Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine

Efthymiadis, Agathoklis; Hart, Edward J.; Guy, Alexandra M; Harry, R; Mahesan, Tharani; Chedid, Wissam Abou; Uribe-Lewis, Santiago; Perry, Matthew

doi:10.7861/fhj.2020-0076

Cited by 16 publications

(16 citation statements)

References 11 publications

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“…We found face-to-face consultations w higher quality compared to telephone consultations, consistent with research con in primary care prior to the pandemic [15]. Despite this finding, overall high satis was still reported, in keeping with other literature reporting high satisfactio telephone consultations throughout the pandemic [16][17][18][19].…”

Section: Comparison To Other Studiessupporting

confidence: 88%

Quality in Clinical Consultations: A Cross-Sectional Study

Graf

Koh

Caldwell³

et al. 2022

Clinics and Practice

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The coronavirus disease 2019 pandemic may have affected the quality of clinical consultations. The objective was to use 10 proposed quality indicator questions to assess outpatient consultation quality; to assess whether the recent shift to telemedicine during the pandemic has affected consultation quality; and to determine whether consultation quality is associated with satisfaction and consultation outcome. A cross-sectional study was used to survey clinicians and patients after outpatient consultations (1 February to 31 March 2021). The consultation quality score (CQS) was the sum of ‘yes’ responses to the survey questions. In total, 78% (538/690) of consultations conducted were assessed by a patient, clinician, or both. Patient survey response rate was 60% (415/690) and clinician 42% (291/690). Face-to-face consultations had a greater CQS than telephone (patients and clinicians < 0.001). A greater CQS was associated with higher overall satisfaction (clinicians log-odds: 0.77 ± 0.52, p = 0.004; patients log-odds: 1.35 ± 0.57, p < 0.001) and with definitive consultation outcomes (clinician log-odds: 0.44 ± 0.36, p = 0.03). In conclusion, consultation quality is assessable; the shift to telemedicine has negatively impacted consultation quality; and high-quality consultations are associated with greater satisfaction and definitive consultation outcome decisions.

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Section: Comparison To Other Studiessupporting

confidence: 88%

Quality in Clinical Consultations: A Cross-Sectional Study

Graf

Koh

Caldwell³

et al. 2022

Clinics and Practice

View full text Add to dashboard Cite

show abstract

“…Several other studies investigated patient satisfaction with video/phone consultations during the COVID-19 pandemic, both in allergy/immunology and other services (e.g. rheumatology, inflammatory bowel disease, oral/maxillofacial surgery, urology), and all confirmed high satisfaction levels in the majority of patients [14][15][16][17][18][19][20]. In addition, some other studies, mainly involving allergy/immunology clinics, reported increased prescriptions of home-administered biologics [21][22][23].…”

Section: Discussionmentioning

confidence: 85%

The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?

Eger

Paróczai²,

Bacon³

et al. 2022

ERJ Open Res

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BackgroundThe COVID-19 pandemic has put pressure on health-care services forcing the reorganisation of traditional care pathways. We investigated how physicians taking care of severe asthma patients in Europe reorganised care, and how these changes affected patient satisfaction, asthma control and future care.MethodsIn this European-wide cross-sectional study, patient surveys were sent to patients with a physician-diagnosis of severe asthma, and physician surveys to severe asthma specialists between November 2020 and May 2021.Results1101 patients and 268 physicians from 16 European countries contributed to the study. Common physician-reported changes in severe asthma care included use of video/phone consultations (46%), reduced availability of physicians (43%) and change to home-administered biologics (38%). Change to phone/video consultations was reported in 45% of patients, of whom 79% were satisfied or very satisfied with this change. Of 709 patients on biologics, 24% experienced changes in biologic care, of whom 92% were changed to home-administered biologics and of these 62% were satisfied or very satisfied with this change. Only 2% reported worsening asthma symptoms associated with changes in biologic care. Many physicians expect continued implementation of video/phone consultations (41%) and home administration of biologics (52%).ConclusionsChange to video/phone consultations and home administration of biologics was common in severe asthma care during the COVID-19 pandemic, and was associated with high satisfaction levels in most but not all cases. Many physicians expect these changes to continue in future severe asthma care, though satisfaction levels may change after the pandemic.

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“…During the pandemic, they discovered high levels of overall contentment with the usage of telephone appointments for urology patients. Patients in the PSA surveillance and post-radical prostatectomy clinics, on the other hand, reported significantly higher levels of satisfaction (50).…”

Section: Urology Telemedicine and Covid-19mentioning

confidence: 97%

“…The COVID-19 pandemic has paved way for the technological advancements in the field of healthcare. Technology assisted consultation is proven to be beneficial for the patients (40,49,50). "Does the National Health Service (NHS) future lie in telephone consultations?"…”

Section: Urology Telemedicine and Covid-19mentioning

confidence: 99%

Telemedicine and Telehealth in Urology—What Do the ‘Patients' Think About It?

et al. 2022

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Telemedicine is the delivery of healthcare to patients who are not in the same location as the physician. The practice of telemedicine has a large number of advantages, including cost savings, low chances of nosocomial infection, and fewer hospital visits. Teleclinics have been reported to be successful in the post-surgery and post-cancer therapy follow-up, and in offering consulting services for urolithiasis patients. This review focuses on identifying the outcomes of the recent studies related to the usage of video consulting in urology centers for hematuria referrals and follow-up appointments for a variety of illnesses, including benign prostatic hyperplasia (BPH), kidney stone disease (KSD), and urinary tract infections (UTIs) and found that they are highly acceptable and satisfied. Certain medical disorders can cause embarrassment, social exclusion, and also poor self-esteem, all of which can negatively impair health-related quality-of-life. Telemedicine has proven beneficial in such patients and is a reliable, cost-effective patient-care tool, and it has been successfully implemented in various healthcare settings and specialties.

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Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine

Cited by 16 publications

References 11 publications

Quality in Clinical Consultations: A Cross-Sectional Study

Quality in Clinical Consultations: A Cross-Sectional Study

The effect of the COVID-19 pandemic on severe asthma care in Europe: will care change for good?

Telemedicine and Telehealth in Urology—What Do the ‘Patients' Think About It?

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