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背景对于距医院较远的患者来说,获得二级医疗服务并非易事。在这种情况下,将诊断工具和治疗方案转移至初级医疗对患者来说益处颇多。为此,需对医疗质量和渠道的成本和益处进行评估。方法在本次横截面研究中,选取荷兰Netherlands的一家全科诊所,调查患者对诊所提供的远距辐射学服务的满意度。基于荷兰版患者满意度问卷Ⅲ自行设计问卷,在2007-06-01至2009-06-01,对所有接受X射线检查的患者进行问卷调查,期间多次接受X射线检查的患者仅填写一次问卷。问卷中,医生的技术总分与人际沟通得分分别为25、30分,对满意度分量表平均分与患者特点的差异进行采用方差分析。结果接受调查的患者比例为65%(381/587)。对提供远距辐射学医生的技术满意度为(22.4±3.7)分,诊断期间医生人际沟通满意度为(26.8±3.8)分。与非本岛居民、年轻人以及有创伤史患者比较,本岛居民、老年人以及无创伤史的患者对医生技术和人际沟通满意度更高。结论 Ameland社区居民患者对初级医疗提供的远距辐射学服务的满意度更高。
Background For patients who are far from the hospital, access to secondary medical services is not easy. In such cases, the transfer of diagnostic tools and treatment options to primary care has many benefits for patients. To do so, the costs and benefits of quality and access to care must be assessed. Methods In this cross-sectional study, a general practice clinic in the Netherlands of Netherlands was selected to investigate the patient’s satisfaction with the teleradiology services provided by the clinic. Based on the Dutch version of patient satisfaction questionnaire Ⅲ designed questionnaire, from 2007-06-01 to 2009-06-01, conducted a questionnaire survey of all patients undergoing X-ray examination, multiple X-ray examination during the patient fill in only one questionnaire . Questionnaire, the doctor’s technical score and interpersonal communication scores were 25,30 points, respectively, the average score of the satisfaction subscale and characteristics of patients were analyzed by analysis of variance. Results The proportion of patients surveyed was 65% (381/587). Satisfaction with the distance radiologist was (22.4 ± 3.7) points, and satisfaction with doctor interpersonal communication was (26.8 ± 3.8) points during diagnosis. Compared with non-island residents, young people and patients with traumatic history, residents of the island, the elderly, and patients with no traumatic experience are more satisfied with doctor’s technology and interpersonal communication. Conclusion Ameland community residents are more satisfied with telemedicine services provided by primary care.