Abstract

Background

Video consultation (VC) is gaining attention as a possible alternative to out-patient clinic visits. However, little is known in terms of attitude, satisfaction and quality of care using VC over a face-to-face (F2F) consultation. The aim of this observational survey study was to compare the attitude and satisfaction with VC amongst patients suffering from colorectal cancer and their treating surgeons at the outpatient surgical care clinic in a tertiary referral centre.

Methods

A patient-preference model was chosen following the concept of shared decision making. A total of fifty patients with colorectal cancer were asked to choose between VC- or a F2F-contact during their follow up at the outpatient surgical care clinic and were subsequently assigned to either the VC-group or the F2F-group. Attitude and satisfaction rates of both groups and their surgeons were measured using a questionnaire administered immediately after the consultation.

Results

Out of the 50 patients, 42% chose VC as their preferred follow-up modality. Patients demographics did not differ significantly. Patients who use video calling in their personal life choose VC significantly more often than patients lacking such experience (p = 0.010). These patients scored high on both the attitude- and satisfaction scale of the post-VC questionnaire. Patients who chose a F2F-contact seemed to question the ability of the surgeon to properly assess their healthcare condition by using a video connection more (p = 0.024). Surgeons were highly satisfied with the use of VC.

Conclusions

Based on patient preference, VC is equivalent to a F2F consultation in terms of patient satisfaction and perceived quality of care. Shared decision making is preferred with regard to which contact modality is used during follow up. For easy uptake in other environments it is to be recommended to facilitate VC using the electronic patient portal.

中文翻译：

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随访护理期间的视频咨询：对结直肠癌患者护理质量以及患者和提供者态度的影响

摘要

背景

视频会诊 (VC) 作为门诊就诊的一种可能替代方法正受到关注。然而，在面对面 (F2F) 咨询中使用 VC 的态度、满意度和护理质量方面知之甚少。这项观察性调查研究的目的是在三级转诊中心的门诊外科护理诊所比较结直肠癌患者及其治疗外科医生对 VC 的态度和满意度。

方法

根据共同决策的概念选择了患者偏好模型。总共有 50 名结直肠癌患者在门诊手术护理诊所的随访期间被要求在 VC 或 F2F 接触之间进行选择，随后被分配到 VC 组或 F2F 组。两组及其外科医生的态度和满意度在咨询后立即使用问卷进行测量。

结果

在 50 名患者中，42% 选择 V​​C 作为他们首选的随访方式。患者的人口统计数据没有显着差异。在个人生活中使用视频通话的患者比缺乏这种经验的患者更频繁地选择 VC（p  = 0.010）。这些患者在 VC 后问卷的态度和满意度量表上得分都很高。选择 F2F 接触的患者似乎质疑外科医生通过更多地使用视频连接来正确评估其医疗状况的能力 ( p  = 0.024)。外科医生对 VC 的使用非常满意。

结论

根据患者的偏好，就患者满意度和感知的护理质量而言，VC 相当于 F2F 咨询。对于在随访期间使用哪种联系方式，共同决策是首选。为了便于在其他环境中使用，建议使用电子患者门户促进 VC。