Gokhan Anil, Bipinchandra Hirisave Krishna, Christine C Johnson, Spencer L Richards, Pawan Bhandari
{"title":"Outpatient Practice Reactivation in an Integrated Community Practice During the COVID-19 Pandemic.","authors":"Gokhan Anil, Bipinchandra Hirisave Krishna, Christine C Johnson, Spencer L Richards, Pawan Bhandari","doi":"10.1089/tmj.2021.0107","DOIUrl":"https://doi.org/10.1089/tmj.2021.0107","url":null,"abstract":"<p><p><b>Introduction:</b> The coronavirus disease 2019 (COVID-19) pandemic has impacted health care organizations throughout the world. The Southwest Minnesota Region of Mayo Clinic Health System, a community-based health care system, was not immune, and in March 2020, our outpatient services were deferred and decreased by 90%. <b>Method:</b> This article is a review of the approach we used to safely reactivate outpatient care, the tools that we developed, and the outcomes of these reactivation efforts. A novel Outpatient Practice Reactivation Framework was established and used that included Outpatient Clinic Appointment Dashboard, Decision Matrix, Access Management, Virtual Care, and Patient Safety. This framework was guided by patient demand for care and by safety principles, as recommended by state and federal agencies and our internal infectious disease department guidelines. <b>Results and Conclusions:</b> Over the course of 9 weeks, ambulatory visit volumes and clinic utilization rates returned to pre-COVID levels (Pre-COVID fill rate range: 87% to 94%, post-COVID fill rate range: 86% to 89%) exceeding target fill rate of 80%, as a result of establishing the initiative as a shared priority, committing to a robust schedule and decisive actions, creating and maintaining a well-defined structure, taking an inclusive approach, overcommunicating and providing sufficient data for transparency, developing guiding principles, and training and educating staff.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"583-590"},"PeriodicalIF":4.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39209767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions of Telehealth Among Commercial Members Who Responded to a Patient-Experience Survey During the Onset of the Coronavirus-19 Pandemic.","authors":"Alina Rossini, Alexis Parente, Benjamin Howell","doi":"10.1089/tmj.2021.0196","DOIUrl":"https://doi.org/10.1089/tmj.2021.0196","url":null,"abstract":"<p><p><b>Introduction:</b> The body of literature on telehealth perception among commercial members is limited. Therefore, we administered a patient-experienced survey (Clinician and Group Consumer Assessment of Healthcare Providers and Systems [CG-CAHPS]) to determine member perceptions of telehealth, including willingness to pay for it and the likelihood to access it again. <b>Methods:</b> This study used a cross-sectional design, and members were assigned into two groups: those who had a telehealth visit with their primary care provider (PCP) or a provider in the same practice and those who had a telehealth visit with a provider outside of their PCP's practice. Logistic regression models were used to observe group differences in telehealth perception. <b>Results:</b> A total of 444 members replied to the CG-CAHPS survey and had a virtual visit; 21.1% had a telehealth visit with a provider outside of their PCP's practice, and 78.8% had a telehealth visit with their PCP or a provider in the same practice. Compared with members who saw a provider outside of their PCP's practice, members who saw their PCP or a provider in the same practice had 3.76 higher odds (confidence interval [95% CI]: 1.49-9.44) of rating in-person care as no different than virtual care; 2.29 higher odds (95% CI: 1.30-4.04) of reporting they would likely use telehealth again in the future; and 1.70 higher odds (95% CI: 0.99-2.91) of responding that they would be willing to pay an in-office visit copay for a telehealth visit. <b>Conclusion:</b> These results suggest that the familiarity of a member's PCP extends to the provider's practice and impacts member outlook on telehealth.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"551-557"},"PeriodicalIF":4.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39275579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katharine M Mitchell, Bree E Holtz, Alexis M McCarroll
