Patients Perceptions of Telemedicine Visits Before and After the Coronavirus Disease 2019 Pandemic

Holtz, Bree

doi:10.1089/tmj.2020.0168

Cited by 116 publications

(96 citation statements)

References 7 publications

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“…(2020) UK qi orthopedic march 16-april 20, 2020 215 patients; 103 clinicians RNOC Survey LOE VI Holcomb et al. (2020) USA Descriptive cross-sectional Prenatal visit March 17-May 31, 2020 283 out of 421 pregnant women who participated in at least one visit agreed to participate (65% response rate); 89% females; 84% Whites; 66.8% with college degrees Texas Telephone survey LOE VI Holtz (2020) USA Descriptive cross-sectional Not identified March 31-April 20, 2020 1011 participated the survey but data from 434 participants who had used telemedicine were included in their analysis; 89% females Survey LOE VI Itamura et al. (2020) USA Descriptive Otolaryngo-logy clinic January 1-May 1, 20,202 195 virtual visits and 4013 in-person visits California Survey LOE VI Kanc et al.…”

Section: Resultsmentioning

confidence: 99%

Satisfaction with the use of telehealth during COVID-19: An integrative review

Andrews

Berghofer

Long

et al. 2020

International Journal of Nursing Studies Advances

189

141

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Background The novel coronavirus (COVID-19) pandemic has defined 2020 thus far. Businesses, social and religious gatherings, travel, and almost all forms of transportation shut down to halt the spread of COVID-19. People were ordered to quarantine in place, and the world appears to go into a standstill. In the midst of being quarantined people with acute and chronic conditions still require medical care and treatment. An alternative way for people to receive needed health care was necessary. Hence, we saw an unprecedented surge in telehealth. With this unprecedented surge in use of telehealth, there is matter of delivering quality care. Objective Guided by the Donabedian Model, the purpose of this integrative review was to examine current evidence on patient and healthcare provider's satisfaction with the use of telehealth during the COVID-19 pandemic. Design An integrative review of the literature Data sources The literature review was conducted utilizing PubMED, CINAHL, Google Scholar and Cochrane Library databases. Inclusion criteria were studies published from January 2020 to July 11, 2020, published and translated in English language, and studies that evaluated patients and providers satisfaction with the use of telehealth or telemedicine during COVID-19. Eighteen articles were included in this review. Review methods An evaluation matrix was developed to collect data from the included articles. The articles were appraised using Fineout-Overholt & Gallagher-Ford Rapid Critical Appraisal Checklist for Descriptive Studies and Rapid Critical Appraisal of Evidence-Based Practice Implementation or Quality Improvement Projects (Melnyk & Fineout-Overholt, 2015). Authors independently appraised each article using the appropriate appraisal tools. Results Ten of the articles (53%) included were studies conducted in the United States. Sixteen out of 18 studies evaluated patient satisfaction and five studies examined healthcare providers’ satisfaction with the use of telehealth. The majority of telehealth services offered were by subspecialists. Overall, patients and healthcare providers have high level of satisfaction with the use of telehealth during COVID-19 pandemic. Many patients and healthcare providers reported willingness to continue using telehealth after the pandemic. Conclusion This integrative review provided additional evidence on patient and healthcare provider's satisfaction with the use of telehealth. Findings in this review may not be surprising as individuals, healthcare providers, and health systems needed to adopt the use telehealth due to necessity. However, the results for telehealth are promising.

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Section: Resultsmentioning

confidence: 99%

Satisfaction with the use of telehealth during COVID-19: An integrative review

Andrews

Berghofer

Long

et al. 2020

International Journal of Nursing Studies Advances

189

141

View full text Add to dashboard Cite

show abstract

“…However, its integration into clinical practice has specific administrative and bureaucratic challenges, mainly involving the cost of implementation and reimbursement that is far beyond the conceptualization or technological shortfalls [ 15 ]. However, the use of telemedicine approaches have become progressively more popular and acceptable by health authorities, medical doctors and patients after the current pandemic, and positive outcomes from associated intervention have been intensively described and reported worldwide [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on clinical trials and clinical research: A systematic review

