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Objectives <p>We aimed to evaluate patient satisfaction of a model of allied health led telemedicine in rheumatology clinic during and beyond COVID-19 pandemic.</p> Methods <p>A new model of enhanced virtual monitoring clinic (eVMC) led by trained allied care professionals with prescription rights was set up and expanded in 2019 for a variety of rheumatic diseases. In this cross-sectional study, we recruited participants who attended the eVMC via emails, text messages or in outpatient clinic. We assessed patient satisfaction using the validated Client Service Questionnaire-8 (CSQ-8). Variables associated with patient satisfaction were evaluated using generalised linear regression models. We asked participants of reasons they liked or disliked about eVMC and their willingness to continue eVMC.</p> Results <p>Of 433 participants (64.4% female, mean age 56.1 years), patient satisfaction was high with a mean (standard deviation, SD) total CSQ-8 score of 25.9 (SD = 4.6) out of 32. Higher education (ß=1.75, 95% CI: 0.49, 3.01; <i>p</i> = 0.006) and stable rheumatological condition (ß=2.30, 95% CI: 0.98, 3.61; <i>p</i> = 0.001) were associated with higher patient satisfaction. The top three reasons participants favouring eVMC during COVID-19 pandemic were time saved from travelling, reduced risk of infection and convenience of medicine delivery services. 82.9% of participants expressed willingness to continue eVMC after COVID-19 pandemic.</p> Conclusion <p>We described a new model of telemedicine led by trained allied health professional that has become an indispensable part of rheumatology care beyond COVID-19 pandemic. Rheumatology outpatients expressed a high level of satisfaction with the eVMC. Higher education and stable disease were associated with patient satisfaction.</p>

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Patient satisfaction in a new model of nurse- and pharmacist-led virtual monitoring clinic in rheumatology practice

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月4日

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  • Cheryl Y. L. Lim,
  • Shuo Chen,
  • Siaw Ing Yeo,
  • Andrea H. L. Low,
  • Warren Fong,
  • Li-Ching Chew,
  • Cassandra Hong,
  • Chin Teck Ng,
  • Yih Jia Poh,
  • Tze Chin Tan,
  • Sow Ling Yee,
  • Teong Guan Lim,
  • Cynthia S. Q. Ong,
  • Ying-Ying Leung

摘要

Objectives

We aimed to evaluate patient satisfaction of a model of allied health led telemedicine in rheumatology clinic during and beyond COVID-19 pandemic.

Methods

A new model of enhanced virtual monitoring clinic (eVMC) led by trained allied care professionals with prescription rights was set up and expanded in 2019 for a variety of rheumatic diseases. In this cross-sectional study, we recruited participants who attended the eVMC via emails, text messages or in outpatient clinic. We assessed patient satisfaction using the validated Client Service Questionnaire-8 (CSQ-8). Variables associated with patient satisfaction were evaluated using generalised linear regression models. We asked participants of reasons they liked or disliked about eVMC and their willingness to continue eVMC.

Results

Of 433 participants (64.4% female, mean age 56.1 years), patient satisfaction was high with a mean (standard deviation, SD) total CSQ-8 score of 25.9 (SD = 4.6) out of 32. Higher education (ß=1.75, 95% CI: 0.49, 3.01; p = 0.006) and stable rheumatological condition (ß=2.30, 95% CI: 0.98, 3.61; p = 0.001) were associated with higher patient satisfaction. The top three reasons participants favouring eVMC during COVID-19 pandemic were time saved from travelling, reduced risk of infection and convenience of medicine delivery services. 82.9% of participants expressed willingness to continue eVMC after COVID-19 pandemic.

Conclusion

We described a new model of telemedicine led by trained allied health professional that has become an indispensable part of rheumatology care beyond COVID-19 pandemic. Rheumatology outpatients expressed a high level of satisfaction with the eVMC. Higher education and stable disease were associated with patient satisfaction.