Redeploying gastroenterologists during the COVID-19 pandemic: early experience with telehealth including clinical access and financial implications

Syed, Nauroz; Desai, Meeta; Bethards, Deborah; Razeghi, Sanam; Clarke, Kofi

doi:10.1093/gastro/goab017

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…2,10,11 There was a corresponding rise in clinic capacity, decline in waiting lists, and increase in clinic revenue. 12 In patients managed by telehealth, medication adherence was non-inferior to those with in-person visits. 13 While telehealth was an effective solution to socially distanced care, ongoing use has identi ed new questions.…”

Section: Introductionmentioning

confidence: 99%

Patient and Provider Perspectives on Telemedicine use in Canadian Gastroenterology Clinics during the COVID-19 pandemic: A Survey study

Tomaszewski,

X. Jiang,

Jae Kim

et al. 2024

J Surg Res

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BackgroundTelemedicine has revolutionized access to medical care. This was particularly palpable during the COVID pandemic and within gastroenterology. Telehealth can improve access to patients remotely, and lead to high patient and clinician satisfaction. However, questions remain surrounding patient selection and provider considerations. We conducted a Canadian study to examine patient and provider preferences and experiences in telehealth. MethodsAn anonymous online survey was conducted amongst patients of an urban gastroenterology practice, as well as Canadian gastroenterologists, evaluating experiences and preferences in utility of telemedicine. ResultsOf 1236 patients contacted, 181 (15%) respondents were aged 18-89, 60% were female, and 58% had in ammatory bowel disease (IBD). Patient satisfaction with telehealth was high across all characteristics. Patients used both phone calls (61%) and video/audio applications (50%); higher use of phone calls was associated with older age (p = 0.02).Patients living more than 30km from clinic and with IBD were more likely to prefer telehealth visits (p < 0.01). Most providers (96%) and patients (96%) believed that telehealth use should continue for certain patients or follow up visits after the pandemic. Of 100 providers contacted, 25 respondents reported using phone calls (96%) and video/audio applications (44%). Providers perceived follow up of benign endoscopic pathology (96%) and general follow up visits (92%) to be most suitable for telehealth. ConclusionCanadian gastroenterology providers and patients appreciate telehealth and favor continued use after the pandemic.Consideration of patient factors such as age, distance, health issue, and follow up status can further optimize ongoing telehealth options.

show abstract

Section: Introductionmentioning

confidence: 99%

Patient and Provider Perspectives on Telemedicine use in Canadian Gastroenterology Clinics during the COVID-19 pandemic: A Survey study

Tomaszewski,

X. Jiang,

Jae Kim

et al. 2024

J Surg Res

View full text Add to dashboard Cite

show abstract

Patient and provider perspectives on telemedicine use in Canadian gastroenterology clinics during the COVID-19 pandemic: a survey study

Tomaszewski,

Jiang,

Kim

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Telemedicine has revolutionized access to medical care. This was particularly palpable during the COVID pandemic and within gastroenterology. Telehealth can improve access to patients remotely, and lead to high patient and clinician satisfaction. However, questions remain surrounding patient selection and provider considerations. We conducted a Canadian study to examine patient and provider preferences and experiences in telehealth. Methods An anonymous online survey was conducted amongst patients of an urban gastroenterology practice, as well as Canadian gastroenterologists, evaluating experiences and preferences in utility of telemedicine. Results Of 1236 patients contacted, 181 (15%) respondents were aged 18–89, 60% were female, and 58% had inflammatory bowel disease (IBD). Patient satisfaction with telehealth was high across all characteristics. Patients used both phone calls (61%) and video/audio applications (50%); higher use of phone calls was associated with older age (p = 0.02). Patients living more than 30km from clinic and with IBD were more likely to prefer telehealth visits (p < 0.01). Most providers (96%) and patients (96%) believed that telehealth use should continue for certain patients or follow up visits after the pandemic. Of 100 providers contacted, 25 respondents reported using phone calls (96%) and video/audio applications (44%). Providers perceived follow up of benign endoscopic pathology (96%) and general follow up visits (92%) to be most suitable for telehealth. Conclusion Canadian gastroenterology providers and patients appreciate telehealth and favor continued use after the pandemic. Consideration of patient factors such as age, distance, health issue, and follow up status can further optimize ongoing telehealth options.

show abstract

Redeploying gastroenterologists during the COVID-19 pandemic: early experience with telehealth including clinical access and financial implications

Cited by 2 publications

References 5 publications

Patient and Provider Perspectives on Telemedicine use in Canadian Gastroenterology Clinics during the COVID-19 pandemic: A Survey study

Patient and Provider Perspectives on Telemedicine use in Canadian Gastroenterology Clinics during the COVID-19 pandemic: A Survey study

Patient and provider perspectives on telemedicine use in Canadian gastroenterology clinics during the COVID-19 pandemic: a survey study

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