{"title":"Assessing College Students' Perceptions of and Intentions to Use a Mobile App for Mental Health.","authors":"Katharine M Mitchell, Bree E Holtz, Alexis M McCarroll","doi":"10.1089/tmj.2021.0106","DOIUrl":"https://doi.org/10.1089/tmj.2021.0106","url":null,"abstract":"<p><p><b>Introduction:</b> College students face high rates of depression, anxiety, and suicide. Therefore, the focus of this study was to examine college students' intention to use a mental health app provided by the university, called MySSP, through use of the unified theory of acceptance and use of technology (UTAUT). <b>Materials and Methods:</b> An online survey was developed based on responses to focus groups previously conducted by the authors regarding MySSP. A multiple linear regression was conducted to test the associations between the UTAUT variables and behavioral intention. In addition, moderation analyses were conducted to explore the effects of depression, anxiety, stigma, and quality of life as moderators. <b>Results:</b> Results suggest that performance expectancy (PE) (<i>t</i> = 3.088, <i>p</i> = 0.003) and social influence (SI) (<i>t</i> = -2.163, <i>p</i> = 0.03) were the only significant predictors of behavioral intention. The only significant moderator was stigma in the relationship between effort expectancy and behavioral intention (<i>b</i> = -1.6081, standard error (SE) = 0.7454, confidence interval (CI): -3.0691 to -0.1472) as well as facilitating conditions (FCs) and behavioral intention (<i>b</i> = -2.2292, SE = 0.8580, CI: -3.9110 to -0.5475). <b>Conclusions:</b> This study provides an initial exploration of college students' intentions to use MySSP. The results suggest that successful interventions include features related to PE (usefulness) and SI (norms), which should be focused on when developing and testing apps for mental health. Additionally, the stigma of mental health has significant negative impacts on the adoption of mental health apps and should be considered in implementation of mental health interventions geared toward college students.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"566-574"},"PeriodicalIF":4.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39101666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephan Sperling, Camila Rocon de Lima Andretta, Josue Basso, Carlos Eduardo Alves Batista, Igor da Costa Borysow, Felipe Cezar Cabral, Eno Dias de Castro Filho, Lauro Augusto Veloso Costa, Luana Gonçalves Gehres, Kevin Yun Kim, Marcos Aurélio Maeyama, Érica de Brito Mallmann, Renata Albaladejo Morbeck, Marcia Maria Oblonczyk, Daniela Vianna Pachito, Átila Szczecinski Rodrigues, Camila Furtado de Souza, Camila Pereira Pinto Toth, Sabrina Dalbosco Gadenz
{"title":"Telehealth for Supporting Referrals to Specialized Care During COVID-19.","authors":"Stephan Sperling, Camila Rocon de Lima Andretta, Josue Basso, Carlos Eduardo Alves Batista, Igor da Costa Borysow, Felipe Cezar Cabral, Eno Dias de Castro Filho, Lauro Augusto Veloso Costa, Luana Gonçalves Gehres, Kevin Yun Kim, Marcos Aurélio Maeyama, Érica de Brito Mallmann, Renata Albaladejo Morbeck, Marcia Maria Oblonczyk, Daniela Vianna Pachito, Átila Szczecinski Rodrigues, Camila Furtado de Souza, Camila Pereira Pinto Toth, Sabrina Dalbosco Gadenz","doi":"10.1089/tmj.2021.0208","DOIUrl":"https://doi.org/10.1089/tmj.2021.0208","url":null,"abstract":"<p><p><b>Introduction:</b> The coronavirus disease 2019 (COVID-19) pandemic led to the suspension or postponement of care for non-urgent conditions worldwide. <i>Regula Mais Brasil</i> is an initiative of the Unified Health System (SUS) in Brazil to optimize the management of referrals to specialized care by using telehealth. <b>Objectives:</b> To report the expansion of telehealth activities of <i>Regula Mais Brasil</i> in response to COVID-19 and to assess qualification of referrals in primary health care (PHC) units as well as the added value of teleconsultation in qualifying referral cases. <b>Methods:</b> Descriptive study of the teleconsultations carried out as an additional strategy to the remotely operated referral management system, responsible for navigating cases from PHC units to specialized care in Recife, Brazil, between May 6, 2020 and September 30, 2020. Teleconsultation was implemented as a tool for reducing delays in the access to health care due to COVID-19 and ultimately allowed for reclassification of the referral adequacy and priority. Changes in referral priority ratings and referral decisions after teleconsultation were analyzed. <b>Results:</b> A total of 622 referral cases were analyzed. Approved referrals represented 51.9% of cases. The main reason for approved referrals was the need for diagnostic resources. There was a reduction in priority ratings in 449 cases (72.2%) after teleconsultation. There was a statistically significant association between the change of priority ratings and the decision on referral (Pearson's χ<sup>2</sup>, <i>p</i>-value <0.0001). Results show that telemedicine had an impact on the prioritization and qualification of cases referred to specialized services. <b>Conclusions:</b> A need was detected to rapidly adapt tools available for telemedicine in Brazil. Our results demonstrate that teleconsultation as an additional strategy to the remotely operated referral management system has contributed toward improving equitable access to specialized services.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"544-550"},"PeriodicalIF":4.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marika Elise Waselewski, Eric Andrew Waselewski, Margaret Wasvary, Georgia Wood, Keagan Pratt, Tammy Chang, Aliya Courtney Hines
