Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

Sinha, Neha; Cornell, Max; Wheatley, Benjamin B.; Munley, Nicole; Seeley, Mark

doi:10.5435/jaaosglobal-d-19-00100

Cited by 54 publications

(68 citation statements)

References 9 publications

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“…(2019) 26 Norway Videoconference 199 99% patients were satisfied Orthopaedic new referred, follow-up after surgery, trauma or chronic disorders NR Sinha N et al. (2019) 27 Pennsylvania Videoconference 101 Medial satisfaction rate 5 out of 5 Pediatric fractures NR Silva M et al. (2019) 28 USA Videoconference 26 97.8% nondisplaced pediatric elbow fractures NR Coronado RA et al.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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Background: The current COVID-19 pandemic has implications on the morbidities of orthopedic patients due to lack of routine follow-ups, and inpatient and outpatient-based interventions. Telemedicine has recently emerged as an alternative for healthcare delivery to the patients and providing them with important information about orthopedic self-care and medications that can be followed without a hospital visit. However, due to lack of physical assessment, telemedicine is bound to have some limitations as well. The aim of this study is to analyze the effectiveness of proactive telemedicine in maintaining follow-up of orthopedic patients, and their satisfaction with telemedicine as an alternative mode of treatment delivery. Methods: This one-month cross-sectional study enrolled the follow-up patients that visited the orthopedic outpatient-department in February 2020. The patients were sequentially called according to the order of their registration, on a daily basis. Consenting patients were provided with telemedicine-based consultations, and those requiring physical evaluation were called for outpatient visits after documenting the valid reasons. The response-rates and the volume of patients requiring physical visits were measured for different diagnosis-based groups. Patients were asked to complete a questionnaire that included overall patient satisfaction with telemedicine, its effectiveness, and ease in following the telemedicinebased treatment. Results: The response rate to telemedicine was 88.67%. Among the patients availing telemedicine, 71.43% were managed without needing physical visits to the outpatient-department. The need for physical examination and failed patient-doctor communication were the most common reasons for advising physical outpatient visits. The overall satisfaction-rate to telemedicine was 92%, and only 7.2% of patients had difficulty in understanding or following telemedicine-based advice. Conclusions: Telemedicine can effectively reduce the need for physical visits to outpatient-departments for follow up of orthopedic patients. The response-rate and overall patient-satisfaction rates to telemedicine are high. Further efforts in expanding the use of telemedicine and addressing its limitations, especially those related to the failed communications, are needed to develop it as an alternative to physical orthopedic consultations in the current situation.

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Section: Discussionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…Telemedicine used as a multidisciplinary tele-meeting consumes less time and effort for the families and is more effective for Tele-Guide-lined and Structured Continuous Care (TGSCC). It maintains the added value of multiple specialists assembled without jeopardizing the possibility of discussion and re-evaluation based on real time interaction with the patient and family with all healthcare providers, patients, and caregivers being in their protected environment ( 18 , 39 , 40 ). Such tele-contact also obviates the need for the use of personal protective equipment such as gloves and face masks, limits the risk of viral spread, and offers patients a more natural environment without compromising health care personnel and patients' safety ( 21 ).…”

Section: Multidisciplinary Approachmentioning

confidence: 99%

Accelerating Telemedicine for Cerebral Palsy During the COVID-19 Pandemic and Beyond

2020

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The effects of COVID-19 extend beyond the pandemic and are expected to transform healthcare in various ways, many of which remain unknown. With social distancing, telemedicine may become the preferred communication channel between caregivers and patients. Implications for cerebral palsy (CP) children are that this will pose a challenge within this transformation. CP, as a discreet entity, is not considered a risk factor. However, specific comorbidities in individuals with CP, such as chronic lung disease, are known as COVID-19 risk factors. The overall risk for the CP population is probably a factor of age and comorbidities. Staying at home for CP children is both a challenge and an opportunity. Escalation of behavioral conflicts or improved participation and equality within the household may emerge. Interestingly, restricted mobility for the general population narrows existing gaps of ambulation. Telemedicine is the primary way of providing services for chronic conditions during the pandemic and is expected to expand beyond pre-Coronavirus era use. The advantages of telemedicine vary, more so during pandemic times, according to severity, restrictions, and availably of telemedicine. A multidisciplinary therapeutic presence is more accessible with telemedicine, bringing together various specialties and approaches to the child's natural environment. Accessible, continuous care is expected to lower comorbidities, as demonstrated for other chronic conditions. Enhanced monitoring is crucial for younger children as devastating complications, such as hip dysplasia, could be minimized. Last but not least, we will discuss digital health care as an accelerator for participatory medicine, including networked patients and families, as responsible drivers of their health as full partners.

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“…8 Moreover, studies that have looked at patient satisfaction have found that, in general, an overwhelming majority of patients across multiple orthopedic subspecialties are highly satisfied with their telemedicine orthopedic consultations. [9][10][11][12] By necessity, the COVID-19 pandemic has dramatically accelerated the rate at which telemedicine adoption has taken place within orthopedic practices. In some practices in regions with strict lockdown policies, patient visits have been enacted almost exclusively through telemedicine.…”

Section: Introductionmentioning

confidence: 99%

The Use and Acceptance of Telemedicine in Orthopedic Surgery During the COVID-19 Pandemic

Hurley¹,

Haskel²,

Bloom³

et al. 2021

Telemedicine and e-Health

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Background: A major byproduct of the recent coronavirus disease 2019 (COVID-19) pandemic has been the accelerated adoption of telemedicine within orthopedic practices. Introduction: The purpose of the study is to evaluate satisfaction associated with telemedicine and to determine how telemedicine is used by orthopedic surgeons in response to social distancing efforts necessitated by the COVID-19 pandemic. Methods: We developed a survey to evaluate surgeon's perception of telemedicine during the COVID-19 pandemic. The survey consisted of four major sections focusing on (1) surgeon characteristics and current use of telemedicine, (2) telemedicine for new patients, (3) telemedicine for routine followup patients, and (4) telemedicine for postoperative patients. Results: We collected 268 survey responses. Overall, 84.8% of surgeons were using telemedicine, but only 20.5% of surgeons were using it before the COVID-19 pandemic. The overall satisfaction with telemedicine was 70.3%-20.9%. Of those who use telemedicine, 75% currently use it for new patients, 86.6% currently use it for routine follow-up patients, and 80.8% currently use it for postoperative patients (p = 0.01). Surgeons had higher satisfaction with building rapport and performing physical examination maneuvers for either routine follow-up or postoperative patients than for new patients (p < 0.0001 for both). However, satisfaction with obtaining imaging did not differ among the cohorts (p = 0.36). Surgeons felt they are more likely to continue to use telemedicine after the COVID-19 pandemic for either routine follow-up or postoperative patients than for new patients (p < 0.0001). Discussion: Owing to challenges posed by the COVID-19 pandemic, telemedicine use has increased substantially among orthopedic surgeons in recent months. Conclusions: Our study established that physician implementation of telemedicine has increased significantly as a result of the COVID-19 pandemic, with the majority of surgeons satisfied with its use in their practice, and plan on incorporating telemedicine in their practices beyond the pandemic.

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Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care

Cited by 54 publications

References 9 publications

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Accelerating Telemedicine for Cerebral Palsy During the COVID-19 Pandemic and Beyond

The Use and Acceptance of Telemedicine in Orthopedic Surgery During the COVID-19 Pandemic

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