Telemed J E Health - Teledermatology patient satisfaction in the Pacific Northwest.

Tópicos

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Resumo

CKGROUND: The aim of this quality improvement project is to assess patient satisfaction with a store-and-forward teledermatology project and to identify factors associated with patient satisfaction and dissatisfaction.SUBJECTS AND METHODS: Veterans receiving care in rural clinics in the Pacific Northwest were surveyed using a 5-point Likert scale about satisfaction with face-to-face care for a skin complaint prior to any teledermatology exposure. One year later, veterans in the same rural clinics were surveyed about satisfaction with teledermatology care using a more comprehensive survey. Ninety-six patients completed the face-to-face satisfaction survey questions, and 501 completed the teledermatology satisfaction survey.RESULTS: Most (78%) of surveyed patients were highly satisfied or satisfied with face-to-face dermatology care. After 1 year of teledermatology, 77% of patients were highly satisfied or satisfied with teledermatology care. The mean patient satisfaction score for teledermatology was equivalent to face-to-face care (4.1?1.2 and 4.3?1.0, p=0.4). Factors associated with teledermatology patient satisfaction included short wait times for initial consultation, a perception that the initial wait time was not too long, a perception that the skin condition was properly treated, and the belief that adequate follow-up was received. Factors associated with teledermatology patient dissatisfaction included perceptions that the skin condition was not properly treated and that inadequate follow-up was received.CONCLUSIONS: Teledermatology was widely accepted by the majority of patients receiving care at rural clinics. Patient satisfaction with care received through teledermatology was equivalent to that with face-to-face dermatology.

Resumo Limpo

ckground aim qualiti improv project assess patient satisfact storeandforward teledermatolog project identifi factor associ patient satisfact dissatisfactionsubject method veteran receiv care rural clinic pacif northwest survey use point likert scale satisfact facetofac care skin complaint prior teledermatolog exposur one year later veteran rural clinic survey satisfact teledermatolog care use comprehens survey ninetysix patient complet facetofac satisfact survey question complet teledermatolog satisfact surveyresult survey patient high satisfi satisfi facetofac dermatolog care year teledermatolog patient high satisfi satisfi teledermatolog care mean patient satisfact score teledermatolog equival facetofac care p factor associ teledermatolog patient satisfact includ short wait time initi consult percept initi wait time long percept skin condit proper treat belief adequ followup receiv factor associ teledermatolog patient dissatisfact includ percept skin condit proper treat inadequ followup receivedconclus teledermatolog wide accept major patient receiv care rural clinic patient satisfact care receiv teledermatolog equival facetofac dermatolog

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