Assessment of Patient and Provider Satisfaction With the Change to Telehealth From In-Person Visits at an Academic Safety Net Institution During the COVID-19 Pandemic

Volcy, Judith; Smith, Walkitria; Mills, Krystal; Peterson, A. G.; Kene-Ewulu, Ijeoma; McNair, M.B.; Kelsey, Riba; Mbaezue, Nkechi

doi:10.3122/jabfm.2021.s1.200393

Cited by 23 publications

(43 citation statements)

References 2 publications

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“…Telehealth could become the preferred communication channel between patients and care givers. Different studies have implied that the use of telehealth can be continued to improve access to health care even after the current pandemic [ 99 ]. Telehealth can improve access to care by overcoming geographic and socioeconomic distances [ 9 , 24 , 72 ].…”

Section: Discussionmentioning

confidence: 99%

“…As reported, patients were able to continue their treatment in a structured and safe manner through constant communication with their dialysis centres. Authors in [ 99 ] conducted a survey on the care delivery satisfaction of medical providers and patients in utilizing telehealth services. Survey results showed that the respondents expressed a positive experience with receiving care using telehealth services and preferred delivering their care using telehealth instead of face-to-face even post the pandemic.…”

Section: Taxonomymentioning

confidence: 99%

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Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

271

147

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During the coronavirus disease (COVID-19) pandemic, different technologies, including telehealth, are maximised to mitigate the risks and consequences of the disease. Telehealth has been widely utilised because of its usability and safety in providing healthcare services during the COVID-19 pandemic. However, a systematic literature review which provides extensive evidence on the impact of COVID-19 through telehealth and which covers multiple directions in a large-scale research remains lacking. This study aims to review telehealth literature comprehensively since the pandemic started. It also aims to map the research landscape into a coherent taxonomy and characterise this emerging field in terms of motivations, open challenges and recommendations. Articles related to telehealth during the COVID-19 pandemic were systematically searched in the WOS, IEEE, Science Direct, Springer and Scopus databases. The final set included (n=86) articles discussing telehealth applications with respect to (i) control (n=25), (ii) technology (n=14) and (iii) medical procedure (n=47). Since the beginning of the pandemic, telehealth has been presented in diverse cases. However, it still warrants further attention. Regardless of category, the articles focused on the challenges which hinder the maximisation of telehealth in such times and how to address them. With the rapid increase in the utilization of telehealth in different specialised hospitals and clinics, a potential framework which reflects the authors’ implications of the future application and opportunities of telehealth has been established. This article improves our understanding and reveals the full potential of telehealth during these difficult times and beyond.

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Section: Discussionmentioning

confidence: 99%

Section: Taxonomymentioning

confidence: 99%

Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

271

147

View full text Add to dashboard Cite

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“…Advantages/Issues -PCPs Attitudes towards future use of remote consultation 3 1 2 17,21,31,33,35,36, Workload increased / decreased 5 1 - 13,14,15,17,21,25 Advantages/Issues -Patients Changes in difficulty booking appointments and waiting times 3 -- 20,24,36 Advantages/Issues-Patients and PCPs Satisfaction level with remote consultation 5 2 1 16,22,25,29,31,32,33,35 Consultation Preferences -3 2 25,29,31,35,36 COVID-19 is transmitted through droplets, emitted when sneezing, coughing, or speaking, and can enter through the eyes, nose, or mouth. 4 To protect individuals, and the health services that treat them, several social distancing and disease prevention measures have been implemented by governments the world over (with a view of abolishing these, once immunity through vaccination and improvements in treatment are developed).…”

Section: Advantages / Issuesmentioning

confidence: 99%

“…Table 2 presents a summary of the studies included in the review (a detailed overview of each study is provided in the appendix -See Supplementary table S2). The majority of studies were performed in either the United States (n=7, 29%), 21,22,23,29,34,35 or Europe (n=7, 29%), 13,15,16,17,18,28,36 used a quantitative design (n=12, 50%), 19,22,23,26,27,29,31,32,33,34,35,36 and explored the experiences of PCPs, only (n=16, 67%). 13,14,15,17,18,19,21,23,25,26,27,28,31,33,34,36 <Table 2 Here> Data Analysis (Qualitative and Qualitative results)…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Across studies (n=8), a mixed reaction was observed concerning the satisfaction level with remote consultation. 16,22,25,29,31,32,33,35 In Norway, 85% of the PCPs perceived that their patients were satisfied with video consultations. 31 However, in a separate study conducted in the USA, 83% of PCPs believed they could not provide adequate care by only using virtual visits, and only 57% of PCPs were satisfied with the interpersonal patient connection established during telephone consultation.…”

