Predictive factors of physicians’ satisfaction with telemedicine services acceptance

Kissi, Jonathan; Dai, Baozhen; Dogbe, Courage Simon Kofi; Banahene, Jonathan; Ernest, Oyeh

doi:10.1177/1460458219892162

Cited by 132 publications

(139 citation statements)

References 59 publications

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“…Overall, based on the respondents' characteristics, we can argue that our sample can represent populations most likely to benefit from electronic health exchange. According to the United States Census Bureau, 63 women represent just under 51% of the U.S. population, and it is consistent with our sample. Regarding age distribution, the main difference between our sample and the U.S. population is people 60 years and older, in which our sample shows 6.18% compared with the U.S. population, which is 16.5%.…”

Section: Generalizability Of Resultssupporting

confidence: 90%

Patients' Perceptions of Different Information Exchange Mechanisms: An Exploratory Study in the United States

Esmaeilzadeh

2020

Methods Inf Med

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Background Patients may seek health care services from various providers during treatment. These providers could serve in a network (affiliated) or practice separately (unaffiliated). Thus, using secure and reliable health information exchange (HIE) mechanisms would be critical to transfer sensitive personal health information (PHI) across distances. Studying patients' perceptions and opinions about exchange mechanisms could help health care providers build more complete HIEs' databases and develop robust privacy policies, consent processes, and patient education programs. Objectives Due to the exploratory nature of this study, we aim to shed more light on public perspectives (benefits, concerns, and risks) associated with the four data exchange practices in the health care sector. Methods In this study, we compared public perceptions and expectations regarding four common types of exchange mechanisms used in the United States (i.e., traditional, direct, query-based, patient-mediated exchange mechanisms). Traditional is an exchange through fax, paper mailing, or phone calls, direct is a provider-to-provider exchange, query-based is sharing patient data with a central repository, and patient-mediated is an exchange mechanism in which patients can access data and monitor sharing. Data were collected from 1,624 subjects using an online survey to examine the benefits, risks, and concerns associated with the four exchange mechanisms from patients' perspectives. Results Findings indicate that several concerns and risks such as privacy concerns, security risks, trust issues, and psychological risks are raised. Besides, multiple benefits such as access to complete information, communication improvement, timely and convenient information sharing, cost-saving, and medical error reduction are highlighted by respondents. Through consideration of all risks and benefits associated with the four exchange mechanisms, the direct HIE mechanism was selected by respondents as the most preferred mechanism of information exchange among providers. More than half of the respondents (56.18%) stated that overall they favored direct exchange over the other mechanisms. 42.70% of respondents expected to be more likely to share their PHI with health care providers who implemented and utilized a direct exchange mechanism. 43.26% of respondents believed that they would support health care providers to leverage a direct HIE mechanism for sharing their PHI with other providers. The results exhibit that individuals expect greater benefits and fewer adverse effects from direct HIE among health care providers. Overall, the general public sentiment is more in favor of direct data transfer. Our results highlight that greater public trust in exchange mechanisms is required, and information privacy and security risks must be addressed before the widespread implementation of such mechanisms. Conclusion This exploratory study's findings could be interesting for health care providers and HIE policymakers to analyze how consumers perceive the current exchange mechanisms, what concerns should be addressed, and how the exchange mechanisms could be modified to meet consumers' needs.

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Section: Generalizability Of Resultssupporting

confidence: 90%

Patients' Perceptions of Different Information Exchange Mechanisms: An Exploratory Study in the United States

Esmaeilzadeh

2020

Methods Inf Med

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“…Notably rapid expansion of telemedicine visits for physicians was aided by having appropriate support staff to contact patients and coordinate visits. Incorporating telemedicine into existing workflow may reduce clinician burden and has been a reported predictor of physician acceptance 15 . There are recognized limitations in telemedicine for performing aspects of the physical examination, 11 although recent solutions have been proposed to improve this aspect of care 4 .…”

Section: Discussionmentioning

confidence: 99%

Telemedicine During COVID‐19 for Outpatient Sports and Musculoskeletal Medicine Physicians

