Telemedicine utilization by pediatric ophthalmologists during the COVID-19 pandemic

Vongsachang, Hursuong; Lagstein, Oded; Boland, Michael V.; Repka, Michael X.; Kraus, Courtney L.; Collins, Megan E.

doi:10.1016/j.jaapos.2021.05.018

Cited by 8 publications

(6 citation statements)

References 6 publications

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“…In our questionnaire, 45.1% of the ophthalmologists felt they could not adequately assess the current status of their patients’ conditions, and 38.0% felt they could not predict the prognosis of their patients’ conditions. These findings broadly support other studies in this field, making the inability to perform adequate ophthalmic examinations a major barrier, if not the only one, to the long-term utilization of [ 19 , 20 ]. Although expected, a reliable method of examining patients’ eyes is needed to maintain this as a viable method of care.…”

Section: Discussionsupporting

confidence: 88%

“…Pediatric ophthalmology reported the second-highest satisfaction score (56.4). A recent article investigating the experience of pediatric ophthalmologists reported a low confidence level in telemedicine to deliver eye care [ 20 ]. This difference in perceptions among pediatric ophthalmologists could be due to different pandemic peaks at the time of research.…”

Section: Discussionmentioning

confidence: 99%

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Physician Satisfaction With Virtual Ophthalmology Clinics During the COVID-19 Pandemic: A Tertiary Eye Care Center Experience

Owaifeer¹,

Al-Swailem²,

Dehailan³

et al. 2022

Cureus

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Background In this study, we aimed to assess ophthalmologists’ experience with teleophthalmology during the coronavirus disease 2019 (COVID-19) pandemic in the central region of Saudi Arabia. In addition, we evaluated their satisfaction level and explored their satisfaction determinants. Methodology We conducted an online survey for ophthalmologists who participated in the virtual ophthalmology clinic during COVID-19 between November 2020 and September 2021. The survey was used to evaluate ophthalmologists’ experience with teleophthalmology during the pandemic. Ophthalmologists were asked to measure their satisfaction with equipment and technical issues, communication, and clinical assessment, and to provide an overall program evaluation. Data were analyzed via frequency measures (e.g., numbers, percentages, mean, and standard deviation). Results Out of the 113 ophthalmologists who were invited to participate in our study, 71 completed the survey. In total, 23 (32.4%) participants were general ophthalmologists, 15 (21.1%) were subspecialists in the cornea, 16 (22.5%) were subspecialists in glaucoma, one (1.4%) was a subspecialist in neuro-ophthalmology, seven (9.9%) were subspecialists in pediatric ophthalmology, eight (11.3%) were subspecialists in the retina, and one (1.4%) participant was a subspecialist in oculoplastic. Overall, 56.3% of the respondents were satisfied with teleophthalmology. Ophthalmologists who subspecialized in the retina demonstrated higher levels of satisfaction than other subspecialties. The most common challenge reported by ophthalmologists in the virtual consultation was the lack of adequate equipment to evaluate the patients (53.5%), followed by technical issues (43.7%) and the patients’ lack of experience in using virtual consultation services (38%). Overall satisfaction score was the highest among ophthalmologists who reported providing at least five video consultations before the survey. Conclusions The findings from our study suggest that the subspeciality of ophthalmologists and the number of video consultations conducted by ophthalmologists are important determinants in their level of satisfaction with teleophthalmology. The majority of the respondents were satisfied with the virtual clinic during the COVID-19 pandemic. The current pandemic could pave the way for the future use of telemedicine in ophthalmology if virtual eye examinations become standardized.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Physician Satisfaction With Virtual Ophthalmology Clinics During the COVID-19 Pandemic: A Tertiary Eye Care Center Experience

Owaifeer¹,

Al-Swailem²,

Dehailan³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…132 Despite benefits to telemedicine implementation, physicians expressed concerns regarding the quality of care, implementation, and potential negative impacts on physician-patient relationships. 108,133,134 Carroll et al discuss the challenges faced by many US telemedicine systems, including the lack of fields for unique data sets and difficulties in integrating various EHRs and cross-identifying patients between systems. 133 Chiang et al found a low (12%) EHR adoption rate among 592 American Academy of Ophthalmology (AAO) participants, but high (69%) satisfaction among ophthalmologists already using EHRs.…”

Section: Telemedicine and 'Virtual' Clinicsmentioning

confidence: 99%

Social determinants of health and health disparities in glaucoma: A review

Acuff,

Wu,

Varkhedi

et al. 2024

Clinical Exper Ophthalmology

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Social determinants of health and barriers to care can significantly impact patients' access to glaucoma care and treatment, resulting in disparities within disease presentation, progression, management, and treatment outcomes. The widespread adoption of electronic health record systems has allowed researchers and clinicians to further explore these relationships, identifying factors such as race, ethnicity, and socioeconomic status to be risk factors for more severe disease and lower treatment adherence. These disparities highlight potential targets for interventions to combat these disparities and improve overall patient outcomes. This article provides a summary of the available data on health disparities within glaucoma disease presentation, progression, management, treatment, and outcomes and discusses interventions to improve care delivery and outcomes among patients with glaucoma.

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“…Not all TH experiences have been positive. Recommendations for improving the quality of TH doctor-patient communication have been published (22)(23)(24). These include optimizing technology, building rapport, and optimizing verbal and nonverbal communication in TH encounters.…”

Section: Components Of a Telehealth Visit: Patient Selection And Exammentioning

confidence: 99%

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

Franciosi

Berg

Rosen

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Telehealth (TH) broadly encompasses remote activities of clinical care (telemedicine), provider and patient education, and general health services. The use of synchronous video for TH first occurred in 1964 and then catapulted to the forefront in 2020 during the coronavirus disease 2019 public health emergency. Due to the sudden need for increased TH utilization by nearly all health care providers at that time, TH became essential to clinical practice. However, its sustainable future is unclear in part given that best practices for TH in pediatric gastroenterology (GI), hepatology, and nutrition remain undefined and non-standardized. Key areas for review include historical perspective, general and subspeciality usage, health care disparities, quality of care and the provider-patient interaction, logistics and operations, licensure and liability, reimbursement and insurance coverage, research and quality improvement (QI) priorities, and future use of TH in pediatric GI with a call for advocacy. This position paper from the Telehealth Special Interest Group of North American Society of Gastroenterology, Hepatology and Nutrition provides recommendations for pediatric GI-focused TH best practices, reviews areas for research and QI growth, and presents advocacy opportunities.

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Telemedicine utilization by pediatric ophthalmologists during the COVID-19 pandemic

Cited by 8 publications

References 6 publications

Physician Satisfaction With Virtual Ophthalmology Clinics During the COVID-19 Pandemic: A Tertiary Eye Care Center Experience

Physician Satisfaction With Virtual Ophthalmology Clinics During the COVID-19 Pandemic: A Tertiary Eye Care Center Experience

Social determinants of health and health disparities in glaucoma: A review

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth

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