{"title":"Perspectives on Telemedicine from a National Study of Youth in the United States.","authors":"Marika Elise Waselewski, Eric Andrew Waselewski, Margaret Wasvary, Georgia Wood, Keagan Pratt, Tammy Chang, Aliya Courtney Hines","doi":"10.1089/tmj.2021.0153","DOIUrl":"https://doi.org/10.1089/tmj.2021.0153","url":null,"abstract":"<p><p><b>Introduction:</b> Telemedicine is increasingly popular with the recent surge in use due to the COVID-19 pandemic. Despite youth status as \"tech natives,\" limited data are available on their perspectives on telemedicine. Our study seeks to understand youth telemedicine knowledge, prior experiences, preferences for use, and the impact of COVID-19 on these perspectives. <b>Methods:</b> Participants in MyVoice, a national text message cohort of U.S. youth age 14-24, were sent five open-ended questions in October 2019 and October 2020. A codebook was iteratively developed by using inductive analysis. Responses were independently coded by two investigators, with discrepancies resolved by discussion or a third investigator. <b>Results:</b> Sixty-five percent (836/1,283) and 77% (887/1,129) of participants responded to at least 1 question in 2019 and 2020, respectively. Most youth reported awareness of telemedicine and although many have not used it, COVID-19 has increased use. Further, many are willing to try telemedicine services. Most youth noted a preference for video rather than phone visits, but they believe both to be less effective than in person. Youth also reported varied preferences on services best suited for telemedicine, with COVID-19 positively impacting their views. <b>Discussion:</b> Youth are aware of and willing to use telemedicine services, with many reporting use during the COVID-19 pandemic. Youth are willing to accept a wide variety of telemedicine services, though they still desire in-person options. Health systems and clinics should offer a wide range of services via telemedicine to fit the varying needs of youth both during and after the COVID-19 pandemic.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"575-582"},"PeriodicalIF":4.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39329508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James C Wang, Nora C Elson, Madison V Epperson, Charles R Doarn, Mekibib Altaye, Meredith E Tabangin, Reena Dhanda Patil, Yash J Patil
{"title":"A Report on the Use of Telehealth in Otolaryngology in the Pre COVID-19 Era.","authors":"James C Wang, Nora C Elson, Madison V Epperson, Charles R Doarn, Mekibib Altaye, Meredith E Tabangin, Reena Dhanda Patil, Yash J Patil","doi":"10.1089/tmj.2021.0049","DOIUrl":"https://doi.org/10.1089/tmj.2021.0049","url":null,"abstract":"Objective: To investigate the integration of and barriers to the utilization of telehealth technology and its components (telemedicine, e-Health, m-health) in daily otolaryngologic practice before the SARS CoV-2 (COVID-19) pandemic. Methods: This cross-sectional study was conducted at a tertiary academic center. A national survey of members of the American Academy of Otolaryngology-Head and Neck Surgery was administered. Descriptive analyses were performed to determine how telehealth was employed in otolaryngologists' practices. Results: A total of 184 surveys were completed. Telehealth technology was used by 50% of otolaryngologists surveyed. Regions with the largest percentage of physicians using telehealth were the Mid-Atlantic region (84%) and West Coast (67%). Most otolaryngologists indicated that they were familiar with telehealth or any of its components and how it is used in practice (52-83%), they had heard of telehealth or any of its components but were unsure what the terms specifically entailed (17-42%); 53% were satisfied with their current use of telehealth and electronic medical record (EMR); and 72% were comfortable utilizing smart devices for patient care. Most otolaryngologists (65%) indicated reimbursement as the biggest limitation to implementing telehealth, and 67% believed that typing was a hindrance to EMR utility. Conclusion: Half of the surveyed otolaryngologists used some form of telehealth at the time of the survey. The most commonly cited obstacle to physician adoption of telehealth was reimbursement. Although the adoption of telehealth technology was still limited in the field of otolaryngology based on this study, we are now seeing significant change due to the COVID-19 pandemic.","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"334-343"},"PeriodicalIF":4.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39026329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley M Hyde, Makayla Watt, Michelle Carbonneau, Ejemai Amaize Eboreime, Juan G Abraldes, Puneeta Tandon
