Provider Communication and Telepresence Enhance Veteran Satisfaction With Telestroke Consultations
| Autor: | Michael J Lyerly, Griffin Tyler Selch, Sharyl Martini, Holly Martin, Jane Anderson, Susan Ofner, Linda S. Williams, Glenn D. Graham, Michelle LaPradd |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Telemedicine Article Patient-Centered Care Humans Medicine Referral and Consultation Stroke Aged Veterans Aged 80 and over Advanced and Specialized Nursing business.industry Communication Stroke Rehabilitation Middle Aged Patient-centered care medicine.disease United States United States Department of Veterans Affairs Patient perceptions Patient Satisfaction Female Neurology (clinical) Medical emergency Cardiology and Cardiovascular Medicine business |
| Zdroj: | Stroke |
| ISSN: | 1524-4628 0039-2499 |
| Popis: | Background and Purpose: Telestroke has been demonstrated to be a cost-effective means to expand access to care and improve outcomes in stroke; however, information on patient perceptions of this system of care delivery are limited. This study seeks to examine patient feedback of a national telestroke system within the Veterans Health Administration. Methods: Patients who received a telestroke consultation were eligible for a phone interview 2 weeks later, including questions about technology quality, telepresence, and telestroke provider communication. Satisfaction scores ranged from 1 to 7 (higher=more satisfied) and for analyses were dichotomized as 6 to 7 indicating high satisfaction versus Results: Over 18 months, 186 interviews were completed, and 142 (76%) reported high satisfaction with telestroke. Patients with more severe stroke were less likely to recall the consultation. Factors significantly associated with patient satisfaction were higher ratings of the technology ( P P P P =0.02). In the multivariate model, telepresence (odds ratio, 3.10 [95% CI, 1.81–5.31]) and provider ratings (odds ratio, 2.37 [95% CI, 1.20–4.68]) were independently associated with satisfaction. Veterans who were satisfied were more likely to recommend the technology ( P Conclusions: Provider qualities, including telepresence and provider ratings, were associated with overall Veteran satisfaction with the telestroke consultation. Technology quality may be necessary but not sufficient to impact patient experience. Training providers to improve telepresence could improve patient experience with telestroke consultation. |
| Databáze: | OpenAIRE |
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