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中医药研究论丛
 271.2新冠肺炎疫情期间中医远距医疗满意度与 影响因子之探讨
TJ TCM.27(1) : 13-25, 2024 13
DOI : 10.6516/TJTCM.202403_27(1).0002
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新冠肺炎疫情期间中医远距医疗满意度与
影响因子之探讨
An Investigation of Patient Satisfaction and Influencing Factors in Telemedicine for Traditional Chinese Medicine during the COVID-19 Pandemic.
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林舜谷1,2,3 刘洁心4,* 黄建荣4,5,*
1 台北市立联合医院仁爱院区
2 台北市立大学
3 国立阳明交通大学公共卫生研究所
4 国立台湾师范大学健康促进与卫生教育学系
5 台北市中医师公会
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【摘要】
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背景：随着新冠肺炎疫情的爆发，远距医疗成为一种重要的医疗服务方式，为患者提供便利的医疗服务。然而，对於中医远距医疗的满意度和影响因子方面的研究仍然有限。本研究旨在探讨新冠肺炎疫情期间中医远距医疗的满意度，并分析其影响因子，以提供更好的医疗服务。
方法：本研究采用横断性研究设计，纳入337 名在新冠肺炎疫情期间接受中医远距医疗的患者。研究收集患者的问诊过程满意度和疗效满意度作为依变数。自变数包括患者的基本资料、生命徵项测量、问卷量表分数以及中医就医资讯。使用描述性统计、ANOVA 分析、独立样本t 检定和多元线性回归分析来分析数据，寻找影响满意度的主要因素。
结果：研究结果显示，受试者对问诊过程的满意度平均为7.62±2.06），对疗效的满意度平均为7.45±2.04）。在问诊过程满意度和疗效满意度方面，受试者在自家进行视讯诊疗表现出较高的满意度。年龄、服药天数、中医处方、过去使用中医次数、在何处进行视讯、视讯资讯来源等变数对问诊过程满意度有显着影响。同时，年龄、症状总分和问诊过程满意度对疗效满意度具有重要影响。
结论：本研究结果显示，在新冠肺炎疫情期间，受试者对於中医远距医疗普遍表现出较高的满意度，特别是在自家进行视讯诊疗时。年龄、服药天数、中医处方、过去使用中医次数、在何处进行视讯、视讯资讯来源等因素可能会影响患者对於问诊过程的满意度。这些结果有助於提高远距医疗服务的品质和满意度，并在新冠肺炎疫情期间和未来的医疗实践中发挥积极的影响。
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【关键词】新冠肺炎疫情、远距医疗、满意度、影响因子、中医、视讯诊疗
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Shun-Ku Lin1,2,3 Chieh-Hsing Liu4,* Jian-Rong Huang4,5,*
1Taipei City Hospital, RanAi branch
2University of Taipei
3Institute of Public Health, National Yang-Ming Chiao Tung University
4Department of Health Promotion and Health Education, National Taiwan Normal University
5Taipei Chinese Medical Association
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【Summary】
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Background: This study aims to investigate patient satisfaction and influencing factors in telemedicine of traditional Chinese medicine (TCM) during the COVID-19 pandemic. We collected patient evaluations and feedback on telemedicine to analyze the factors impacting patient satisfaction during the remote treatment process.
Methods: A cross-sectional study was conducted to explore patient satisfaction and influencing factors in telemedicine of TCM during the COVID-19 pandemic. A total of 337 participants who received TCM telemedicine during the study period were included. Dependent variables included satisfaction with the telemedicine consultation process and treatment effectiveness. Independent variables were categorized into patient demographics, vital signs, questionnaire scores, and TCM treatment information.
Results: The average satisfaction of the subjects with the consultation process was 7.62 (standard deviation = 2.06), and the average satisfaction with the treatment effect was 7.45 (standard deviation = 2.04). Patients reported higher satisfaction with the consultation process and treatment effectiveness when conducted at their own homes. Factors significantly influencing consultation process satisfaction were age, total score of psychological fatigue, acute stress scale, physical fatigue scale,symptom total score, and overall satisfaction with the consultation process. Factors significantly associated with treatment effectiveness satisfaction were age, symptom total score, and overall satisfaction with the consultation process. Patients’ older age was positively correlated with higher satisfaction with both the consultation process and treatment effectiveness.
Conclusion: The study highlights that telemedicine in TCM during the COVID-19 pandemic was positively received by patients. Patients expressed higher satisfaction when the telemedicine consultation occurred at their own homes. Factors such as age and symptom severity were associated with satisfaction levels. Addressing patient concerns and enhancing the consultation process could further improve patient satisfaction in TCM telemedicine. This study provides insights into optimizing telemedicine services in TCM and improving patient experiences during public health emergencies.
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【Keywords】
COVID-19 pandemic; Telemedicine; Satisfaction; Influencing factors; Traditional Chinese Medicine; Video consultation
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