Perceptions of Video-Based Appointments from the Patient's Home: A Patient Survey

Gardner, Matthew R.; Jenkins, Sarah M.; O’Neil, Daniel A.; Wood, Douglas L.; Spurrier, Barbara R.; Pruthi, Sandhya

doi:10.1089/tmj.2014.0037

Cited by 62 publications

(48 citation statements)

References 8 publications

(6 reference statements)

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“…The top concern of nonutilizers was lack of patient knowledge about technology. However, 71% of Veterans who engaged in a CVT pain management clinic strongly agreed that they were comfortable with the equipment (Desko & Nazario, ) and a recent survey of patient interest in HBTMH found that comfort in setting up a video call was related to likelihood of accepting or agreeing to a CVT visit (Gardner et al, ). Patients who are not comfortable with technology or have poor confidence in their ability to use CVT may self‐select to continue attending appointments in person.…”

Section: Discussionmentioning

confidence: 99%

Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

2019

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Objective: Clinical video telehealth (CVT) is an innovative modality to provide care directly to Veterans' homes. Despite prior training initiatives, CVT remains underutilized. This project sought to better understand barriers to implementation and to compare responses of CVT utilizers versus nonutilizers. Method: Mental health staff were invited to complete an online anonymous survey on their use of CVT in clinical practice. Results: A total of 159 mental health staff completed the survey. Although the majority of the sample endorsed personal use of a video chat program, less than half reported using CVT for patient care. Among nonutilizers, lack of training was the most frequently endorsed barrier to CVT use whereas administrative burden was the most frequently endorsed barrier by utilizers. Conclusions: This study extends existing literature by determining barriers to CVT adoption. It identifies several barriers among utilizers versus nonutilizers. Discussion includes potential guidelines for overcoming barriers to CVT utilization. K E Y W O R D S clinical video telehealth, telemedicine, telemental health, videoconferencing

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Section: Discussionmentioning

confidence: 99%

Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

2019

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“…We consider telegenetics holds potential in terms of improving patient access to health professionals and adapting to their wishes or preferences: It allows patients for example to receive genetic care in their own home at a time convenient to them, thereby avoiding traveling time and costs. 4,18 Moreover, telegenetics could allow for increased flexibility and efficiency for counselors too. Previous research has shown that perceptions and evaluations of telegenetics vary between patients and professionals: patients mainly judge telegenetics initiatives as very positive, while professionals are generally positive, but are also aware of communication and technical restrictions.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine uptake among Genetics Professionals in Europe: room for expansion

et al. 2015

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Today's economic challenges and the changing landscape of clinical genetics are forcing us to consider alternative ways of providing genetic services, to comply with budget limitations and at the same time meeting the demands of increasing patient numbers and patient-centered care delivery. Telegenetics could be an effective and efficient way of counseling, but its use in Europe is not widely reported, nor is there evidence of international collaboration. We conducted an online survey among 929 genetics professionals, to explore the current availability and use of different telegenetics modalities in Europe. Our questionnaire was completed by 104 clinically active European genetics professionals. Telephone genetic counseling was used by 17% of respondents. Videoconferencing facilities were available to 24%, but only 9% of them used these for patient counseling. Various barriers to availability and use were cited, ranging from practical constraints, lack of professional support/ knowledge, to lack of perceived suitability and need. The results show that telegenetics modalities are not currently in widespread use by our respondents, in part due to perceived barriers. To meet the changing economic, genetic, and societal circumstances, we recommend consideration of greater integration of telegenetics into regular clinical genetic care, to supplement existing care modalities. Professional cooperation, sharing knowledge, and establishing guidelines on a national and international level could contribute to successful and more widespread implementation of telegenetics. However, the perceived practical and regulatory barriers have to be overcome.

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“…[1][2][3] Telehealth in its many forms offers conveniences including increased care accessibility, decreased transportation barriers, and patient empowerment. [4][5][6][7][8] Studies of video visits have demonstrated these benefits in specialty settings including wound care, prenatal genetic screening, family planning, cardiovascular care, and home care.…”

Section: Introductionmentioning

confidence: 99%

Patient Perceptions of Telehealth Primary Care Video Visits

et al. 2017

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PURPOSE Telehealth is a care delivery model that promises to increase the flexibility and reach of health services. Our objective is to describe patient experiences with video visits performed with their established primary care clinicians. METHODSWe constructed semistructured, in-depth qualitative interviews with adult patients following video visits with their primary care clinicians at a single academic medical center. Data were analyzed with a content analysis approach. RESULTS:Of 32 eligible patients, 19 were successfully interviewed. All patients reported overall satisfaction with video visits, with the majority interested in continuing to use video visits as an alternative to in-person visits. The primary benefits cited were convenience and decreased costs. Some patients felt more comfortable with video visits than office visits and expressed a preference for receiving future serious news via video visit, because they could be in their own supportive environment. Primary concerns with video visits were privacy, including the potential for work colleagues to overhear conversations, and questions about the ability of the clinician to perform an adequate physical examination.CONCLUSIONS Primary care video visits are acceptable in a variety of situations. Patients identified convenience, efficiency, communication, privacy, and comfort as domains that are potentially important to consider when assessing video visits vs in-person encounters. Future studies should explore which patients and conditions are best suited for video visits. INTRODUCTIONT elemedicine, or telehealth, includes telecommunication via a variety of platforms designed to enhance patient-centered health care.1-3 Telehealth in its many forms offers conveniences including increased care accessibility, decreased transportation barriers, and patient empowerment. [4][5][6][7][8] Studies of video visits have demonstrated these benefits in specialty settings including wound care, prenatal genetic screening, family planning, cardiovascular care, and home care. [9][10][11][12][13][14][15] One study of patient experiences with video visits in rural areas found that they were associated with decreased travel costs and lost time/wages, increased access to social support, and better ability to tailor care delivery to patient and family needs. 16Because of these benefits, video visits are being adopted in a variety of settings. Uptake in the United States has occurred most rapidly where reimbursement is favorable. Medicare reimburses for video visits in health professional shortage areas and for specific approved services.17 As a result, much knowledge about patient experiences with video visits is limited to specific disease-related applications and to use in rural settings. [18][19][20] Video visits are increasingly used in other settings, including primary care, but there are limited data on patient experiences with primary care video visits. One study tested video visits with patients communicating via webcam with their primary care physician w...

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Perceptions of Video-Based Appointments from the Patient's Home: A Patient Survey

Cited by 62 publications

References 8 publications

Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

Telemedicine uptake among Genetics Professionals in Europe: room for expansion

Patient Perceptions of Telehealth Primary Care Video Visits

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