Consumer trust and confidence in telehealth is pivotal to successful service implementation and effective consultations. This cross-sectional study measured trust and confidence in telephone and video consultations and associated with experience in telehealth modalities among people with chronic kidney disease at a metropolitan hospital in Australia. Self-report data were collected using validated trust and confidence in telehealth scales and 5-point Likert responses. Non-parametric tests were used to compare trust and confidence in telephone and video consultations (Wilcoxon Matched Pairs) and associations with telehealth experience (Mann-Whitney). Of the 156 survey participants, 96.2% had used telephone consultations and 28.9% had used video. Overall trust and confidence in using telehealth were high. Confidence (range 1-5) in using telephone consultations (mean 3.75 ± 0.71) was significantly higher than video consultation (mean 3.64 ± 0.74), p = 0.039. Trust in telephone consultations (mean 3.93 ± 0.64) was significantly higher than in video consultations (mean 3.67 ± 0.66), p < 0.001. There was a significant association between experience with telephone consultations and reported levels of trust and confidence in telephone consultations. Experience with video was significantly related to trust in video consultations, but not confidence. Given the substantial difference in experience between telehealth modalities, trust and confidence may change as further exposure occurs.

中文翻译：

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慢性肾病患者对使用远程医疗的信任和信心：一项横断面研究。

消费者对远程医疗的信任和信心对于成功实施服务和有效咨询至关重要。这项横断面研究测量了澳大利亚一家大都会医院慢性肾病患者对电话和视频咨询的信任度和信心，以及与远程医疗模式经验的相关性。使用经过验证的远程医疗量表信任和信心以及 5 点李克特响应收集自我报告数据。非参数测试用于比较电话和视频咨询的信任度和信心（Wilcoxon 配对）以及与远程医疗经验的关联（Mann-Whitney）。在156名调查参与者中，96.2%的人使用过电话咨询，28.9%的人使用过视频咨询。对使用远程医疗的总体信任度和信心很高。使用电话咨询的置信度（范围 1-5）（平均值 3.75 ± 0.71）显着高于视频咨询（平均值 3.64 ± 0.74），p = 0.039。对电话咨询的信任度（平均值 3.93 ± 0.64）显着高于对视频咨询的信任度（平均值 3.67 ± 0.66），p < 0.001。电话咨询的经验与报告的对电话咨询的信任和信心水平之间存在显着关联。视频体验与对视频咨询的信任显着相关，但与信心无关。鉴于远程医疗模式之间的体验存在巨大差异，随着进一步接触的发生，信任和信心可能会发生变化。