Section: Satisfaction Level With Remote Consultationsmentioning

confidence: 99%

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Patients’ and physicians’ experiences with remote consultations in primary care during the COVID-19 pandemic: a multi-method rapid review of the literature

Verma

Kerrison

2022

BJGP Open

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BackgroundDuring the COVID-19 pandemic, many countries implemented remote consultations in primary care to protect patients and staff from infection.AimThe aim of this review was to synthesise the literature exploring patients’ and physicians’ experiences with remote consultations in primary care, during the pandemic, with the further aim of informing their future delivery.Design & settingRapid literature review.MethodWe searched PubMed and PsychInfo for studies that explored patients’ and physicians’ experiences with remote consultations in primary care. To determine the eligibility of studies, we reviewed their titles and abstracts, prior to the full paper. We then extracted qualitative and quantitative data from those that were eligible, and synthesised the data using thematic and descriptive synthesis.ResultsA total of twenty-four studies were eligible for inclusion in the review. Most were performed in the United States of America (n=7, 29%) or Europe (n=7, 29%). Patient and physician experiences were categorised into perceived ‘advantages’ and ‘issues’. Key advantages experienced by patients and physicians included: ‘Reduced risk of COVID-19’ and ‘Increased convenience’, while key issues included: ‘a lack of confidence in / access to required technology’ and a ‘loss of non-verbal communication’, which exacerbated clinical decision making.ConclusionThis review identified a number of advantages and issues experienced by patients and physicians using remote consultations in primary care. The results suggest that, while remote consultations are more convenient, and protect patients and staff against COVID-19, they result in the loss of valuable non-verbal communication, and are not accessible to all.

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Patients’ Perspectives on the Shift to Telemedicine in Primary and Behavioral Health Care during the COVID-19 Pandemic

et al. 2022

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Background Studies specifically focused on patients’ perspectives on telemedicine visits in primary and behavioral health care are fairly limited and have often focused on highly selected populations or used overall satisfaction surveys. Objective To examine patient perspectives on the shift to telemedicine, the remote delivery of health care via the use of electronic information and communications technology, in primary and behavioral health care in Federally Qualified Health Centers (FQHCs) during COVID-19. Design Semi-structured interviews were conducted using video conference with patients and caregivers between October and December 2020. Participants Providers from 6 FQHCs nominated participants. Eighteen patients and caregivers were interviewed: 6 patients with only primary care visits; 5 with only behavioral health visits; 3 with both primary care and behavioral health visits; and 4 caregivers of children with pediatric visits. Approach Using a protocol-driven, rapid qualitative methodology, we analyzed the interview data and assessed the quality of care, benefits and challenges of telemedicine, and use of telemedicine post-pandemic. Key Results Respondents broadly supported the option of home-based synchronous telemedicine visits in primary and behavioral health care. Nearly all respondents appreciated remote visits, largely because such visits provided a safe option during the pandemic. Patients were generally satisfied with telemedicine and believed the quality of visits to be similar to in-person visits, especially when delivered by a provider with whom they had established rapport. Although most respondents planned to return to mostly in-person visits when considered safe to do so, they remained supportive of the continued option for remote visits as remote care addresses some of the typical barriers faced by low-income patients. Conclusions Addressing digital literacy challenges, enhancing remote visit privacy, and improving practice workflows will help ensure equitable access to all patients as we move to a new post-COVID-19 “normal” marked by increased reliance on telemedicine and technology.

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Assessment of Patient and Provider Satisfaction With the Change to Telehealth From In-Person Visits at an Academic Safety Net Institution During the COVID-19 Pandemic

Cited by 23 publications

References 2 publications

Telehealth utilization during the Covid-19 pandemic: A systematic review

Telehealth utilization during the Covid-19 pandemic: A systematic review

Patients’ and physicians’ experiences with remote consultations in primary care during the COVID-19 pandemic: a multi-method rapid review of the literature

Patients’ Perspectives on the Shift to Telemedicine in Primary and Behavioral Health Care during the COVID-19 Pandemic

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