Ali M Omari, Christopher L Antonacci, Jay Zaifman, Anmol Johal, Jolie Conway, Yusuf Mahmoud, Gregg R Klein, Frank G Alberta, John D Koerner
{"title":"Patient Satisfaction with Orthopedic Telemedicine Health Visits During the COVID-19 Pandemic.","authors":"Ali M Omari, Christopher L Antonacci, Jay Zaifman, Anmol Johal, Jolie Conway, Yusuf Mahmoud, Gregg R Klein, Frank G Alberta, John D Koerner","doi":"10.1089/tmj.2021.0170","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b><i>Telemedicine usage in orthopedic surgery has seen a dramatic increase as a result of the severe acute respiratory syndrome coronavirus 2 pandemic. The purpose of this study was to examine patient perceptions with telemedicine at a large orthopedic practice.</i><b><i>Materials and Methods:</i></b><i>An anonymous online survey was distributed to all patients who received a telemedicine health visit at our institution for musculoskeletal complaints from March 17 to June 1, 2020. Responses were scored on a 5-point Likert scale (strongly disagree, disagree, neutral, agree, and strongly agree, 1-5) and analyzed by average score and percent reaching top box.</i><b><i>Results:</i></b><i>A majority of patients (76.5%) were satisfied with their visit, and only 19.2% did not want telemedicine as a future option. Patients who presented for follow-up visits (4.11 vs. 3.94,</i> p<i> = 0.0053; 48% vs. 41%,</i> p<i> = 0.02) and utilized video (4.21 vs. 3.88,</i> p <i>< 0.001; 51% vs. 39%,</i> p <i>< 0.001) were more satisfied. Average satisfaction between older (>65 years) and younger patients was similar (4.06 vs. 4.06,</i> p<i> = 0.97), however, younger patients were more likely to reach top box (42% vs. 51%,</i> p <i>< 0.001). Confidence that the physician came to the correct diagnosis (</i>r<i> = 0.78,</i> p <i>< 0.001) and receiving the same information and care as an in-office visit (</i>r<i> = 0.60,</i> p <i>< 0.001) demonstrated the strongest correlation with satisfaction and desire for future telemedicine visits, respectively. Interestingly, 31.1% of patients would have sought treatment elsewhere had telemedicine not been an option.</i><b><i>Conclusions:</i></b><i>Overall, satisfaction rates are high for orthopedic patients undergoing telemedicine visits. Patients are more confident in telemedicine when presenting for a follow-up visit and with the use of video.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"806-814"},"PeriodicalIF":0.0000,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/tmj.2021.0170","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/11/1 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 9
Abstract
Background:Telemedicine usage in orthopedic surgery has seen a dramatic increase as a result of the severe acute respiratory syndrome coronavirus 2 pandemic. The purpose of this study was to examine patient perceptions with telemedicine at a large orthopedic practice.Materials and Methods:An anonymous online survey was distributed to all patients who received a telemedicine health visit at our institution for musculoskeletal complaints from March 17 to June 1, 2020. Responses were scored on a 5-point Likert scale (strongly disagree, disagree, neutral, agree, and strongly agree, 1-5) and analyzed by average score and percent reaching top box.Results:A majority of patients (76.5%) were satisfied with their visit, and only 19.2% did not want telemedicine as a future option. Patients who presented for follow-up visits (4.11 vs. 3.94, p = 0.0053; 48% vs. 41%, p = 0.02) and utilized video (4.21 vs. 3.88, p < 0.001; 51% vs. 39%, p < 0.001) were more satisfied. Average satisfaction between older (>65 years) and younger patients was similar (4.06 vs. 4.06, p = 0.97), however, younger patients were more likely to reach top box (42% vs. 51%, p < 0.001). Confidence that the physician came to the correct diagnosis (r = 0.78, p < 0.001) and receiving the same information and care as an in-office visit (r = 0.60, p < 0.001) demonstrated the strongest correlation with satisfaction and desire for future telemedicine visits, respectively. Interestingly, 31.1% of patients would have sought treatment elsewhere had telemedicine not been an option.Conclusions:Overall, satisfaction rates are high for orthopedic patients undergoing telemedicine visits. Patients are more confident in telemedicine when presenting for a follow-up visit and with the use of video.
背景:由于严重急性呼吸综合征冠状病毒2大流行,骨科手术中远程医疗的使用急剧增加。本研究的目的是检查远程医疗在一个大型骨科实践患者的看法。材料与方法:对2020年3月17日至6月1日在我院接受远程医疗健康访问的所有肌肉骨骼投诉患者进行匿名在线调查。回答以5分的李克特量表(强烈不同意,不同意,中性,同意,强烈同意,1-5)进行评分,并通过平均分和达到顶框的百分比进行分析。结果:大多数患者(76.5%)对他们的就诊感到满意,只有19.2%的患者不希望远程医疗成为未来的选择。接受随访的患者(4.11 vs. 3.94, p = 0.0053;48% vs. 41%, p = 0.02)和利用视频(4.21 vs. 3.88, p < 0.001;51%比39% (p < 0.001)更满意。老年(>65岁)和年轻患者的平均满意度相似(4.06比4.06,p = 0.97),但年轻患者更容易达到顶盒(42%比51%,p < 0.001)。对医生做出正确诊断的信心(r = 0.78, p < 0.001)和接受与办公室就诊相同的信息和护理(r = 0.60, p < 0.001)分别与满意度和对未来远程医疗就诊的愿望表现出最强的相关性。有趣的是,如果没有远程医疗,31.1%的患者会在其他地方寻求治疗。结论:总体而言,骨科患者远程就诊满意度较高。在进行随访和使用视频时,患者对远程医疗更有信心。