Sathian

Asim

Banerjee³

et al. 2020

Nepal J Epidemiology

157

129

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Background: The World Health Organization has reported more than 31,186,000 confirmed cases of coronavirus disease-19 (COVID-19), including 962,343 deaths, worldwide as on September 21, 2020. The current COVID-19 pandemic is affecting clinical research activities in most parts of the world. The focus on developing a vaccine for SARS-CoV-2 and the treatment of COVID-19 is, in fact, disrupting many upcoming and/or ongoing clinical trials on other diseases around the globe. On March 18, 2020, the United States Food and Drug Administration (FDA) issued an updated guideline for the conduct of clinical trials during the current health emergency situation. The potential challenges, such as social distancing and quarantines, result in study participants’ inaccessibility and trial personnel for in-person scheduled study visits and/or follow-up. Due to the sudden onset and wide-spread impact of COVID-19, its influence on the management of clinical trials and research necessitates urgent attention. Therefore, our systematic review of the literature aims to assess the impact of the COVID-19 pandemic on the conduction of clinical trials and research. The search for the relevant articles for review included the keywords "COVID-19” AND "clinical trial" in PubMed, MEDLINE, Embase, Google scholar and Google electronic databases. Key findings include: delaying subject enrollment and operational gaps in most ongoing clinical trials, which in turn has a negative impact on trial programmes and data integrity. Globally, most sites conducting clinical trials other than COVID-19 are experiencing a delay in timelines and a complete halt of operations in lieu of this pandemic, thus affecting clinical research outcomes.

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“…Recruitment for the online survey was through snowballing using digital media, as in other surveys during the pandemic. (15,16) Advertisements for the survey were posted on personal and professional social media platforms and emailed to other organisational contacts.…”

Section: Recruitment and Data Collection Online Surveymentioning

confidence: 99%

“…(27) A survey of patients' perceptions of telehealth in the United States of America during the COVID-19 pandemic found satisfaction was high both in new and previous users of telehealth but new users were more motivated to avoid waiting rooms and potential infection. (16) Research into telehealth before the COVID-19 pandemic mostly focused on the management or prevention of chronic conditions, and often in hospital outpatient settings. (27)(28)(29) In this context, telehealth (mostly video consultations) led to high patient satisfaction and equivalent health care outcomes, although it could not substitute for in-person care in all cases.…”

Section: Comparison With Existing Researchmentioning

confidence: 99%

Telehealth Consultations in General Practice During a Pandemic Lockdown: Survey and Interviews on Patient Experiences and Preferences

Imlach

McKinlay

Middleton

et al. 2020

Preprint

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BackgroundDuring the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March-May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consultations (telehealth) wherever possible instead of the usual in-person visits. This was a sudden change for most practices and patients. This research aimed to explore how patients accessed general practice during lockdown and evaluate their experiences with telehealth, to inform how telehealth could be most effectively used in the future. MethodsUsing a mixed-method approach, we undertook an online survey and in-depth interviews with adults (>18 years) who had contact with practices during lockdown, recruited through social media and email lists. We present descriptive statistics from the survey data (n=1,010) and qualitative analysis of interview data (n=38) and open-ended survey questions, using a framework of access to health care, from the patient’s perspective.ResultsIn general, patients reported high satisfaction with telehealth in general practice during lockdown. Telehealth was convenient and allowed patients to safely access health care without having to weigh-up the fear of COVID-19 infection against the need to be seen. Telehealth worked best for routine and familiar health issues and when rapport was established between patients and clinicians. This was easier with a pre-existing clinical relationship, but not impossible without one. Telehealth was less suitable when a physical examination was needed, when the diagnosis was unknown or for patients who had a strong preference to be seen in-person. ConclusionsEven in this disruptive lockdown period, that prompted an unexpected and rapid implementation of telehealth services in general practices, most patients had positive experiences with telehealth. In the future, patients want the choice of consultation type to match their needs, circumstances, and preferences. Technological issues and funding barriers may need to be addressed, and clear communication for both patients and clinicians is needed about key aspects of telehealth (e.g. cost, appropriateness, privacy). Maintaining telehealth as an option post-lockdown has the potential to increase timely and safe access to primary health care for many patients.

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Patients Perceptions of Telemedicine Visits Before and After the Coronavirus Disease 2019 Pandemic

Cited by 116 publications

References 7 publications

Satisfaction with the use of telehealth during COVID-19: An integrative review

Satisfaction with the use of telehealth during COVID-19: An integrative review

Impact of COVID-19 on clinical trials and clinical research: A systematic review

Telehealth Consultations in General Practice During a Pandemic Lockdown: Survey and Interviews on Patient Experiences and Preferences

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