Using Technology in Global Otolaryngology

Saadi, Robert; Goldenberg, Dana; Goldenberg, David

doi:10.1016/j.otc.2018.01.004

Cited by 15 publications

(16 citation statements)

References 35 publications

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“…Telemedicine has been demonstrated to increase provider efficiency in otolaryngology practices and is convenient for patients. 3 Otolaryngology relies on testing that may de-emphasize physical examination, such as audiometry and radiographic imaging. Therefore, certain types of encounters may favor telemedicine with certain types of encounters.…”

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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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mentioning

confidence: 99%

Patient and Provider Satisfaction With Telemedicine in Otolaryngology

Riley¹,

Fischer²,

Nagy

et al. 2021

OTO Open

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“…Telemedicine in otolaryngology poses unique challenges as many clinical encounters rely on specialized instruments and procedures. 2-4 These limitations may affect the ability to integrate telemedicine within otolaryngology while maintaining high levels of patient care and satisfaction. A few pilot studies have reported successful implementation of telemedicine in otolaryngology clinics prior to the COVID-19 pandemic.…”

mentioning

confidence: 99%

Telemedicine in Otolaryngology During COVID‐19: Patient and Physician Satisfaction

Choi

Kim

Park

et al. 2021

Otolaryngol.--head neck surg.

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Objective To examine patient and physician satisfaction with telemedicine in otolaryngology during COVID-19 and identify associated factors. Study Design Prospective cohort study. Setting Tertiary care center. Methods Patient satisfaction was rated by patients (age ≥18 years) who had encounters from May to July 2020 (n = 407). Physician satisfaction was rated by 15 otolaryngologists for specific encounters delivered from May to June 2020 (n = 1011). Patient satisfaction was measured with a Press Ganey questionnaire and a Telemedicine Satisfaction Questionnaire. Mean Press Ganey satisfaction scores of telemedicine encounters during COVID-19 were compared with the pre−COVID-19 Press Ganey scores from in-person encounters (n = 3059) to test a noninferiority hypothesis. Physician satisfaction was measured with a Provider Satisfaction Questionnaire. Results The mean Press Ganey patient satisfaction score for telemedicine encounters was 94.5 (SD, 8.8), no worse than that for in-person encounters prior to COVID-19 at 93.7 (SD, 15.5; Δ = 0.8 [95% CI, −0.5 to 2.1, excluding the noninferiority margin of −1]). Encounters with videoconference (vs telephone) and patients reporting higher income were associated with higher Telemedicine Satisfaction Questionnaire scores. Physician satisfaction scores during COVID-19 with telemedicine encounters were overall high at 83.3 (95% CI, 77.5-89.1), slightly lower when compared with the scores with in-person encounters at 88.4 (95% CI, 82.5-94.3; Δ = −5.2 [95% CI, −6.6 to −3.8]). Encounters with videoconference (vs telephone) and patients with English as a preferred language and follow-up visits were associated with higher Provider Satisfaction Questionnaire scores. Conclusions Telemedicine is a feasible alternative format in otolaryngology during COVID-19 with overall high patient and physician satisfaction. Patient satisfaction with telemedicine encounters during COVID-19 was no worse than in-person encounters prior to the pandemic. Physician satisfaction with telemedicine was relatively lower in comparison with in-person encounters.

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“…This shortage is consistent across all countries in SSA. In addition these professionals are concentrated in large urban cities with poor penetration 3,11 into the rural areas where most of the population live. It is imperative therefore to adopt technological innovations that improve access to the services these people provide in an efficient and cost effective manner.…”

Section: Resultsmentioning

confidence: 99%

Innovative Healthcare Technologies in Otorhinolarnygological Practice in Sub-Saharan Africa: Strategies for Accelerated Uptake

Braimah

Okhakhu

2020

western J Med Biomed Sci

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Healthcare innovations are geared towards greater patient comfort, improved diagnosis and better treatment outcomes. Otorhinolaryngology (ORL) has witnessed many technological innovations become a core aspect of daily practice. Sub-Saharan Africa is currently lagging behind the rest of the world in both development and uptake of innovative health technologies. This paper aims to examine these innovations in otorhinolaryngology as well as the challenges and routes to their timely deployment in Sub-Saharan Africa (SSA). A literature review was conducted on papers retrieved from Google scholar and Pubmed. Several factors have hampered practitioners in SSA from fully leveraging new technologies. By applying political, legal, economic, educational and scientific strategies these practitioners may adopt safe, effective, home-grown adaptations of emerging technologies for accelerated uptake.

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Using Technology in Global Otolaryngology

Cited by 15 publications

References 35 publications

Patient and Provider Satisfaction With Telemedicine in Otolaryngology

Patient and Provider Satisfaction With Telemedicine in Otolaryngology

Telemedicine in Otolaryngology During COVID‐19: Patient and Physician Satisfaction

Innovative Healthcare Technologies in Otorhinolarnygological Practice in Sub-Saharan Africa: Strategies for Accelerated Uptake

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