Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients

Abstract Background Given that Telemedicine are widespread in China, and we have developed home enteral nutrition service with telemedicine (HENST) to satisfy HEN requirement of patients. However, only little is known about patient’s experience of HENST model. The objective of this interview study w...

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Main Authors: Ya Ma, Xuemei Li, Qian You, Wen Hu, Zhiyong Rao, Yanru Deng, Yiyao Zhang, Lei Shi
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-12237-3
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author Ya Ma
Xuemei Li
Qian You
Wen Hu
Zhiyong Rao
Yanru Deng
Yiyao Zhang
Lei Shi
author_facet Ya Ma
Xuemei Li
Qian You
Wen Hu
Zhiyong Rao
Yanru Deng
Yiyao Zhang
Lei Shi
author_sort Ya Ma
collection DOAJ
description Abstract Background Given that Telemedicine are widespread in China, and we have developed home enteral nutrition service with telemedicine (HENST) to satisfy HEN requirement of patients. However, only little is known about patient’s experience of HENST model. The objective of this interview study was to explore patient’s experiences and improvement direction of the HENST model. Methods The revisit station of HEN patients between 2018 and 2022 were counted. And epidemiological characteristics of HENST patients in 2022 were collected. Meanwhile, the structured survey was conducted to collect experiences about HENST model from part HEN patients in 2022. Results The revisit rate of HEN patients increased from 25.8% to 35.8%, and the major revisit approach changed from face-to-face clinic visits to HENST. Overall, 1437 HENST patients with 3710 visit records in 2022. Median age was 58.0 years, and most patients were from Chengdu (61.3%). For interview subjects, distance and expense from home to hospital for HENST patients were more than those for face-to-face clinic visit patients, illustrating that HENST can save time and expenses. The patient satisfaction rate for HENST was 98.7%, and viewpoints of HENST improve the visit experience have been deemed by majority HENST patients (81.8%). For face-to-face clinic visit patients, prefer to face-to-face communication was the main reason why not choose HENST. Conclusions HENST is a economic beneficial visit model, with high satisfaction. We should optimize and promote existing video call function of this platform to meet the demands of face-to-face communication. Trial registration The study was registered in the Chinese Clinical Trial Registry (clinical registration number: ChiCTR2100053762, registration date: 2021–11-29).
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spelling doaj-art-aa2097d4d1b4437f8e4dde88025a99c22025-02-09T12:26:56ZengBMCBMC Health Services Research1472-69632025-02-0125111010.1186/s12913-025-12237-3Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patientsYa Ma0Xuemei Li1Qian You2Wen Hu3Zhiyong Rao4Yanru Deng5Yiyao Zhang6Lei Shi7Department of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceDepartment of Clinical Nutrition, West China Hospital of Sichuan University, Sichuan ProvinceAbstract Background Given that Telemedicine are widespread in China, and we have developed home enteral nutrition service with telemedicine (HENST) to satisfy HEN requirement of patients. However, only little is known about patient’s experience of HENST model. The objective of this interview study was to explore patient’s experiences and improvement direction of the HENST model. Methods The revisit station of HEN patients between 2018 and 2022 were counted. And epidemiological characteristics of HENST patients in 2022 were collected. Meanwhile, the structured survey was conducted to collect experiences about HENST model from part HEN patients in 2022. Results The revisit rate of HEN patients increased from 25.8% to 35.8%, and the major revisit approach changed from face-to-face clinic visits to HENST. Overall, 1437 HENST patients with 3710 visit records in 2022. Median age was 58.0 years, and most patients were from Chengdu (61.3%). For interview subjects, distance and expense from home to hospital for HENST patients were more than those for face-to-face clinic visit patients, illustrating that HENST can save time and expenses. The patient satisfaction rate for HENST was 98.7%, and viewpoints of HENST improve the visit experience have been deemed by majority HENST patients (81.8%). For face-to-face clinic visit patients, prefer to face-to-face communication was the main reason why not choose HENST. Conclusions HENST is a economic beneficial visit model, with high satisfaction. We should optimize and promote existing video call function of this platform to meet the demands of face-to-face communication. Trial registration The study was registered in the Chinese Clinical Trial Registry (clinical registration number: ChiCTR2100053762, registration date: 2021–11-29).https://doi.org/10.1186/s12913-025-12237-3Home enteral nutritionTelemedicineRevisitNutrition managementVisit experience
spellingShingle Ya Ma
Xuemei Li
Qian You
Wen Hu
Zhiyong Rao
Yanru Deng
Yiyao Zhang
Lei Shi
Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
BMC Health Services Research
Home enteral nutrition
Telemedicine
Revisit
Nutrition management
Visit experience
title Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
title_full Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
title_fullStr Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
title_full_unstemmed Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
title_short Telemedicine in home enteral nutrition: a structured survey exploring acceptability, preferences and experiences among patients
title_sort telemedicine in home enteral nutrition a structured survey exploring acceptability preferences and experiences among patients
topic Home enteral nutrition
Telemedicine
Revisit
Nutrition management
Visit experience
url https://doi.org/10.1186/s12913-025-12237-3
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