新冠肺炎疫情期間中醫遠距醫療滿意度與

An Investigation of Patient Satisfaction and Influencing Factors in Telemedicine for Traditional Chinese Medicine during the COVID-19 Pandemic.

林舜穀1,2,3劉潔心4,*黃建榮4,5,*

1台北市立聯合醫院仁愛院區

2臺北市立大學

3國立陽明交通大學公共衛生研究所

4國立臺灣師範大學健康促進與衛生教育學系

5台北市中醫師公會

背景：隨著新冠肺炎疫情的爆發，遠距醫療成為一種重要的醫療服務方式，為患者提供便利的醫療服務。然而，對於中醫遠距醫療的滿意度和影響因子方面的研究仍然有限。本研究旨在探討新冠肺炎疫情期間中醫遠距醫療的滿意度，並分析其影響因子，以提供更好的醫療服務。

方法：本研究採用橫斷性研究設計，納入337名在新冠肺炎疫情期間接受中醫遠距醫療的患者。研究收集患者的問診過程滿意度和療效滿意度作為依變數。自變數包括患者的基本資料、生命徵項測量、問卷量表分數以及中醫就醫資訊。使用描述性統計、ANOVA分析、獨立樣本t檢定和多元線性迴歸分析來分析數據，尋找影響滿意度的主要因素。

結果：研究結果顯示，受試者對問診過程的滿意度平均為7.62±2.06），對療效的滿意度平均為7.45±2.04）。在問診過程滿意度和療效滿意度方面，受試者在自家進行視訊診療表現出較高的滿意度。年齡、服藥天數、中醫處方、過去使用中醫次數、在何處進行視訊、視訊資訊來源等變數對問診過程滿意度有顯著影響。同時，年齡、症狀總分和問診過程滿意度對療效滿意度具有重要影響。

結論：本研究結果顯示，在新冠肺炎疫情期間，受試者對於中醫遠距醫療普遍表現出較高的滿意度，特別是在自家進行視訊診療時。年齡、服藥天數、中醫處方、過去使用中醫次數、在何處進行視訊、視訊資訊來源等因素可能會影響患者對於問診過程的滿意度。這些結果有助於提高遠距醫療服務的品質和滿意度，並在新冠肺炎疫情期間和未來的醫療實踐中發揮積極的影響。

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.