Assessing patient usability of video visits

Patel, Milan; Miller, Rebecca; Haddad, Haley; An, Larry; Devito, Jessie; Neff, Alison M.; Rajkumar, A.; Ellimoottil, Chad

doi:10.21037/mhealth-20-30

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…Patient satisfaction with video visits has ranged from 88% in a RCT of patients after prostatectomy ( 52 ) to 95–97% of veterans who received sub-specialty care through video conferencing at their local VA primary care clinic prior to March 2020 ( 53 ). Despite high satisfaction rates, qualitative studies highlight that up to 20% patients experienced technical issues during their video visits which can contribute to negative experiences with the technology ( 54 , 55 ). A study of 600 patients who had follow-up care using video visits at the University of Michigan, patients who used telehealth would have traveled significantly further for care (82 vs. 68 miles, P<0.001) compared to a random cohort of patients that were seen by the same clinicians for the same clinical condition ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Andino¹,

Eyrich²,

Boxer³

2023

mHealth

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Background and Objective The coronavirus disease 2019 (COVID-19) public health emergency (PHE) resulted in rapid expansion and use of telehealth services. Regulatory and reimbursement flexibilities were put in place to ensure patients had continued access to care while the health system was overwhelmed by COVID-19 cases. These changes have allowed clinicians to use and researchers to evaluate telehealth in new ways. Methods This narrative review focuses on highlighting telehealth research and evaluation that took place from March 2020 to February 2023 in the outpatient setting of the United States healthcare system. Key Content and Findings The research conducted during the COVID-19 PHE shows that telehealth was primarily used as a substitute for in-person care, to maintain continuity of care for established patients, and has not had a negative impact on clinical outcomes or resulted in increasing healthcare costs. Conclusions Studies show high patient and physician satisfaction, similar clinical outcomes and suggest that telehealth is used as a substitute for in-person care. The findings of this narrative review have direct implications for key stakeholders using telehealth now and beyond the COVID-19 pandemic. Patients, physicians and providers, healthcare leaders and administrators, as well as policymakers should consider how telehealth should continue to be reimbursed and regulated even as the COVID-19 PHE expired in May 2023.

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Section: Discussionmentioning

confidence: 99%

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Andino¹,

Eyrich²,

Boxer³

2023

mHealth

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“…Hence, visitation is recognised as important for emotional communication between patients and their families in addition to the need for communication between medical staff and patients' families (9). The new epidemic era inevitably brought about the exploration of new visiting modes (10). With the development of communication technology and the popularity of smartphones and the WeChat application, video visitation, including WeChat video visitation, has been explored for use in intensive care units (ICUs) in recent years (11)(12)(13)(14)(15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Impact of the “WeChat Cloud Service” Option for Patients in an Emergent Intensive Care Unit During an Epidemic in Tai Zhou China

et al. 2022

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To explore the application and effect of “WeChat cloud service” in the emergency intensive care unit (EICU) in the context of an epidemic, we examined 774 patients admitted to an EICU between February 2020 and June 2021. Patients admitted from February 2020 to December 2020 were selected as the control group (n = 503) and those from January 2021 to June 2021 comprised the observation group (n = 271). There were no statistically significant differences in gender, age, disease, and length of stay in the EICU between the groups. The control group received the general (routine) daily service, such as communicating with families through in-person information transmission, and receiving self-provided drugs and daily supplies during the specified visiting time; the observation group received the “WeChat cloud service” providing the chance of communication, supplies, and payment through the platform at any time. We used a T-test and χ2-test to analyse the incidence of delirium, labour costs, and patient and family satisfaction throughout ICU treatment for comparison. Results indicated that the observation group had lower labour costs, less incidence of delirium, and greater patient and family satisfaction than the control group. The “WeChat cloud service” was beneficial for preventing and controlling coronavirus disease 2019 during the epidemic and providing an improved patient experience.

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Section: Feasibility and Implementationmentioning

confidence: 99%

“…Anecdotally, patients may have trouble with issues such as controlling volume or switching camera views, but if a provider is familiar with the application, minor issues can often be remedied with minimal time and effort. Technical issues such as dropped or poor connections are unavoidable and require continued improvement efforts but are likely becoming less common(Patel et al, 2021).Many barriers to video visits can be ameliorated if telehealth is used in a clinic-to-clinic setting with staff on hand at the patient site if resources and space are available. Clinic-to-clinic connections do not require independent technology use by the patient.…”

mentioning

confidence: 99%

An evidence‐based practice guideline of the National Society of Genetic Counselors for telehealth genetic counseling

Green

Hartzfeld²,

Terry³

et al. 2022

Journal of Genetic Counseling

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There are currently no practice guidelines available for genetic counseling using telehealth modalities. This evidence-based practice guideline was developed in response to increasing use of alternative service delivery models for genetic counseling, specifically telephone and video-based genetic counseling (telehealth genetic counseling or THGC). A recent systematic evidence review (SER) compared outcomes of THGC with in-person genetic counseling and found that for the majority of studied outcomes, THGC was a non-inferior and comparable service delivery model. The SER results were used to develop this guideline. The current and anticipated future use of THGC, including the influence of the COVID-19 pandemic, provides the context for this guideline. Recommendation: The Telehealth Practice Guideline author workgroup conditionally recommends telehealth genetic counseling, either via telephone or video, as a delivery method for genetic counseling. Depending on factors unique to individual healthcare systems and provider and patient populations, THGC may be the only service delivery model available or may be utilized in addition to other service delivery models including in-person genetic counseling. The evidence shows large desirable effects, minor undesirable effects, and increased equity for patients when THGC is available. THGC may reduce or remove existing barriers to patient access to genetic counseling, such as medical conditions and/or disabilities that may affect a patient's ability to travel, inflexible work or school schedules, and lack of reliable transportation, finances, or dependent care. THGC is likely acceptable to key groups impacted by its use and is feasible to implement. Certain patient populations may require additional resources or encounter more barriers in using telemedicine services in general.For these populations, THGC can still be a valuable option if solutions are available.

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Assessing patient usability of video visits

Cited by 5 publications

References 13 publications

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Impact of the “WeChat Cloud Service” Option for Patients in an Emergent Intensive Care Unit During an Epidemic in Tai Zhou China

An evidence‐based practice guideline of the National Society of Genetic Counselors for telehealth genetic counseling

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