[Telemedical anesthesia consent - Are the patients ready for it? : A comparative requirement analysis before and during the pandemic].

Die Anaesthesiologie Pub Date : 2024-03-01 Epub Date: 2024-02-16 DOI:10.1007/s00101-024-01387-4
A Follmann, J Wienhold, A Arnolds, M Derwall, R Rossaint, M Czaplik
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Abstract

Background: Comprehensive anesthesia preparation by means of the anamnesis and physical examination is considered an essential part of the quality criteria for anesthesia. Especially due to the shortage of specialists, there are usually long waiting times in anesthesia outpatient departments and patients must frequently return in cases of missing or pending findings. Telemedicine already offers alternatives in the context of video communication. These alternatives are now particularly prominent due to the currently existing COVID-19 pandemic and the resulting recommendations for digitalization.

Objectives: This comparative cross-sectional study was carried out to show via a patient survey which patient groups are suitable for a telemedical anesthesia preparation and whether the patients are already technically sufficiently equipped.

Material and methods: For this purpose, a total of 2080 patients (1030 before and 1050 during the pandemic) were interviewed using a questionnaire. For matched paired analyses, 630 pairs were formed according to their age and gender.

Results: Before and after the pandemic, there was an increase in the percentage of patients already using video communication in their daily lives (30.4% vs. 41.8%). Before the pandemic, 31.7% of patients indicated that they considered this concept of communication to be a practical and appropriate method for an educational conversation and after the pandemic this number increased to 46.6%. For the majority of patients personal contact with a local anesthesiologist was important (80.7% before vs. 67.4% during the pandemic). The number of patients who had the necessary technical equipment for video communication also increased as a result of the COVID-19 pandemic (50.4% vs. 58.2%).

Discussion: Almost half of the patients already seem to be open to a telemedical preoperative evaluation. As digitalization progresses, older generations are more likely to recognize the benefits and be able to own and use the necessary technology in the near future. User acceptance should be the central goal of concept development. This must be followed by a randomized controlled study to evaluate the potentials but also the problems in the perioperative process.

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[远程医疗麻醉同意--患者准备好了吗? 大流行之前和期间的需求对比分析]。
背景:通过病史和体格检查进行全面的麻醉准备被认为是麻醉质量标准的重要组成部分。特别是由于专科医生的短缺,麻醉门诊部的等候时间通常很长,病人在检查结果缺失或待定的情况下必须经常复诊。远程医疗已经在视频通信方面提供了替代方案。由于目前正在进行的 COVID-19 大流行以及由此产生的数字化建议,这些替代方案现在显得尤为突出:这项横断面比较研究旨在通过一项患者调查,说明哪些患者群体适合进行远程医疗麻醉准备,以及患者是否已经具备足够的技术条件:为此,我们使用调查问卷对 2080 名患者(大流行前 1030 名,大流行期间 1050 名)进行了访谈。为了进行配对分析,根据患者的年龄和性别组成了 630 对配对:大流行前后,在日常生活中使用视频通讯的患者比例有所增加(30.4% 对 41.8%)。大流行前,31.7% 的患者表示他们认为这种交流方式是一种实用且合适的教育谈话方法,而大流行后,这一比例上升到 46.6%。对大多数患者而言,与当地麻醉师的个人联系非常重要(大流行前为 80.7%,大流行期间为 67.4%)。拥有视频通讯所需技术设备的患者人数也因 COVID-19 大流行而增加(50.4% 对 58.2%):讨论:近一半的患者似乎已经对远程医疗术前评估持开放态度。随着数字化进程的推进,老一代人更有可能认识到其好处,并在不久的将来拥有和使用必要的技术。用户接受度应该是概念开发的核心目标。随后必须进行随机对照研究,以评估围术期过程中的潜力和问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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