Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic

Cho, David; Khalil, Suzan; Kamath, Megan; Wilhalme, Holly; Lewis, Angelica; Moore, M.; Nsair, Ali

doi:10.1016/j.cvdhj.2021.10.005

Cited by 16 publications

(21 citation statements)

References 26 publications

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“…Results revealed a significant association between age and telehealth satisfaction, such that older age was associated with greater telehealth satisfaction. This finding is surprising because it is contrary to much of the literature that has consistently found younger age to be associated with more positive telehealth experiences [ 11 - 13 ]. This may be because our sample only included women of childbearing age, which limited the range of ages represented in this study.…”

Section: Discussioncontrasting

confidence: 80%

“…A nationally representative survey of US households during the pandemic found that although telehealth use was lowest among households earning less than US $100,000 annually, telehealth satisfaction did not significantly differ by income [ 7 ]. Similarly, another study of telehealth patients did not find any significant differences in patient satisfaction by income [ 11 ]. Interestingly, a study of low-income pregnant women found that women with a yearly household income less than US $25,000 were significantly more likely to prefer a telehealth visit over an in-person visit compared to those earning more than US $25,000 annually [ 8 ].…”

Section: Introductionmentioning

confidence: 96%

“…Prior work has identified several sociodemographic factors associated with telehealth satisfaction. Recent studies on the relationship between age and telehealth satisfaction during the pandemic have found that older people are generally less satisfied with their telehealth experience [ 11 ]. Some reasons for this may include greater challenges with technology and more concerns about privacy among older people.…”

Section: Introductionmentioning

confidence: 99%

“…Given these racial disparities, it is especially important to understand the telehealth experiences of people of color. Although some research has shown greater telehealth satisfaction among non-White patients [ 11 ], other studies have found that non-White patients report poorer telehealth satisfaction [ 16 ]. Furthermore, other studies have not found any statistically significant differences in telehealth preference by race [ 7 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Women’s Satisfaction With Telehealth Services During The COVID-19 Pandemic: Cross-sectional Survey Study

Mittone¹,

Bailey²,

Eddy³

et al. 2022

JMIR Pediatr Parent

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Background Since March 2020, the need to reduce patients’ exposure to COVID-19 has resulted in a large-scale pivot to telehealth service delivery. Although studies report that pregnant women have been generally satisfied with their prenatal telehealth experiences during the pandemic, less is known about telehealth satisfaction among postpartum women. Objective This study examined telehealth satisfaction among both pregnant and recently pregnant women during the COVID-19 pandemic, to determine whether demographic factors (ie, race, age, marital status, education level, household income, and employment status) are associated with telehealth satisfaction in this population. Methods A web-based cross-sectional survey designed to capture data on health-related behaviors and health care experiences of pregnant and recently pregnant women in the United States was disseminated in Spring 2022. Eligible participants were at least 18 years old, identified as a woman, and were currently pregnant or had been pregnant in the last 3 years. Results In the final analytic sample of N=403, the mean telehealth satisfaction score was 3.97 (SD 0.66; score range 1-5). In adjusted linear regression models, being aged 35-44 years (vs 18-24 years), having an annual income of ≥ US $100,000 (vs < US $50,000), and being recently (vs currently) pregnant were associated with greater telehealth satisfaction (P≤.049). Conclusions Although perinatal women are generally satisfied with telehealth, disparities exist. Specifically, being aged 18-24 years, having an annual income of < US $50,000, and being currently pregnant were associated with lower telehealth satisfaction. It is critical that public health policies or programs consider these factors, especially if the expanded use of telehealth is to persist beyond the pandemic.

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Section: Discussioncontrasting

confidence: 80%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Women’s Satisfaction With Telehealth Services During The COVID-19 Pandemic: Cross-sectional Survey Study

Mittone¹,

Bailey²,

Eddy³

et al. 2022

JMIR Pediatr Parent

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“…Telehealth in rural areas improves options via timely advice for decision-making. Several studies demonstrated successful implementation, continuity of care, improved patient outcome and satisfaction, with telehealth programs for anticoagulation care during COVID-19 [40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Practices, beliefs, and attitudes of clinicians in prescribing direct oral anticoagulants for obese adults with atrial fibrillation

