Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic

Fieux, M.; Duret, Steven; Bawazeer, N.; Denoix, L.; Zaouche, S.; Tringali, S.

doi:10.1016/j.anorl.2020.06.014

Cited by 79 publications

(100 citation statements)

References 24 publications

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“…(2020) Overall, patients were highly satisfied (greater than 80%) with their telehealth visits. High level of satisfaction (greater than 90%) with telehealth services among providers Fieux et al. (2020) Overall satisfaction was 87%.…”

Section: Resultsmentioning

confidence: 97%

“…Response rate – 68.3% Survey LOE VI Dobrussin et al. (2020) USA Descriptive GI March- May 2020 1492 patients and 503 providers responded to the survey; 65% females Michigan and Washington DC Online survey LOE VI Fieux et al. (2020) France Quantitative, Prospective Survey ENT April 6–10, 2020 100 of the 125 patients in the ENT tele-consultation over the 7-day inclusion period completed the survey Mean age= 51; 2:3 M/F ratio Lyon, France Questionnaire LOE VI Gilbert et al.…”

Section: Resultsmentioning

confidence: 99%

“… Providers met via Zoom (Zoom Video Communication, Inc. San Jose, California, 2011) DOBRUSSIN ET AL. (2020) Desktop/laptop; smartphones/tablets; phones FEIUX ET AL. (2020) Teleconsultation used SARA platform accessible via computer, smartphones, Apple or Android.…”

Section: Resultsmentioning

confidence: 99%

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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: 97%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

“…It does not stand in for the causal link but makes up for the disappearance of a likelihood of refusing a treatment, achieving a recovery, or suffering less harm. In this outbreak context, the new telemedicine tools undoubtedly help limit this loss of chance, making it possible to ensure even more regular follow-up [33] . In a recent telemedicine experiment conducted in ENT during the COVID-19 pandemic, it was reported that otological and audiological symptoms (otalgia, hearing impairment, dizziness) were the most frequent reasons for teleconsultation [34] .…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Audiology. Best practice recommendations from the French Society of Audiology (SFA) and the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL)

Thai‐Van

Bakhos

Bouccara

et al. 2021

European Annals of Otorhinolaryngology, Head and Neck Diseases

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Objectives Access to diagnosis and treatments for auditory disorders and related pathologies has regressed in France during the COVID-19 pandemic, posing a risk to the patient's chance of recovery. This best practice recommendations guide aims to list the existing technological solutions for the remote examination of a patient with hearing complaint, and to outline their benefits and, where applicable, their limitations. Methods The recommendations were developed both from the clinical experience of the medical experts who drafted the guide, and from an extensive review of the literature dealing with clinical practice recommendations for tele-audiology. Tele-audiometry solutions were identified on the basis of a search engine query carried out in April 2020, prior to verification of their availability on the European market. Results Video otoscopy solutions allow for the teletransmission of images compatible with a high-quality diagnosis, either by connecting via internet to a tele-health platform or using a smartphone or a tablet with an iOS or Android operating system. Using the same telecommunication methods, it is possible to remotely conduct a pure-tone audiometry test in accordance with standard practice, a speech-in-quiet or a speech-in-noise audiometry test, as well as objective measures of hearing. Clinical and paraclinical examinations can be accessed by the physician to be interpreted on a deferred basis (asynchronous tele-audiology). Examinations can also be conducted in real time in a patient, at any age of life, as long as a caregiver can be present during the installation of the transducers or the acoumetry. Tele-audiology solutions also find application in the remote training of future healthcare professionals involved in the management of deafness and hearing impairment. Conclusion Under French law, tele-otoscopy is a medical procedure that is either a tele-expertise (asynchronous adive) or a teleconsultation act (synchronous advice). Subjective and objective evaluation of the patient's hearing functions can be done remotely provided that the listed precautions are respected.

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“…Fieux and colleagues have also studied efficacy of the telephone consultation in ENT practice during the current pandemic environment in France, with regard to patient satisfaction. The study was questionnaire based and concluded that 87% satisfaction was achieved and stressed on the fact that lack of physical examination has not affected patients' reflection on satisfaction [25]. This mode of consultation, although proved successful in developed countries, may not be applicable in developing countries which do not possess a well-established database of patients that facilitates pre-booking into clinics.…”

Section: Covid-19 and Otorhinolaryngology Practicementioning

confidence: 99%

Otology practice during COVID-19 era: a review of current practice

Dawoud

2020

Egypt J Otolaryngol

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Background The novel coronavirus started as an outbreak in Wuhan, China, in December 2019.The outbreak was declared a pandemic by the WHO on 12 March 2020. The virus is called SARS-CoV-2, and the virus-induced disease is called COVID-19. The infection spreads via droplets or direct contact with contaminated surfaces. Airborne transmission occurs during aerosol-generating procedures on patients. Many otologic procedures are considered AGPs and therefore require precautions to protect staff and patients and minimize transmission of the disease. Main body Outpatient otology activity has seen changes, including virtual clinics and limitation of face-to-face consultations, to ensure safety. Powered instrumentation should be avoided during surgical procedures unless necessary or replaced with other tools, and if performed, enhanced personal protective equipment (PPE) must be used. Ear, nose, and throat (ENT) examination is recommended for any patient with full PPE in place except for consultations done without examination. Systemic steroid administration for treating conditions such as Bell’s palsy and sudden sensorineural hearing loss should be discussed with both the patient and infectious diseases specialist to weigh risks against benefits. Triaging of patients and prioritization is unavoidable during the pandemic and even after due to the limitations of clinic and theater time. All emergency/urgent cases are considered potentially COVID-19 positive. For the semi-urgent and all elective cases, COVID-19 testing 48 h prior to surgery, strict quarantine awaiting test results, and repeat testing on day of surgery if rapid tests are available are the precautions suggested. Different measures should be in place to minimize staff potential exposure intraoperatively. Conclusions Otology practice has been affected by the COVID-19 pandemic. Various measures are in place to ensure the delivery of safe and effective service for patients and health care workers.

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Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic

Cited by 79 publications

References 24 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

Telemedicine in Audiology. Best practice recommendations from the French Society of Audiology (SFA) and the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL)

Otology practice during COVID-19 era: a review of current practice

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