain limit telemedicin may allow greater access care howev effect patient satisfact treatment adher unknown studi compar patient satisfact continu posit airway pressur cpap adher patient seen videoconfer seen personmateri method new patient seen via video person sleep center complet survey three question pertain satisfact provid question score sum patient satisfact score cpap adher retrospect analyz patient met physician via video person percentag night cpap use h averag minut cpap use per night consecut week comparedresult mannwhitney test compar patient satisfact subject met physician person via video mean score person video p differ group mannwhitney test compar cpap adher subject met physician person via video mean percentag night cpap use h person video p averag minut per night cpap use person video p differ groupsconclus find indic patient equal satisfi provid adher cpap treatment whether seen person via video videoconferenc may improv access patient care without reduc patient satisfact treatment adher

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