Virtual clinics in foot and ankle surgery: patient and clinician perceptions

Abstract

Background The worldwide COVID-19 pandemic has led to the popularisation of ‘virtual’ clinics. In orthopaedics, little is known about the use of virtual clinics within foot and ankle surgery, specifically. Methods A cross-sectional observation study of patients and clinicians in response to virtual clinics in foot and ankle surgery. Patients seen in a virtual clinic were contacted by telephone from two weeks after their consultation and asked to complete a 12-point questionnaire. Demographic information was also collected. Clinicians in foot and ankle completed a 10-point questionnaire. Results One hundred patient responses were collected. Patient satisfaction with virtual clinics was positive, with 65% of respondents reporting they were very happy (Likert scale rating 5). More than 90% of patients felt they received enough information, felt involved, felt the virtual clinic was helpful and knew who to contact if there was a problem. However, 79% would still prefer a face-to-face consultation, and 22% would have preferred a video consultation. Clinician responses were more cautious, with 60% stating they were neither happy nor unhappy (Likert scale rating 3). Virtual clinics may be faster for the clinician. Conclusions Virtual clinics may be more convenient for patients, with high satisfaction levels reported, but represent significant clinical challenges for foot and ankle surgeons. Elements of virtual clinics may persist post pandemic, particularly in routine follow-up. Virtual clinics are not appropriate for new patient referrals.

Ankle Telemedicine Planning Considerations

“…Interestingly, it was also reported they would use telemedicine service in the future again. Rhind et al 6 assessed 100 patients 2 weeks after their virtual visit and they demonstrated high satisfaction (65%), but 79% of them would still prefer in-person visits.…”