S871 Patient Satisfaction With and Access to Virtual Healthcare for Inflammatory Bowel Disease During the COVID-19 Pandemic
Notice bibliographique
Résumé
Introduction: Onset of the COVID-19 pandemic triggered changes to healthcare delivery from in-person to virtual visits. The study objective is to understand how the COVID-19 pandemic impacted healthcare for patients with inflammatory bowel disease (IBD). Methods: An online survey using closed- and open-ended questions was conducted in English and French among Canadian adults ( >18 years) with IBD (Crohn’s disease, ulcerative colitis, IBD-unclassified). Survey questions were specific to patient experiences receiving healthcare for IBD during the COVID-19 pandemic. Descriptive statistics, frequency tabulations and qualitative analysis were used to analyze data. Results: Preliminary analysis of 158 respondents (mean age 34.3 (sd 10.3), 87% female, 52% university degree or higher, 90% white) show that 44% received all IBD care virtually, 4% received all care in-person, 51% used both modalities and 2% did not receive care during the pandemic. Of those that received virtual care, 38% were totally satisfied, 51% were somewhat satisfied, and 11% were not satisfied with the care received. Virtual visits were done mostly using phone calls. Respondents classified access to healthcare providers during the pandemic as easier (14%), about the same (61%) or more difficult (25%) compared to before the pandemic. Virtual visits were a good option for follow-up visits and simple checkups as respondents indicated they were safe, timely and convenient and avoided travel and parking costs. Some respondents felt listened to but others felt rushed, dismissed and in need of a physical examination. For patients starting with a new doctor, virtual visits left them feeling disconnected. When the doctor missed the virtual visit, respondents expressed difficulties rescheduling the appointment. Going forward, respondents want to continue having options for: virtual visits by either phone and videoconferencing; online access to test results and scheduling of appointments; email communication with the nurse/doctor; and faxing prescriptions to the pharmacy. Conclusion: During the pandemic, most respondents had received some of their IBD healthcare virtually and were satisfied with the care received. The majority reported having about the same access to their IBD healthcare providers as before the pandemic. Despite needing to improve some virtual services such the rescheduling of missed virtual visits, nearly all survey respondents wanted virtual health care to continue into the future.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,009 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».