Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference

Hantke, Nathan; Lajoy, Mary; Gould, Christine E.; Magwene, Elena M.; Sordahl, Jeff; Hirst, Rayna B; O’Hara, Ruth

doi:10.1016/j.jagp.2019.08.020

Cited by 27 publications

(14 citation statements)

References 9 publications

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“…Consistent with previous research studies [ 3 , 11 , 12 ], patients’ responses suggest high levels of satisfaction with telepsychiatry services. In this study, patient satisfaction was high across all 4 domains, with the highest overall score for the effectiveness domain, followed by safety, appropriateness, and access and timeliness.…”

Section: Discussionsupporting

confidence: 86%

“…Keeping patient experience at the forefront of quality measurement ensures that services remain acceptable and appropriate to patients by being responsive to their needs [ 10 ]. Several patient satisfaction surveys for telepsychiatry have been developed and used in research and practice [ 3 , 11 , 12 ]. Two patient surveys that we were able to locate in the literature have been validated—one that assesses patient experiences of privacy and security [ 13 ] and another designed to measure the attitudes of laypeople and providers toward telepsychiatry [ 14 ]—yet no comprehensive satisfaction measures have been validated to date.…”

Section: Introductionmentioning

confidence: 99%

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Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Serhal¹,

Kirvan²,

Sanches³

et al. 2020

J Med Internet Res

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Background Telepsychiatry is an increasingly used model of mental health care that connects patients with psychiatrists at a distance via videoconference. Telepsychiatry is an effective clinical intervention that improves access to quality care in regions with limited resources or in clinical situations where in-person care is unavailable. Objective This study aims to develop a validated survey tool to measure patient experience and satisfaction with telepsychiatry based on the quality of care domains. This study also seeks to understand which health service outcomes were most strongly correlated with overall satisfaction in the context of telepsychiatry. Methods The survey created in this study was developed and validated with a panel of subject matter and process experts and was piloted with 274 patients who received clinical consultations through the TeleMental Health Program at the Centre for Addiction and Mental Health. Factor analysis was used to determine correlations between questions and quality of care domains and was also used to assess model fit. Results The study provides a validated survey to measure patient satisfaction and experience with telepsychiatry across 4 domains: access and timeliness, appropriateness, effectiveness, and safety. Both safety and access and timeliness were found to be statistically significant predictors of satisfaction in our sample. Conclusions By situating patient satisfaction and experience within this framework, the survey facilitates patient data collection and interpretation through a clinical quality lens.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Serhal¹,

Kirvan²,

Sanches³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

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“…Hantke and colleagues showed that 90% of geriatric psychiatry patients who received care via video conference were at least as satisfied with their telehealth experience as with an in-person appointment. 15 The VA is also expanding community care due to Mission Act requirements, 16 and it is possible that pressure to change follow-up intervals would impact who is referred to community care, as a change in follow-up frequency would affect appointment demand. Feyman and Griffith showed that lower staffing levels at specialty care clinics at the VA are associated with reduced reliance on the VA and higher reliance on community care.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Follow-up Appointments and Access to Primary Care

2020

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BACKGROUND: Health care operations managers need to balance scheduling frequent follow-ups for patients with chronic conditions and fitting in patients requiring care for new complaints. OBJECTIVE: We quantify how frequency of follow-up visits corresponds with access to care for patients receiving care from the Department of Veterans Affairs (VA). DESIGN: We use patient data collected between October 2013 and June 2016 by the Survey of Healthcare Experiences of Patients (SHEP). Our sample is comprised of 94,496 patients. We estimate logistic models with 1month lagged facility-level predictors. MAIN MEASURES: We calculate monthly measures characterizing facility-level service provision, including the average time between successive primary care visits, the average primary care visit length, the percentage of primary care appointments that are overbooked, the percent of visits that are unscheduled (i.e., walk-ins), and the ratio of patients to providers. We control for economic factors that are associated with health care supply and demand, including median household income, veteran priority status, the Zillow Housing Price Index, and veteran unemployment rates. We also control for patient demographics. PATIENTS: We restrict the data to patients with at least one in-person primary care visit who have provided information on their ability to access urgent and routine care. KEY RESULTS: We find that shorter average follow-up times are associated with better access for patients needing urgent or routine care. A 1-month increase in the average time between successive primary care visits is associated with 10% (p < 0.001) lower odds of reporting being able to access urgent care within 1 day and 13% (p < 0.001) lower odds of reporting usually or always being able to access routine care when needed. CONCLUSION: Facilities with higher average follow-up times are more likely to have patients report that they are unable to quickly access urgent or routine primary care.

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“…In child and adolescent psychiatry, we have evidence for the effectiveness of digital psychiatry for the psychiatric assessment and management of attention-deficit hyperactivity disorder and early psychosis, as well as delivery of therapy for obsessive–compulsive disorder and tic disorder. 15 Hantke et al 16 demonstrated the effectiveness of remote working in a variety of older person's settings, such as nursing home, community and hospital settings for individuals with cognitive, functional and sensory impairment. Such interventions have also been associated with reduced transfers to hospital and benefits for patients with limited mobility.…”

Section: Is Digital Psychiatry Safe Effective and Acceptable To Patimentioning

confidence: 99%

Digital psychiatry and COVID-19: the Big Bang effect for the NHS?

et al. 2020

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The COVID19 pandemic has brought untold tragedies in its wake. However, one outcome has been the dramatically rapid replacement of face-to-face consultations and other meetings including clinical multidisciplinary team meetings with telephone or video conferencing. By and large this form of remote consultation has received a warm welcome from both patients and clinicians. To date, human, technological and institutional barriers may have held back the integration of such approaches in routine clinical practice, particularly in the UK context. As we move into the post-pandemic phase, it is vital that academic, educational and clinical leadership builds on this positive legacy of the COVID crisis. Telepsychiatry may be but one component of "digital psychiatry" but is seismic evolution in the pandemic offers a possible opportunity to embrace and develop 'digital psychiatry' as a whole.

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Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference

Cited by 27 publications

References 9 publications

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

Client Satisfaction and Experience With Telepsychiatry: Development and Validation of a Survey Using Clinical Quality Domains

The Relationship Between Follow-up Appointments and Access to Primary Care

Digital psychiatry and COVID-19: the Big Bang effect for the NHS?

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