Tele-otolaryngology consultations between two rural primary-care centres in southern Lapland and the University Hospital of Umeå

Made, C; Carle, Lars; Söderberg, Ove; Hellström, Sten

doi:10.1258/1357633991932739

Cited by 24 publications

(20 citation statements)

References 1 publication

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“…5,[8][9][10][11][12]14,16,18,19,21,22,27,29,31,34,35,37,38 Eleven studies used synchronous telemedicine. 15,17,20,23,24,26,28,30,32,33,36 The remaining two articles compared both types. 13,25…”

Section: Resultsmentioning

confidence: 99%

Telemedicine in Otolaryngology: A Systematic Review of Image Quality, Diagnostic Concordance, and Patient and Provider Satisfaction

Ning

Cabrera

D’Anza

2020

Ann Otol Rhinol Laryngol

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Objectives: Telemedicine allows for the remote delivery of patient care and has been found to have a wide range of uses in otolaryngology. In order to achieve best practices in telemedicine, a platform must be effective and both patients and providers must be satisfied with the use of technology. As telemedicine becomes more widely used in otolaryngology clinics, particularly in the face of the current COVID-19 pandemic, it is important to assess its applicability in this field. The goal of this study was to evaluate existing literature on telemedicine and assess overall image quality, diagnostic concordance, and patient and provider satisfaction with telemedicine technologies. Methods: A systematic review was conducted on PubMed and MEDLINE according to the PRISMA 2009 guidelines for articles from 1982 to 2019 relating to telemedicine in otolaryngology. English language studies with primary or secondary endpoints pertaining to image quality, diagnostic concordance, or patient or provider satisfaction were included. Descriptive studies, editorials, and literature reviews were excluded. Results: A total of 32 studies were included in our review. Studies assessing imaging quality and diagnostic concordance reported adequate results but with some heterogeneity. Patient and provider satisfaction were consistently high. Conclusions: The literature supports telemedicine delivery of otorhinolaryngologic care as having achieved high rates of patient and provider satisfaction with adequate image quality and heterogeneity in diagnostic concordance. Variability in diagnostic accuracy was reported, but appears improved given proper clinical context. More standardized studies are needed specific to telemedicine in the field of otolaryngology.

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Section: Resultsmentioning

confidence: 99%

Telemedicine in Otolaryngology: A Systematic Review of Image Quality, Diagnostic Concordance, and Patient and Provider Satisfaction

Ning

Cabrera

D’Anza

2020

Ann Otol Rhinol Laryngol

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“…Specialities represented by less than three papers in total (n=11) were grouped under 'others' in Table 4. These included the following specialities: Hematology, Otolaryngology, General Medicine, Geriatric, Nephrology, Obstetrics, and Orthopaedics (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

AlDossary

Martin‐Khan

Bradford

et al. 2017

International Journal of Medical Informatics

108

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Our systematic review identified only 137 telemedicine services. This suggests either telemedicine service implementation is still not a part of mainstream clinical services, or it is not being reported in the peer-reviewed literature. The depth and the quality of information were variable across studies, reducing the generalisability. The reporting of service implementation and planning strategies should be encouraged. Given the fast paced technology driven environment of telemedicine, this may enable others to learn and understand how to implement sustainable services. The key component of planning was underreported in these studies. Studies applying and reporting more rigorous methodology would contribute greatly to the evidence for telemedicine.

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“…In several studies, patients have reported high satisfaction with telemedicine consults. 8 - 10 Made et al used a questionnaire to assess patient satisfaction; on a 6-point scale, surveyed patients had an average rating of 5.7, corresponding to high satisfaction. 8 Similarly, Mishra et al used a questionnaire among a cohort of 34 patients after undergoing thyroidectomy and parathyroidectomy and found that all patients reported telemedicine satisfaction as “very high” or “excellent.” 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

Patient and Provider Satisfaction With Telemedicine in Otolaryngology

Riley¹,

Fischer²,

Nagy

et al. 2021

OTO Open

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Objective The objective of this study is to evaluate patient and provider satisfaction with telemedicine encounters across 3 otolaryngology practices. Study Design Cross-sectional survey. Setting A military community hospital, an academic military hospital, and a nonmilitary academic center. Methods A telephone-based survey of patients undergoing telemedicine encounters for routine otolaryngology appointments was performed between April and July 2020. Patients were asked about their satisfaction, the factors affecting care, and demographic information. A provider survey was emailed to staff otolaryngologists. The survey asked about satisfaction, concerns for reimbursement or liability, encounters best suited for telemedicine, and demographic information. The results were analyzed with descriptive statistics and a multivariable logistic linear regression model to determine odds ratios. Results A total of 325 patients were surveyed, demonstrating high satisfaction with telemedicine (average score, 4.49 of 5 [best possible answer]). Patients perceived “no negative impact” or “minor negative impact” on the encounter due to the lack of a physical examination or face-to-face interaction (1.86 and 1.95 of 5, respectively). High satisfaction was consistent across groups for distance to travel, age, and reason for referral. A total of 25 providers were surveyed, with an average satisfaction score of 3.44 of 5. Providers reported “slight” to “somewhat” concern about reimbursement (40%) and liability (32%). Conclusion Given patients’ and providers’ levels of satisfaction, there is likely a role for telemedicine in otolaryngology practice that may benefit patient care independent of the COVID-19 pandemic.

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Tele-otolaryngology consultations between two rural primary-care centres in southern Lapland and the University Hospital of Umeå

Cited by 24 publications

References 1 publication

Telemedicine in Otolaryngology: A Systematic Review of Image Quality, Diagnostic Concordance, and Patient and Provider Satisfaction

Telemedicine in Otolaryngology: A Systematic Review of Image Quality, Diagnostic Concordance, and Patient and Provider Satisfaction

A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities

Patient and Provider Satisfaction With Telemedicine in Otolaryngology

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