Patient satisfaction with telehealth in neurosurgery outpatient clinic during COVID-19 pandemic

Facilitators and Barriers to the Adoption of Telemedicine During the First Year of COVID-19: Systematic Review

“…The summary of analysis is provided in Table 3, which lists the themes/observations from reviewers that correspond with the objective statement and sorts articles from the most recent to the oldest. [25] Not reported Convenience of telemedicine, increased patientprovider communication, concerns adequately addressed, increased access Strong satisfaction Richards et al [24] Some patients prefer in-person consultations, technical literacy Pandemic created acceptance of technology, past experience with technology Not reported Kurihara et al [23] Technology needs further development, technical literacy Technical literacy, past experience with technology, perceived usefulness, increased patient-provider communication, perceived ease of use Not reported Alkirie et al [26] Technology needs further development Increased connectedness, self-management, flexibility, and access Not reported Ballin et al [27] Health literacy, availability of technology, technical literacy Enabled social interaction; decreased anxiety; increased connectedness, technical literacy, and access; televideo enables reading of body language; education; convenience of telemedicine Not reported Banbury et al [28] Technology needs further development, decrease in patient-provider communication, technical literacy, confidentiality/security Increased efficiency, access, and patient-provider communication, and improved standard of care Not reported Barnett et al [29] Discomfort for wearable monitors, technical literacy, technology needs further development Technical literacy, increased self-management, increased access, increased flexibility Not reported Batalik et al [30] Limits of reimbursement for telemedicine, some patients prefer in-person consultations, connectivity, technical literacy Pandemic created acceptance of technology, availability of technology, fewer miles driven to appointment, convenience of telemedicine, faster initiation of treatment, decreased costs Not reported Beller et al [31] Perceived lack of usefulness, lack of personal desire to get better, some patients prefer inperson consultations Increased connectedness, increased adherence, improved health behaviors Not reported Bernabe-Ortiz et al [32] Not reported Pandemic created acceptance of technology Not reported Bilgrami et al [33] Decrease in quality of life after intervention Perceived usefulness, perceived ease of use, increased adherence Strong satisfaction Broers et al [34] Technical literacy, availability of technology Increased adherence, increased self-management, increased weight loss, technical literacy Not reported Cho et al [35] Technology needs further development Technical literacy, perceived ease of use Not reported Claes et al [36] Lack of personal desire to get better, technology needs further development, technical literacy Increased adherence, increased self-management Not reported Coorey et al [37] Technology needs fur...…”

“…Only 9 of the 46 (20%) studies resulted in no statistically significant difference between the intervention and control groups, which means that positive results could be obtained through telemedicine commensurate with those obtained using traditional means of care. Four articles analyzed were published in 2021 [22][23][24][25], with the remaining 42 articles published in 2020 . Further explanation of the results and medical outcomes can be found the Additional Analysis subsection.…”

“…Occurrence, n (%) References Themes/observations 12 (9.1) [27,30,35,37,38,40,41,45,46,49,57,58] Increased self-management 11 (8.3) [23,25,31,33,41,43,47,51,52,61,62] Pandemic created acceptance of technology 10 (7.6) [32,34,35,37,38,40,43,46,58,67] Increased adherence 9 (6.8) [24,[27][28][29][30]41,52,53,60] Increased access 8 (6.1) [49,50,54,55,[62][63][64]66] Increased social support 7 (5.3) ...…”

“…Only one article did not report a result as compared to the control group because it was a posttrial analysis and it did not address the control group. [28,32,35,38,40,41,43,46,[48][49][50][53][54][55][58][59][60]64] Telemedicine improved results compared to control 9 ( 14) [27,30,33,34,39,45,51,56,62] No statistically significant difference 7 (11) [24,25,43,47,49,50,63] Improved patient satisfaction 6 (9) [36,49,60,62,64,67] Improved health behaviors 6 (9) [22,38,40,41,49,67] Improved compliance/adherence 5 (8) [28,…”

Leveraging social media and digital technology to market and meet the needs of neurosurgery patients

“…High satisfaction rates with telemedicine have been attributed to convenience, accessibility, and reduced travel and wait times. [ 7 ] Despite growth in artificial intelligence and automation in health care, live interaction between providers and neurosurgery patients is required at times. In many cases, virtual interaction can obviate the need for in-person care.…”