Traits of patients seen via telemedicine versus in person for new-patient visits in a fertility practice

Alexander, Vinita M.; Schelble, Allison P.; Omurtag, Kenan

doi:10.1016/j.xfre.2021.04.001

Cited by 10 publications

(7 citation statements)

References 17 publications

(12 reference statements)

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“…As part of the ASRM strategic plan for 2014-2019, a focus was on "access to care" because an estimated 39.6% of the US population has limited ART access [14,15]. Telehealth can facilitate access to care [8]; however, with this survey, we demonstrated an arguably more important point: patients are satisfied with telehealth and preferred it in most cases. Currently 30 states have parity laws which ensure health insurance companies have equivalent reimbursement for in-person and telehealth services.…”

Section: Discussionmentioning

confidence: 79%

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Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

Anderson

Coskun

Jimenez

et al. 2022

J Assist Reprod Genet

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Purpose To study patient satisfaction with new patient telehealth visits in a reproductive endocrinology and infertility (REI) office. Methods A cross-sectional study in a university-based fertility clinic was completed including all new patients seen via telehealth between March 1, 2021, and August 19, 2021. Primary outcomes were perceived patient satisfaction, access, and preferences to telehealth visits. Results A total of 351 participants were contacted, 61.8% (n = 217) agreed to participate in the study, and 28.8% (n = 101) completed the survey. There were no significant differences in age, BMI, distance from clinic, or length of infertility with response to survey. Ninety-three percent of responders would use telehealth services again and were satisfied with the telehealth system. Telehealth improved access to healthcare for 88% and travel time for 96%. The median distance from clinic was 24 miles, and there was no significance difference in preference for telehealth visits over in person visits (p = 0.696). Conclusions In the era of COVID-19, healthcare implementation has dramatically changed with a drastic increase in telehealth services. Based on our survey, majority of patients were satisfied with telehealth visits and believed it saved travel time while improving access to REI care. Despite no differences in patient preference for in person versus telehealth depending on their distance from clinic, this is reassuring because patients are satisfied with telehealth for reasons other than distance from clinic.

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Section: Discussionmentioning

confidence: 79%

“…The ADI can help to represent socioeconomic status (SES) depending on geographic location with a higher number (from 0 to 100) indicating higher disadvantage. The ADI has been previously used to compare trait differences in patients undergoing telehealth versus in person visits in a fertility practice [8].…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

Anderson

Coskun

Jimenez

et al. 2022

J Assist Reprod Genet

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“…This first face-to-face-visit step is also important for training, as patients and/or caregivers must be capable to use the telemedicine system. This approach was successfully adopted to design care models in populations with various medical issues [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study

et al. 2022

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Background: Since cancer pain requires complex modalities of care, the proper strategy for addressing its telemedicine-based management should be better defined. This study aimed to trace a pathway for a progressive implementation of the telemedicine process for the treatment of pain in the setting of cancer patients. Methods: The features of the model were investigated to dissect the dropout from the telemedicine pathway. A cross-sectional patient satisfaction study was conducted. The degree of satisfaction was evaluated through a developed 22-item questionnaire (Likert scale 0–7). Results: A total of 375 video consultations for 164 patients (mean age 62.9 years) were performed through remote consultations for cancer pain management between March 2021 and February 2022. After the exclusion of 72 patients, 92 (56.1%) were included in the analysis. The dropout ratio was 8.7%. The number of visits and pharmacological therapies for neuropathic pain correlated with the risk for readmission (p < 0.05). Overall, the satisfaction was very high (mean > 5.5 for all items). Conclusion: Feedback from patients reflected high satisfaction rates with the care provided. A methodological approach based on the degree of satisfaction combined with the analysis of the pathways can help to implement the quality of a service provided through telemedicine. While not without limitations, our hybrid protocol can be useful for addressing cancer pain through a patient-centered approach.

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“…It was suggested that the backlog might be due to the increased social distancing and the changes that fertility clinics had had to make to be able to cope with staff illness (Bhattacharya et al, 2021). The addition of telehealth to a protocol has been suggested to help patients by reducing the emotional stress of delays while also maintaining fertility care (Alexander et al, 2021;Berg et al, 2020;Dilday et al, 2021;Gemmell et al, 2020;Karavani et al, 2021). Additionally, by using a telehealth service prior to in-clinic appointments doctors would have a better understanding of patient prognosis and give them the ability to order patients by priority (Hernández et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 mitigation measures on fertility patients and clinics around the world

CUTTING

Catt

Vollenhoven

et al. 2022

Reproductive BioMedicine Online

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Traits of patients seen via telemedicine versus in person for new-patient visits in a fertility practice

Cited by 10 publications

References 17 publications

Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

Satisfaction with new patient telehealth visits for reproductive endocrinology patients in the era of COVID-19

Satisfaction with Telemedicine for Cancer Pain Management: A Model of Care and Cross-Sectional Patient Satisfaction Study

The impact of COVID-19 mitigation measures on fertility patients and clinics around the world

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