Satisfaction with and Feasibility of Prenatal Counseling via Telemedicine: A Prospective Cohort Study

Oelmeier, Kathrin; Schmitz, Ralf; Möllers, Mareike; Braun, Janina; Deharde, Daniela; Sourouni, Marina; Köster, Helen Ann; Apsite, Gunita; Eveslage, Maria; Fischhuber, Karen; Storck, Michael; Emming, F; Wohlmann, Jan; Juhra, Christian

doi:10.1089/tmj.2021.0309

Cited by 12 publications

(11 citation statements)

References 17 publications

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“…Providing couples treatment via telemedicine services was reported to address these obstacles and improve accessibility to health care services [ 52 , 53 ]. Additionally, the use of telemedicine services to perform regular prenatal counseling was associated with high rates of feasibility and satisfaction [ 54 ]; such factors could encourage multiparous women who might be more lenient when it comes to prenatal visits to have a positive perspective regarding telemedicine within this context, to save time and effort.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Perceptions of Jordanians Toward Adopting and Using Telemedicine: National Cross-sectional Study

Murshidi¹,

Hammouri²,

Taha³

et al. 2022

JMIR Hum Factors

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Background Due to the upsurge of COVID-19, nations are increasingly adopting telemedicine programs in anticipation of similar crises. Similar to all nations worldwide, Jordan is implementing efforts to adopt such technologies, yet it is far from complete. Objective This study aims to assess the knowledge, attitudes, and perceptions of Jordanians toward telemedicine, to identify key factors predisposing individuals to its use or acting as barriers to its implementation. Methods We implemented a cross-sectional design using an online, self-administered questionnaire executed in Google Forms and distributed through social media. Differences in knowledge and attitude scores were examined using independent sample t tests and ANOVA. A multivariate linear regression model was computed to assess predictors of awareness toward telemedicine. Results A total of 1201 participants fully completed the questionnaire. Participants were characterized by a mean age of 36.3 (SD 14.4) years and a male-to-female ratio of nearly 1:1. About 50% (619/1201, 51.5%) of our studied population were aware of telemedicine, while nearly 25% (299/1201, 24.9%) declared they had observed it in action. Approximatively 68% (814/1201, 67.8%) of respondents were willing to use telemedicine. The majority of the sample portrayed favorable and positive views toward telemedicine. Higher educational degrees, living in urban districts, and having a higher perception of electronic usage ability were associated with higher knowledge and better attitudes toward telemedicine (all P<.05). The multivariate linear regression analysis demonstrated that perceived ability to use electronics was associated with positive attitudes (β=0.394; 95% CI 0.224 to 0.563), while living in Southern Jordan predicted poor attitudes toward telemedicine (β=–2.896; 95% CI –4.873 to –0.919). Conclusions Jordanians portray favorable perceptions of telemedicine. Nonetheless, concerns with regards to privacy, medical errors, and capacity for accurate diagnoses are prevalent. Furthermore, Jordanians believe that integrating telemedicine within the health care system is not applicable due to limited resources.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Perceptions of Jordanians Toward Adopting and Using Telemedicine: National Cross-sectional Study

Murshidi¹,

Hammouri²,

Taha³

et al. 2022

JMIR Hum Factors

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“…Furthermore, the rates of no-show and cancelled appointments for all visit types, other than MFM consultations, significantly decreased following the implementation of telemedicine. As virtual medicine has been rapidly adopted during the COVID-19 pandemic, similar satisfaction with prenatal consultations have been reported by patients and providers in neonatology (18), MFM (19,20), and genetics (21, 22). Notably, despite the heightened sensitivity of matters discussed and the importance of patient privacy in prenatal genetic consultations, these VVs have been well tolerated, with patients reporting high levels of confidence in the visit's privacy and satisfaction with their providers' attention to their emotional needs (21,22).…”

Section: Discussionmentioning

confidence: 58%

Evaluating the efficacy of virtual prenatal counseling for genitourinary anomalies

Moran¹,

Schoenfeld²,

Movassaghi³

et al. 2022

Front. Urol.

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Introduction and ObjectivesThe standardization of fetal sonography has enabled early detection of genitourinary anomalies and referral for prenatal counseling with pediatric urologists. Prenatal urologic consultation can determine the need for antenatal and postnatal intervention, assuage parental anxiety, and establish continuity of care. The COVID-19 pandemic led to a significant increase in virtual visits (VVs). Our aim was to characterize a cohort of patients who underwent prenatal VVs with pediatric urologists and to assess adherence to prenatal recommendations for neonatal urologic care.Materials and MethodsData were collected through retrospective chart review of all patients receiving prenatal virtual consultation for genitourinary anomalies at our institution from July 1, 2020 to September 30, 2021. Data collected include maternal and gestational age at the time of prenatal imaging and VV, diagnosis of the fetus and neonate, and adherence to pediatric urological recommendations.ResultsDuring the study period, there were 70 prenatal VVs for 69 singleton and 1 twin gestation. 84 prenatal genitourinary diagnoses were made in these 71 cases. Of the 56/71 children known to have been born by the time of analysis, there are 63 postnatal genitourinary diagnoses. Postnatal diagnoses were consistent (38/56, 68%) or partially consistent (16/56, 29%) with prenatal diagnoses in 54/56 neonates (96%). There was 100% adherence to the postnatal imaging and antibiotic recommendations. One patient failed to attend the postnatal visit and one patient is due for repeat postnatal imaging to determine the necessity of follow-up.ConclusionsPrenatal VVs promoted effective counseling of genitourinary anomalies and were associated with impressive postnatal adherence to prenatal recommendations. This is, to our knowledge, the first study to assess the impact of prenatal virtual pediatric urological consultation on postnatal adherence to prenatal recommendations. Future study will benefit from survey of the patient VV experience and evaluation of the relative merits of virtual versus in-person prenatal visits in a prospective, randomized fashion.