{"title":"Understanding Preferences Toward Virtual Care: A Pre-COVID Mixed Methods Study Exploring the Perspectives of Patients with Chronic Liver Disease.","authors":"Ashley M Hyde, Makayla Watt, Michelle Carbonneau, Ejemai Amaize Eboreime, Juan G Abraldes, Puneeta Tandon","doi":"10.1089/tmj.2021.0099","DOIUrl":"https://doi.org/10.1089/tmj.2021.0099","url":null,"abstract":"<p><p><b>Background:</b> Traditionally, outpatient visits for those with chronic liver disease (CLD) have been delivered in-person with the patient traveling to a centralized location to see the health care provider. The use of virtual care in health care delivery has been gaining popularity across a variety of patient populations, especially within the COVID-19 context. Performed before COVID-19, the aim of the present study was to explore the perspectives of patients with CLD toward the use of virtual care with their liver specialists. <b>Methods:</b> A cross-sectional, mixed methods study was used to conduct this work. <b>Results:</b> A total of 101 patients with CLD participated in this study. Participants had a mean age of 54.5 years (range 19-87 years). Quantitative analysis revealed that 86% were willing to attend a virtual visit with their liver specialist in the future. There was a significant relationship between both age and income level and acceptance of virtual care. The themes emerging from the qualitative analysis included: (1) past experiences attending in-person visits, (2) perspectives on the use of virtual visits, and (3) perceived challenges of virtual visits. <b>Conclusions:</b> Although there are many potential benefits of virtual care to both the patient and the health care system, there are instances (older age, low income level) when in-person care may be preferred by patients. A tailored approach that is mindful of the individual patient's health status, ease of access to technology, and preferences must be considered when offering virtual care. These findings are of particular relevance during COVID-19, an era that has forced us into the virtual space.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"407-414"},"PeriodicalIF":4.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38980374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seth Peterson, Jodi Young, Visnja King, Jeff Meadows
{"title":"Patient Expectations for Synchronous Telerehabilitation Visits: A Survey Study of Telerehabilitation-Naive Patients.","authors":"Seth Peterson, Jodi Young, Visnja King, Jeff Meadows","doi":"10.1089/tmj.2021.0083","DOIUrl":"https://doi.org/10.1089/tmj.2021.0083","url":null,"abstract":"<p><p><b>Introduction:</b> The current study evaluated patient expectations for synchronous telerehabilitation. Because the coronavirus disease 2019 (COVID-19) pandemic decreased regulatory barriers and increased accessibility of telehealth, improved understanding of expectations may direct future educational efforts, improve implementation strategies, and inform future analyses of consumer adoption and utilization of telehealth. <b>Methods:</b> A cross-sectional survey design was used to measure ideal expectations (what they want to happen) and realistic expectations (what they think will happen) of telerehabilitation-naive patients for synchronous telerehabilitation. Participants were recruited through e-mail and social media and in person from seven outpatient private practice physical therapy clinics across the United States. Patients completed an online anonymous adaptation of the Patients' Expectations Questionnaire (PEQ) and were asked whether they expected synchronous telerehabilitation to benefit them personally. Open-ended responses were collected and analyzed for categories and themes. <b>Results:</b> Of 178 participants, the greatest mean difference between ideal and realistic expectations among PEQ subscales was for outcomes (0.49; 95% confidence interval [CI], 0.37-0.60), and the greatest mean difference among individual items was for symptom reduction (0.53; 95% CI, 0.41-0.66). Although participants appeared to appreciate the value of telerehabilitation visits, with 69.7% indicating that it would benefit them personally, many expressed a preference for face-to-face visits when possible. <b>Discussion:</b> Expectations were mostly positive. Lower outcomes expectations may be a potential barrier to adoption and utilization of telehealth and other types of digital physical therapy in some patients. <b>Conclusions:</b> To improve beliefs and address potential barriers, physical therapy clinicians should discuss expectations with patients before recommending telerehabilitation visits.