Patient Satisfaction With the Use of Telemedicine in the Management of Hyperthyroidism

Kaur, Devinder; Galloway, Georgia Kate; Oyibo, Samson O

doi:10.7759/cureus.9859

Cited by 19 publications

(17 citation statements)

References 12 publications

(21 reference statements)

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“…The possible explanations for these findings could be pandemic-related increase in childcare responsibilities, lockdown measures, furlough, and loss in income, as well as possible difficulties with telemedicine access. Our findings are in line with several other studies that have reported younger patients and women were more vulnerable to the mental stress related to the pandemic ( 24 , 25 ), that easy access to telemedicine could achieve high patient’s satisfaction and meet their needs in other common endocrine conditions during the pandemic ( 26 , 27 ), and that good insurance coverage was associated with better self-perceived health in patients with AI ( 7 ).…”

Section: Discussionsupporting

confidence: 92%

The Impact of the COVID-19 Pandemic on Self-Reported Outcomes in Patients With Adrenal Insufficiency

Suresh

Abbondanza

et al. 2021

The Journal of Clinical Endocrinology &Amp; Metabolism

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Context The COVID-19 pandemic has impacted healthcare environment. Objective To determine the impact of the pandemic on self-reported outcomes in patients with adrenal insufficiency (AI). Design and setting Prospective longitudinal survey study at 2 tertiary centers. Participants Patients with AI. Intervention Patient-centered questionnaire. Main outcome measures Depression Anxiety Stress Scales-21, Short Form-36, and AI self-management. Results Of 342 patients, 157 (46%) had primary AI, 109 (32%) had secondary AI, and 76 (22%) had glucocorticoid-induced AI. When compared to prepandemic, daily glucocorticoid dose and number of adrenal crises did not change. However, patients reported a higher financial impact from AI (34% vs 23%, P = 0.006) and difficulty accessing medical care (31% vs 7%, P < 0.0001) during the pandemic. A third of patients reported difficulty managing AI during the pandemic. After adjusting for duration and subtypes of AI, younger patients [odds ratio (OR) 2.3, CI 95% 1.3-4.1], women (OR 3.7, CI 95% 1.9-7.1), poor healthcare access(OR 4.2, CI 95% 2.3-7.7), lack of good insurance support (OR 2.8, CI 95% 1.3-5.9), and those with a higher financial impact (OR 2.3, CI 95% 1.3-4.3) reported greater difficulties managing AI. Patients were more likely to report a higher anxiety score (≥8) if they found managing AI challenging during the pandemic (OR 3.0, CI 95% 1.3-6.9), and had lower Physical Component Summary (OR 4.9, CI 95% 2.2-11.0) and Mental Component Summary (OR 4.1, CI 95% 1.8-9.5) scores prior to the pandemic. Conclusions A third of patients with AI reported difficulties with management of AI during the pandemic, particularly in younger patients, women, and those with poor healthcare access.

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Section: Discussionsupporting

confidence: 92%

The Impact of the COVID-19 Pandemic on Self-Reported Outcomes in Patients With Adrenal Insufficiency

Suresh

Abbondanza

et al. 2021

The Journal of Clinical Endocrinology &Amp; Metabolism

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“…[ 22 ] While this review evaluated all papers relating to telemedicine and satisfaction, papers using surveys to evaluate telemedicine are currently limited to the rural medicine, pediatrics, psychiatry and are also emerging in the fields of otolaryngology, orthopedics, and endocrinology. [ 23 – 27 ] These surveys all showed a high percentage of satisfaction with telemedicine visits, as patient satisfaction survey results ranged from 80% to 97%. This is consistent with our findings in this study.…”

Section: Discussionmentioning

confidence: 96%

The telemedicine experience: using principles of clinical excellence to identify disparities and optimize care

Khan¹,

Llinas²,

Danoff

et al. 2022

Medicine

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The use of telemedicine has increased significantly during the Corona virus disease 2019 pandemic. This manuscript serves to identify the underlying principles of clinical excellence in telemedicine and to determine whether effective care practices can be generalized as a one-size-fits-all model or must instead be tailored to individual patient populations.A survey assessing care quality and patient satisfaction for patients using telemedicine was created and administered via email to 2 urban cohorts of varying demographics and socioeconomic backgrounds: a population of patients with prior stroke and cerebrovascular disease, and a cohort of patients followed for interstitial lung disease. Results were compared across groups to determine the generalizability of effective practices across populations.Individuals taking part in telemedicine were more likely to be White, more affluent, and woman, regardless of clinical diagnosis compared with a similar cohort of patients seen in-person the year prior. A lower-than-expected number of patients who were Black and of lower socioeconomic status followed up virtually, indicating potential barriers to access. Overall, patients who participated in televisits were satisfied with the experience and felt that the care met their medical needs; however, those who were older were more likely to experience technical difficulties and prefer in-person visits, while those with less education were less likely to feel that their questions were addressed in an understandable way.When thoughtfully designed, telemedicine practices can be an effective model for patient care, though implementation must consider population characteristics including age, education, and socioeconomic status, and strategies such as ease of access versus optimization of communication strategies should be tailored to meet individual patient needs.

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“…Despite the use of telemedicine is widespread among different specialistic fields, with general good outcomes in terms of efficacy and efficiency, still little is known about the patient's perception and level of satisfaction on this modality [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

I fear COVID but diabetic foot (DF) is worse: a survey on patients’ perception of a telemedicine service for DF during lockdown

et al. 2021

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Aims To evaluate the patients' perceptions of telemedicine visits during COVID-19 lockdown and their level of anxiety about COVID and diabetic foot (DF). Methods In May 2020, we contacted by phone all the patients who underwent in March and April to remote monitoring visits for DF during the lockdown for COVID-19, with a structured interview, focusing on their perceptions about telemedicine service for DF and on the anxiety toward COVID and DF. Results We analyzed 257 remote monitoring visits in 211 patients. Two hundred and six patients answered the follow-up interview; 177 patients (85.9%) remembered the monitoring visit, 140 (67.9%) the health care professional and 181 patients (87.9%) the reason of contact; 169 patients were alone during the visit, 37 with a relative. Patients judged useful both the monitoring during pandemic (4.35 ± 0.28 on a maximum of five) and the possibility to continue after the lockdown (4.34 ± 0.23 on a maximum of five). Eventually, we observed that DF patients were more worried by DF than by COVID on a scale from 0 (not fear at all) to 5 (terrified) (4.79 ± 0.05 vs. 3.27 ± 1.03, p < 0.05). This difference was higher in previously ulcerated patients (4.84 ± 0.03 vs. 3.03 ± 1.13, p < 0.05) and even more in amputees (4.93 ± 0.03 vs. 2.73 ± 1.21, p < 0.05). Conclusions DF patients appreciated televisits during lockdown and the continuation of this service after its end. In this context DF prevails on COVID in the worries of patients, especially if they are recurrent ones. Keywords Diabetic foot • COVID • Follow-up • PandemicThis article belongs to the topical collection Health Education and Psycho-Social Aspects, managed by Massimo Porta and Marina Trento.

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Patient Satisfaction With the Use of Telemedicine in the Management of Hyperthyroidism

Cited by 19 publications

References 12 publications

The Impact of the COVID-19 Pandemic on Self-Reported Outcomes in Patients With Adrenal Insufficiency

The Impact of the COVID-19 Pandemic on Self-Reported Outcomes in Patients With Adrenal Insufficiency

The telemedicine experience: using principles of clinical excellence to identify disparities and optimize care

I fear COVID but diabetic foot (DF) is worse: a survey on patients’ perception of a telemedicine service for DF during lockdown

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