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“…A smaller proportion of clinicians than patients reported their VC quality to be ‘excellent’ or ‘very good’ (Supporting Information S1: Table 1). This is reflected in several other O&G VC satisfaction studies performed during the pandemic 7,9,10,12–15,18,19 . Some studies have found only moderate rates of patient satisfaction, 16 but we are yet to find any studies that indicate patients are dissatisfied with the use and their experience of VC.…”

Section: Discussionmentioning

confidence: 84%

“…This is reflected in several other O&G VC satisfaction studies performed during the pandemic. 7,9,10,[12][13][14][15]18,19 Some studies have found only moderate rates of patient satisfaction, 16 but we are yet to find any studies that indicate patients are dissatisfied with the use and their experience of VC. This study differs from other satisfaction studies since it includes data from fertility patients and clinicians as well as those from O&G. We believe this is important since fertility is a highly emotional speciality, especially for patients, and therefore, we were interested to see their satisfaction with having potentially upsetting or stressful consultations via a virtual As mentioned in the results and shown in Table 3, most patients did not experience difficulties, however, some of the more commonly experienced difficulties by patients during their VC were with sound, video and their device, with very few patients having difficulty with finding privacy.…”

Section: Discussionmentioning

confidence: 87%

“…Existing studies do not look into patient and clinician satisfaction with the use of VC in fertility and obstetrics and O&G services in the United Kingdom. However, several O&G VC satisfaction studies exist across the globe, [4][5][6][7][8][9][10][11][12][13][14][15][16] and centres in the United States have analysed patient and clinician satisfaction with the use of VC in the field of reproductive endocrinology and infertility. 17,18 These studies have reported high satisfaction rates associated with the use of VC, with improving convenience, 8,14,19 saving time 8,[14][15][16]18 and improving access to care 14,15,18,19 being some common benefits reported by the patients.…”

Section: Introductionmentioning

confidence: 99%

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Virtual consultation (VC) in fertility and obstetrics and gynaecology services: An analysis of patient and clinician satisfaction

D'Angelo,

Evans,

Williams

et al. 2024

Repro Female Child Health

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ObjectiveTo assess patient and clinician satisfaction and identify any differences between the two with the use of video consulting (VC) in the fields of obstetrics and gynaecology (O&G) and fertility in Wales.DesignA retrospective electronic survey study.SettingAll public hospitals in Wales that used virtual methods for delivery of fertility and/or O&G appointments during and after the COVID‐19 pandemic between August 2020 and March 2022.PopulationPatients awaiting an appointment on the National Health Service, who have attended virtual fertility or O&G appointments in Wales, and fertility and O&G clinicians who have conducted appointments virtually.MethodsAnalysis of patient and clinician responses to a VC satisfaction survey delivered after their consultation taking place between August 2020 and March 2022.Main Outcome MeasuresPatient and clinician satisfaction rates with the use of virtual consultation in fertility and O&G appointments.ResultsIn satisfaction data collected from 420 patients and 161 clinicians, 83% of patients and 63% of clinicians reported their VC quality to be ‘very good’ or ‘excellent’. Difficulties when using VC were experienced by a minority of patients (1%–9%) and clinicians (1%–8%) and most patients (52v82%) and clinicians (34%–67%) found several aspects of VC to be ‘very beneficial’. Fertility patients rated their VC experience more positively than O&G patients.ConclusionsMost patients and clinicians were satisfied with their VC experience. Patients were more satisfied with the use of VC than clinicians. Fertility patients were more satisfied with the use of VC than O&G patients.

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Satisfaction with and Feasibility of Prenatal Counseling via Telemedicine: A Prospective Cohort Study

Cited by 12 publications

References 17 publications

Knowledge, Attitudes, and Perceptions of Jordanians Toward Adopting and Using Telemedicine: National Cross-sectional Study

Knowledge, Attitudes, and Perceptions of Jordanians Toward Adopting and Using Telemedicine: National Cross-sectional Study

Evaluating the efficacy of virtual prenatal counseling for genitourinary anomalies

Virtual consultation (VC) in fertility and obstetrics and gynaecology services: An analysis of patient and clinician satisfaction

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