Development and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha’s Vineyard
| Autor: | Irina Fishman, Matthew S. Shotwell, Christopher J. Gilligan, David A. Edwards, Xulei Liu, Shiqian Shen, George M. Hanna, Cheryl Kram |
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| Rok vydání: | 2016 |
| Předmět: |
PRIMARY CARE & HEALTH SERVICES SECTION
medicine.medical_specialty Telemedicine 020205 medical informatics Pain medicine Psychological intervention 02 engineering and technology Telehealth 03 medical and health sciences 0302 clinical medicine Patient satisfaction Nursing Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering medicine Humans Pain Management business.industry General Medicine Anesthesiology and Pain Medicine Pain Clinics Massachusetts Patient Satisfaction Family medicine Respondent Customer satisfaction Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Pain Medicine. 17:1658-1663 |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1093/pm/pnw069 |
| Popis: | Objective. Patients in remote areas lack access to specialist care and pain management services. In order to provide pain management care to patients remote from our center, we created a telemedicine pain clinic (telepain) at Massachusetts General Hospital (MGH) in Boston, MA to extend services to the Island of Martha’s Vineyard. Design. Over 13 months, 238 telepain video clinic evaluations were conducted. A pain physician visited the island 1–2 days per month and performed 121 interventions. Given the novelty of telemedicine clinics, we surveyed patients to gauge satisfaction and identify perceived weaknesses in our approach that could be addressed. Forty-nine consecutive patients answered a 14-question, 5-point balanced Likert-scale survey with 1 (no, definitely not) being most negative and 5 (yes, definitely) being most positive. Setting. Patients on Martha’s Vineyard referred for pain management consultation services via telemedicine. Patients. Forty-nine consecutive patients evaluated via telemedicine. Interventions. Likert-scale survey administered. Measures. Questions measured patient impressions of video-based visits with their doctor, convenience of the visit, concerns about privacy, and whether they would recommend such a visit, among other items. Results. Mean respondent scores for each question were >4.3 indicating a favorable impression of the telepain clinic experience. Lowest mean scores were found when respondents were asked to compare the care they received by telepain versus an in-person visit, or whether they were able to develop a friendly relationship with the doctor. Conclusions. The results suggest an overall positive reception of telepain by patients, yet highlight the challenge of building a patient-physician relationship remotely. |
| Databáze: | OpenAIRE |
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