Systematic review of studies of patient satisfaction with telemedicine

Mair, Frances S; Whitten, Pamela

doi:10.1136/bmj.320.7248.1517

Cited by 642 publications

(527 citation statements)

References 34 publications

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“…Several studies have shown the feasibility and cost-effectiveness of using telemedicine in orthopaedics [3-6, 8, 17, 20, 21], and similar to our results, they report high levels of patient satisfaction. Mair and Whitten [11] conducted a systematic review of studies that involved a patient-satisfaction measure with telemedicine interventions. They reviewed 32 studies across any discipline and concluded that, although the majority report high levels of patient satisfaction, these studies also had many methodologic deficiencies, such as study design and low sample sizes, that limit the validity and generalizability of their findings.…”

Section: Discussionmentioning

confidence: 99%

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

Marsh

Bryant

MacDonald³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background A web-based followup assessment may be a feasible, cost-saving alternative of tracking patient outcomes after total joint arthroplasty. However, before implementing a web-based program, it is important to determine patient satisfaction levels with the new followup method. Satisfaction with the care received is becoming an increasingly important metric, and we do not know to what degree patients are satisfied with an approach to followup that does not involve an in-person visit with their surgeons. Questions/purposes We determined (1) patient satisfaction and (2) patients' preferences for followup method (web-based or in-person) after total joint arthroplasty.Methods We randomized patients who were at least 12 months after primary THA or TKA to complete a webbased followup or to have their appointment at the clinic. There were 410 eligible patients contacted for the study during the recruitment period. Of these, 256 agreed to participate, and a total of 229 patients completed the study (89% of those enrolled, 56% of those potentially eligible; 111 in the usual-care group, 118 in the web-based group). Their mean age was 69 years (range, 38-86 years). There was no crossover between groups. All 229 patients completed a satisfaction questionnaire at the time of their followup appointments. Patients in the web-based group also completed a satisfaction and preference questionnaire 1 year later. Only patients from the web-based group were asked to indicate preference as they had experienced the web-based and in-person followup methods. We used descriptive statistics to summarize the satisfaction questionnaires and compared results using Pearson's chi-square test. Results Ninety-one patients (82.0%) in the usual-care group indicated that they were either extremely or very satisfied with the followup process compared with 90 patients (75.6%) who were in the web-based group (p \ 0.01; odds ratio [OR] = 3.95; 95% CI, 1.79-8.76). Similarly, patients in the usual care group were more satisfied with the care they received from their surgeon, compared with patients in the web-based group (92.8% versus 73.9%; p\0.01, OR = 1.37; 95% CI, 0.73-2.57). Forty-four percent of patients preferred the web-based method, 36% preferred the usual method, and 16% had no preference (p = 0.01). Conclusions Our results show moderate to high satisfaction levels with a web-based followup assessment. Patients who completed the usual method of in-person followup assessment reported greater satisfaction; however, the difference was small and may not outweigh the

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Section: Discussionmentioning

confidence: 99%

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

Marsh

Bryant

MacDonald³

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Although obtaining indications of satisfaction is an important operational aspect for telemedicine programs, satisfaction is not regarded as a strong measure of outcome. 6 Also, we did not include, for the purposes of this project, studies that reported outcomes only for caregivers and not for patients.…”

Section: Methodsmentioning

confidence: 99%

The Effectiveness of Telemental Health Applications: A Review

2008

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Objective: To review the evidence of benefit from use of telemental health (TMH) in studies that reported clinical or administrative outcomes.Method: Relevant publications were identified through computerized literature searches using several electronic databases. Included for review were scientifically valid articles that described controlled studies, comparing TMH with a non-TMH alternative, and uncontrolled studies that had no fewer than 20 participants. Quality of the evidence was assessed with an approach that considers both study performance and study design. Judgments were made on whether further data were needed to establish each TMH application as suitable for routine clinical use.Results: Included in the review were 72 papers that described 65 clinical studies; 32 (49%) studies were of high or good quality. Quality of evidence was higher for Internet-and telephone-based interventions than for video conferencing approaches. There was evidence of success with TMH in the areas of child psychiatry, depression, dementia, schizophrenia, suicide prevention, posttraumatic stress, panic disorders, substance abuse, eating disorders, and smoking prevention. Evidence of success for general TMH programs and in the management of obsessive-compulsive disorder were less convincing. Further study was judged to be necessary or desirable in 53 (82%) of the studies. Conclusion:Evidence of benefit from TMH applications is encouraging, though still limited. There is a need for more good-quality studies on the use of TMH in routine care. The emerging use of Internet-based applications is an important development that deserves further evaluation. Can J Psychiatry 2008;53(11):769-778 Clinical Implications· There is encouraging evidence of the successful use of TMH in several applications. However, further work to establish its suitability in routine practice is desirable. · Internet-based approaches to TMH are likely to increase in importance. Limitations· The evidence base for TMH outcomes remains small. · Assessment of quality is based in part on subjective judgments on study attributes. · Findings on TMH success and need for further study are based on published material and do not necessarily reflect specific clinical experience.

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“…The use of technology has become a cost-effective avenue to deliver quality healthcare [22]. The potential of information technology in enhancing an individual's access to healthcare has been regarded as a promising innovation that might revolutionise healthcare [23].…”

Section: Introductionmentioning

confidence: 99%

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

Shorey¹,

Yang²,

Dennis³

2017

Preprint

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Background: Postnatal period poses numerous challenges for new parents. Various educational programmes are available to support new parents during this stressful period. However, the usefulness of educational programmes needs to be evaluated to ascertain their credibility.Objective: The aim of this descriptive qualitative study is to explore the views of parents to newborn with regard to the content and delivery of a mobile-health application based postnatal educational programme. Methods:A qualitative semi-structured interview guide was used to collect data from the 17 participants who belonged to the intervention group of a randomised controlled trail. The intervention, a four-week-long access to a mobile-health application based educational programme, was evaluated. The interviews were carried out in English and at the participants' homes. Thematic analysis was used to analyse the data. Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used to report the findings. Results:The interviews revealed four main themes: (1) positive features of the mobile-health application, (2) advice from the midwife, (3) experiences gained from using the mobile-health application, and (4) recommendations for the future. The participants evaluated the educational programme to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belonging to a virtual community beyond the hospital gave parents the confidence that they were not alone and were supported by other parents and healthcare professionals. Conclusion:The mobile-health application based educational programme effectively supported a multi-ethnic sample of parents during the postnatal period. This signals its potential to be implemented in a wider community of parents in the postnatal period. The effectiveness of the educational programme is a testament of the potential benefits in using telemedicine among new parents postnatally. Resources can also be dedicated towards extending the duration of access to the application beyond one month, and to develop relevant content for parents across the perinatal period.

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Systematic review of studies of patient satisfaction with telemedicine

Abstract: Objective To review research into patient satisfaction with teleconsultation, specifically clinical consultations between healthcare providers and patients involving real time interactive video.

Cited by 642 publications

References 34 publications

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

Are Patients Satisfied With a Web-based Followup after Total Joint Arthroplasty?

The Effectiveness of Telemental Health Applications: A Review

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

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