Comparing Patient Satisfaction of Nurse Practitioner-Led Telemedicine and Usual Care Clinics
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The rural veteran patient cohort is at high-risk for disparities in health care primarily due to geographic isolation and lack of primary care providers. As a result of these challenges, the rural patient is a population of interest to the Department of Veterans Affairs prompting the creation of primary care telemedicine clinics. This model of care was developed to close gaps in health care and has been utilized successfully for many years. Primary care providers are inserted into rural clinics virtually where the need is greatest reducing health care access delays. The primary purpose of this project was to measure Nurse Practitioner-led telemedicine clinic effects on patient satisfaction of care compared with usual face-to-face visits. This project used a quasi experimental design and convenience sampling. The population under study was rural veteran patients enrolling 34 in telemedicine and 68 in usual care patients. The project took place at a midwestern Veterans Integrated Service Network hub office and a rural outpatient clinic spoke site. Participants in both groups were provided the opportunity to complete a satisfaction of care questionnaire at the end of their visit. The primary outcome measurement was overall patient satisfaction of care, and the secondary outcome measurements included other aspects of patient satisfaction. Results found no statistically significant difference between the two groups for the primary or secondary outcomes and no association with the participant population demographics. The integration of telemedicine clinics maintains high patient satisfaction of care compared to usual care.
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