Tenforde

Iaccarino

Borgstrom

et al. 2020

PM&R

106

128

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Introduction The global pandemic due to SARS‐CoV‐2 has resulted in an expansion of telemedicine. Measures of quality and barriers for rapid use by patients and physicians are not well described. Objective To describe results from a quality improvement initiative during a rapid adoptive phase of telemedicine during the pandemic. Design Patient and physician satisfaction with synchronous audiovisual telemedicine visits was measured during the early adoptive phase (6 April 2020‐17 April 2020) within the division of sports medicine in an academic Physical Medicine and Rehabilitation (PM&R) department. Patients were invited to participate in a quality improvement initiative by completing an online survey at the end of a telemedicine visit. Physicians completed a separate survey. Primary Outcome Measures Patient measures included visit type, duration of encounter, quality, and satisfaction. Physicians reported on experiences performed telemedicine. Results Surveys were completed by 119 patients (293 telemedicine encounters, response rate 40.6%) and 14 physiatrists. Telemedicine was utilized primarily for follow‐up visits (n = 74, 70.6%), and the most common duration was 15 to 29 minutes. Patients rated their telemedicine visit as “excellent” or “very good” across measures (91.6%‐95.0%) including addressing concerns, communication, developing a treatment plan, convenience, and satisfaction. Value of completing a future telemedicine visit was measured at 84.9%. Most reported estimated travel time saved was in excess of 30 minutes. Rate of no‐show was 2.7%. Most physicians (57.1%) had no prior experience with telemedicine visits, and most were comfortable performing these visits after completing 1 to 4 sessions (71%). Nearly all physicians (92.9%) rated their telemedicine experience as very good or excellent. The key barrier identified for telemedicine was technical issues. All physicians reported plans to perform telemedicine visits if reimbursement continues. Conclusions In summary, rapid expansion of telemedicine during the COVID‐19 pandemic was well‐received by a majority of patients and physicians. This suggests feasibility in rapid expansion of telemedicine for other outpatient sports medicine practices.

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“…The observation that desire to continue offering telemedicine visits after the COVID-19 pandemic correlates not only with confidence with the examination and satisfaction with the modality, 22 but also with personal factors such as belief that adaptability is an important element of being a clinician, clinicians who identify as being more perceiving (value flexibility) than judging (value organization), and less preference for in-person work meetings over virtual meetings suggests that clinicians who are going to have less preference for telemedicine going forward can be identified by other traits and preferences. In the qualitative interviews along with our personal observations and interactions, including prior investigations, 23,24 we found that both clinicians and patient concerns about telemedicine are things that lessen after a good telemedicine experience.…”

Section: Discussionmentioning

confidence: 99%

Clinician Telemedicine Perceptions During the COVID-19 Pandemic

Miner

Fatehi

Ring

et al. 2021

Telemedicine and e-Health

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Background: Telemedicine utilization increased exponentially due to the coronavirus disease 2019 (COVID-19) pandemic. As a result, most clinicians now have experience with telemedicine. Questions/Purposes: We studied factors independently associated with a clinician desiring to continue telemedicine services after the COVID-19 pandemic. Secondarily, we sought factors independently associated with clinician satisfaction with the quality of care provided through telemedicine and factors associated with telemedicine platform preference by clinicians. Methods: A large multispecialty medical group of physicians were invited to complete a survey, including demographics, telemedicine experience, satisfaction with various elements of telemedicine encounters, desired features in a telemedicine platform, personality traits, and preferences. A total of 220 complete responses were analyzed. Results: A desire to continue offering telemedicine visits after the COVID-19 pandemic was independently associated with a higher satisfaction with the quality of telemedicine care, endorsement of the ease of performing a physical examination with telemedicine, belief that adaptability is an important element of being a clinician, and less preference for in-person work meetings over virtual meetings. Higher satisfaction with the quality of telemedicine care was associated with belief that adaptability is an important element of being a clinician, clinicians who identify as being more perceiving (value flexibility) than judging (value organization), providers from relatively urban counties, and those with less preference for in-person work meetings over virtual meetings. Clinicians ranked ease of use for patients and physicians as the most important features of telemedicine platforms. Conclusions: The observed association of clinician personality and interpersonal preferences with the appeal, satisfaction, and perceived effectiveness of telemedicine merit additional study. Early implementation of telemedicine might be easiest with clinicians that take pride in their adaptability and value a technology-based workstyle.

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Predictive factors of physicians’ satisfaction with telemedicine services acceptance

Cited by 132 publications

References 59 publications

Patients' Perceptions of Different Information Exchange Mechanisms: An Exploratory Study in the United States

Patients' Perceptions of Different Information Exchange Mechanisms: An Exploratory Study in the United States

Telemedicine During COVID‐19 for Outpatient Sports and Musculoskeletal Medicine Physicians

Clinician Telemedicine Perceptions During the COVID-19 Pandemic

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