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"422-432"},"PeriodicalIF":4.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39150091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Telemedicine in Rural Mental Health Care Around the Globe.","authors":"Lindsey Jo Hand","doi":"10.1089/tmj.2020.0536","DOIUrl":"https://doi.org/10.1089/tmj.2020.0536","url":null,"abstract":"<p><p><b>Purpose:</b> Through a qualitative systematic literature review (<i>n</i> = 12), this article seeks to better understand how telemedicine is used globally to address mental health needs within rural areas. This article highlights common barriers and advantages to providing this type of care, arguing that telemedicine services may be quite impactful in addressing mental health care needs in rural areas, but barriers, risks, and other cultural considerations must be considered when designing and implementing telemental health intervention programs. <b>Methods:</b> A search was conducted using PubMed, Google Scholar, PsychINFO, Medline, and SocINDEX. The inclusion criteria: (1) studies published between the years 2012 and 2019; (2) studies that met rigorous methodological criteria or analyzed telemedicine programs rigorously with evidence-based approaches; and (3) studies that specifically address or discuss tested telemedicine intervention programs for mental health in rural areas. Twelve articles of the 143 reviewed met the inclusion criteria. <b>Findings:</b> Themes included: (1) advantages (cost-effectiveness; accessibility, feasibility, and addressing disparities; privacy/confidentiality; integrative/collaborative care with primary care providers); (2) barriers and challenges (digital divides and infrastructure; ongoing care); (3) need for evaluation, evidence-based programs, and sustainability; and (4) across-cultural considerations. <b>Conclusions:</b> Future research examining the use of telemedicine in mental health intervention programs for rural areas should focus on various types of rural communities across the globe, diversifying the scope of this type of research and allowing for a better understanding of how to implement programs that address specific needs and barriers unique to rural communities across the globe.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"285-294"},"PeriodicalIF":4.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39039442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ralph Wesley Vosburg, Kortney A Robinson, Chuanyun Gao, Julie J Kim
{"title":"Patient and Provider Satisfaction with Telemedicine in a Comprehensive Weight Management Program.","authors":"Ralph Wesley Vosburg, Kortney A Robinson, Chuanyun Gao, Julie J Kim","doi":"10.1089/tmj.2021.0077","DOIUrl":"https://doi.org/10.1089/tmj.2021.0077","url":null,"abstract":"<p><p><b>Introduction:</b> Telemedicine use became widespread at our weight management center in 2020 due to the coronavirus disease 2019 (COVID-19) pandemic. <b>Objectives:</b> The objective of this study was to determine patient and provider satisfaction with telemedicine visits at a community-based hospital in the United States. <b>Methods:</b> Patients and providers were electronically surveyed at the end of 2020 regarding telemedicine visit experiences. These visits took place throughout the majority of 2020 during the COVID-19 pandemic. <b>Results:</b> A total of 85.7% (6) of providers reported spending the same or less time on telemedicine visits compared with in-person visits. All providers were either somewhat or very satisfied with the interpersonal connections made in telemedicine visits. All providers wished to see telemedicine visits continued in the future. A total of 355 patients responded. Over 90% of participants reported feeling comfortable speaking to their provider about personal issues through telemedicine. Around 73.2% of patients were very satisfied with their telemedicine visit. Around 69.8% of patients report that they would like to use either primarily telemedicine visits or a combination of telemedicine and in-person visits when it is safe to return to in-person care. <b>Conclusions</b>: Patients and providers exhibited high levels of satisfaction with telemedicine use in a weight management center. They both wish to see these visit types offered in the future. Patients who saved more than 30 min of time traveling with a telemedicine visit were significantly more likely to show high levels of satisfaction. Patients who found it easier to connect with the virtual platforms also were significantly more likely to have higher satisfaction levels.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"384-390"},"PeriodicalIF":4.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38920259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}