Shaikh

Wynne

Castelino

et al. 2022

Preprint

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Background: Atrial fibrillation (AF) and obesity affect over 60 and 650 million people, respectively. Aim: To explore clinician practices, beliefs, and attitudes towards the use of direct oral anticoagulants (DOACs) in obese individuals with AF.Methods: An exploratory qualitative interview study of clinicians, with expertise in DOAC use in individuals with AF. Data was analysed in NVIVO using thematic analysis.Results: Fifteen clinicians including cardiologists (n=5), hospital pharmacists (n=5), general practitioners (n=2), a haematologist, a neurologist and a clinical pharmacologist participated. Interviews lasted for an average of 31 ± 9 minutes. Key themes revealed were: (1) Health system factors in decision-making: Disparities between rural and metropolitan geographic areas, with regards to access, availability of health services, and time limitations for in-patient decision making, were described. (2) Condition related factors in decision-making: Clinicians questioned the significance of obesity as part of decision-making due to the practical limitations of dose modification, and the rarity of the extreme obese cohort.(3) Decision-making in the context of uncertainty: Clinicians reported limited availability, reliability and awareness of primary evidence including limited guidance from clinical guidelines for DOAC use in obesity. Conclusion: The interplay between obesity and AF, in the context of a challenging healthcare environment, impacts DOAC prescription decision-making. This study highlights limitations in availability, reliability, and awareness of evidence. The intrinsic complexity of the obese cohort coupled with limited guidance from clinical practice guidelines, equates to an urgent need for contemporary research to improve the quality of evidence to guide informed shared decision-making.

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Development and Validation of a Measure to Assess Patient Experiences With Video Care Encounters

Slightam,

SooHoo,

Greene

et al. 2024

JAMA Netw Open

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ImportanceAs video-based care expands in many clinical settings, assessing patient experiences with this care modality will help optimize health care quality, safety, and communication.ObjectiveTo develop and assess the psychometric properties of the video visit user experience (VVUE) measure, a patient-reported measure of experiences with video-based technology.Design, Setting, and ParticipantsIn this survey study, veterans completed a web-based, mail, or telephone survey about their use of Veterans Healthcare Administration (VHA) virtual care between September 2021 and January 2022. The survey was completed by patients who reported having a VHA video visit on their own device or a VHA-issued device and linked to VHA utilization data for the 6 months following the survey. Data analysis was performed from March 2022 to February 2023.Main Outcomes and MeasuresThe survey included 19 items about experiences with video visits that were rated using a 4-point Likert-type scale (strongly disagree to strongly agree). First, an exploratory factor analysis was conducted to determine the factor structure and parsimonious set of items, using the McDonald Omega test to assess internal consistency reliability. Then, a confirmatory factor analysis was conducted to test structural validity, and bivariate correlations between VVUE and VHA health care engagement were calculated to test concurrent validity. Finally, predictive validity was assessed using logistic regression to determine whether VVUE was associated with future VHA video visit use.ResultsAmong 1887 respondents included in the analyses, 83.2% (95% CI, 81.5%-84.8%) were male, 41.0% (95% CI, 38.8%-43.1%) were aged 65 years or older, and the majority had multiple chronic medical and mental health conditions. The exploratory factor analysis identified a 10-item single-factor VVUE measure (including questions about satisfaction, user-centeredness, technical quality, usefulness, and appropriateness), explaining 96% of the total variance, with acceptable internal consistency reliability (ω = 0.95). The confirmatory factor analysis results confirmed a single-factor solution (standardized root mean squared residual = 0.04). VVUE was positively associated with VHA health care engagement (ρ = 0.47; P &lt; .001). Predictive validity models demonstrated that higher VVUE measure scores were associated with future use of video visits, where each 1-point increase on VVUE was associated with greater likelihood of having a video visit in subsequent 6 months (adjusted odds ratio, 1.04; 95% CI, 1.02-1.06).Conclusions and RelevanceThe findings of this study of veterans using video visits suggest that a brief measure is valid to capture veterans’ experiences receiving VHA virtual care.

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Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic

Cited by 16 publications

References 26 publications

Women’s Satisfaction With Telehealth Services During The COVID-19 Pandemic: Cross-sectional Survey Study

Women’s Satisfaction With Telehealth Services During The COVID-19 Pandemic: Cross-sectional Survey Study

Practices, beliefs, and attitudes of clinicians in prescribing direct oral anticoagulants for obese adults with atrial fibrillation

Development and Validation of a Measure to Assess Patient Experiences With Video Care Encounters

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