Telemedicina durante la pandemia del COVID-19 en una ciudad altoandina: Estudio en línea a pacientes
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Vive Rev. Salud
Abstract
Con la llegada de la pandemia del COVID-19, el gobierno peruano realizó modificaciones en el sistema de salud, dando paso al decreto legislativo N° 117-2020, para el servicio de telemedicina dentro del sector de la salud pública y privada, entendiéndose como la comunicación entre el paciente y el profesional médico a través de un dispositivo como computadora o teléfono. Objetivo. Identificar los niveles de satisfacción en la atención del servicio por telemedicina de los pacientes de una clínica privada de especialidades médicas en la ciudad de Puno durante la pandemia por COVID-19. Materiales y métodos. El diseño del estudio fue observacional, prospectivo; previo consentimiento informado, se aplicó el cuestionario The Patient Satisfaction Questionnaire Short Form [PSQ-18] de manera virtual a 56 pacientes mayores de 18 años seleccionados de manera no probabilística durante la pandemia mediante la telemedicina en una clínica de Puno durante el 2020 y 2021. Resultados. El 55,4% de los pacientes se mostraron parcialmente satisfechos y el 39,3% indicaron estar satisfechos; encontrándose asociación estadística significativa entre la satisfacción de la atención de salud mediante telemedicina con la edad del paciente (p<0,01*); las dimensiones del cuestionario mostraron medias ligeramente altas, destacando las dimensiones Accesibilidad y comodidad (12,93±3,13); Calidad técnica (12,34±3,56); Trato interpersonal (6,45±1,32); aspectos financieros (6,32±1,52) y satisfacción general (6,11±1,88). Conclusiones. Las dimensiones referidas a la calidad técnica, comodidad y accesibilidad fueron reportadas con mayores niveles de satisfacción, estos hallazgos contribuyen a la evidencia sobre la aceptación de la telemedicina como una alternativa viable para brindar atención de calidad.
With the arrival of the COVID-19 pandemic, the Peruvian government made changes in the health system, giving way to Legislative Decree No. 117-2020, for the telemedicine service within the public and private health sector, understood as the communication between the patient and the medical professional through a device such as a computer or telephone. Objective. To identify the levels of satisfaction with the telemedicine service provided to patients in a private medical specialty clinic in the city of Puno during the COVID-19 pandemic. Materials and methods. The study design was observational, prospective; prior informed consent, The Patient Satisfaction Questionnaire Short Form [PSQ-18] was applied virtually to 56 patients over 18 years of age selected in a non-probabilistic manner during the pandemic through telemedicine in a clinic in Puno during 2020 and 2021. Results. 55.4% of the patients were partially satisfied and 39.3% were satisfied; a significant statistical association was found between satisfaction with health care through telemedicine and the patient's age (p<0.01*); the dimensions of the questionnaire showed slightly high averages, highlighting the dimensions Accessibility and comfort (12.93±3.13); Technical quality (12.34±3.56); Interpersonal treatment (6.45±1.32); financial aspects (6.32±1.52) and general satisfaction (6.11±1.88). Conclusions. The dimensions referring to technical quality, comfort and accessibility were reported with higher levels of satisfaction, these findings contribute to the evidence on the acceptance of telemedicine as a viable alternative to provide quality care.
With the arrival of the COVID-19 pandemic, the Peruvian government made changes in the health system, giving way to Legislative Decree No. 117-2020, for the telemedicine service within the public and private health sector, understood as the communication between the patient and the medical professional through a device such as a computer or telephone. Objective. To identify the levels of satisfaction with the telemedicine service provided to patients in a private medical specialty clinic in the city of Puno during the COVID-19 pandemic. Materials and methods. The study design was observational, prospective; prior informed consent, The Patient Satisfaction Questionnaire Short Form [PSQ-18] was applied virtually to 56 patients over 18 years of age selected in a non-probabilistic manner during the pandemic through telemedicine in a clinic in Puno during 2020 and 2021. Results. 55.4% of the patients were partially satisfied and 39.3% were satisfied; a significant statistical association was found between satisfaction with health care through telemedicine and the patient's age (p<0.01*); the dimensions of the questionnaire showed slightly high averages, highlighting the dimensions Accessibility and comfort (12.93±3.13); Technical quality (12.34±3.56); Interpersonal treatment (6.45±1.32); financial aspects (6.32±1.52) and general satisfaction (6.11±1.88). Conclusions. The dimensions referring to technical quality, comfort and accessibility were reported with higher levels of satisfaction, these findings contribute to the evidence on the acceptance of telemedicine as a viable alternative to provide quality care.
Description
Vol. 6, No. 18