Patient Satisfaction with Telehealth at an Academic Medical Center Primary Care Clinic

Verma, Hannah; Hasegawa, Daisuke; Tepper, David; Burger, Alfred; Weissman, Matthew A

doi:10.1089/tmj.2023.0158

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…Burgeoning research on the patient experience with video visits suggests that additional domains of experience may be relevant for video visit quality improvement. For example, positive experiences are associated with better perceived usefulness and convenience, such as saving travel time and expense, or enhanced timeliness of care relative to in-person visits . Perceptions of appropriateness of the modality relative to in-person visits are important for positive experience with video visits, such as the acceptability of the lack of physical contact and/or examination, sufficient privacy for both patient and practitioner, and comfort interacting with the practitioner over video, such as being able to speak up and ask questions, also appear important for positive video visit experiences .…”

Section: Introductionmentioning

confidence: 99%

“…For example, positive experiences are associated with better perceived usefulness and convenience, such as saving travel time and expense, 8 , 9 , 10 or enhanced timeliness of care relative to in-person visits. 11 , 12 Perceptions of appropriateness of the modality relative to in-person visits are important for positive experience with video visits, such as the acceptability of the lack of physical contact and/or examination, sufficient privacy for both patient and practitioner, 13 , 14 , 15 and comfort interacting with the practitioner over video, such as being able to speak up and ask questions, 16 also appear important for positive video visit experiences. 10 , 14 , 17 More broadly, the degree to which video visits are perceived as user-centered, spanning both patient-centered interactions and the usability of technology, are factors associated with satisfaction with video visits and are associated with willingness to continue use of video visits.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Slightam,

SooHoo,

Greene

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

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“… 1 , 2 However, advances in digital technology can play a key role in addressing this challenge. One example of how digital technology can enhance healthcare provision is in the area of telemedicine (TM), 3 , 4 a growing technology which has the potential to enable high-quality, high-efficiency and convenient healthcare provision over wide areas. 2 While TM has applications in several health-related fields, it has particularly high potential for improving access to assistive technology.…”

Section: Introductionmentioning

confidence: 99%

Trust: How It Affects the Use of Telemedicine in Improving Access to Assistive Technology to Enhance Healthcare Services

Bahari,

Mutambik,

Almuqrin

et al. 2024

RMHP

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Background Modern telemedicine (TM) technologies play a crucial role in enhancing access to Assistive Technology in healthcare services. However, the full benefits of this technology will not be realized unless it is widely accepted among service users (patients). This study aimed to investigate the impact of patient trust and perceived risk on the acceptance of TM for Assistive Technology in healthcare. Materials and Methods A comprehensive survey instrument was developed and refined through expert feedback and a pilot study, leading to data collection from 917 participants. The theoretical framework guiding this research was based on the Trust factors in TM, which helped in conceptualizing the factors influencing patient acceptance of TM. Results The study revealed a significant gap in patient trust in TM and highlighted the multifaceted nature of perceived risk, emphasizing the need to consider individual risk factors separately. Results also indicated that trust in technological reliability and the perceived effectiveness of TM were critical factors influencing its adoption. The findings underscore the importance of building trust among service users and promoting the reliability of TM for achieving desirable medical outcomes. Conclusion In conclusion, to facilitate widespread acceptance of TM for Assistive Technology, a multi-faceted approach involving healthcare providers, organizations, and governments is essential to address patient concerns, enhance trust, and promote the benefits of this technology.

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“…Most studies have indicated positive perceptions toward the use of telemedicine among patients with dementia and their caregivers [ 9 , 10 , 11 , 12 , 13 , 14 , 15 ], as well as among patients with Parkinson’s disease [ 7 ]. A recent scoping review aiming to describe the effectiveness and user experience of using telemedicine services for individuals with dementia and their caregivers during the COVID-19 pandemic demonstrated that overall, participants perceive this mode of care delivery positively [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Patients, Caregivers, and Healthcare Professionals toward Telemedicine Use for Cognitive and Movement Disorders in the Aegean Islands, Greece: A Pilot Study of the SI4CARE European Project

Angelopoulou,

Kontaxopoulou,

Fragkiadaki

et al. 2023

Geriatrics

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Background: Patients with neurodegenerative diseases who live in remote areas often have limited access to specialized healthcare, and telemedicine represents a useful solution. The aim of this study was to investigate the perceptions toward the use of a specialized-tertiary telemedicine service of patients with cognitive and movement disorders, caregivers, and local healthcare professionals (HPs) in the Aegean Islands. Methods: Data were derived from the “Specialized Outpatient Clinic of Memory, Dementia and Parkinson’s disease through the National Telemedicine Network”, March 2021–March 2023. The survey included 10 questions (5-point Likert scale). Results: We received 64 questionnaires (25 patients, 18 caregivers, 21 HPs). Most participants positively perceived all aspects of telemedicine, including comfort (mean ± standard deviation: patients 4.5 ± 0.9, caregivers: 4.8 ± 0.5, HPs: 4.6 ± 0.7), access to specialized care (4.7 ± 0.6, 4.7 ± 0.5, 4.9 ± 0.4), number of transportations (4.6 ± 0.8, 4.6 ± 0.9, 4.8 ± 0.5), adequacy of follow-up (4.6 ± 0.7, 4.4 ± 0.8, 4.2 ± 0.7), future telemedicine selection (4.8 ± 0.4, 4.8 ± 0.4, 4.6 ± 0.6), perceived reliable medical assessment (4.7 ± 0.5, 4.6 ± 0.6, 4.3 ± 0.6), information delivery (4.7 ± 0.6, 4.6 ± 0.5, 4.4 ± 0.9), health status improvement (4.6 ± 0.7, 4.6 ± 0.6, 4.0 ± 0.7), cost (4.6 ± 1, 4.6 ± 1, 5.0 ± 0.2), and general satisfaction (4.8 ± 0.4, 4.7 ± 0.5, 4.5 ± 0.6). The commonest recommendations were more frequent visits, medical specialties, and dissemination of information. Conclusions: The positive perception of participants highlights the value of telemedicine for specialized healthcare for neurodegenerative disorders, especially in remote areas.

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Patient Satisfaction with Telehealth at an Academic Medical Center Primary Care Clinic

Cited by 6 publications

References 22 publications

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

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

Trust: How It Affects the Use of Telemedicine in Improving Access to Assistive Technology to Enhance Healthcare Services

Perceptions of Patients, Caregivers, and Healthcare Professionals toward Telemedicine Use for Cognitive and Movement Disorders in the Aegean Islands, Greece: A Pilot Study of the SI4CARE European Project

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