Video Visits are Practical for the Follow-up and Management of Established Male Infertility Patients

Andino, Juan J.; Zhu, Alex; Chopra, Zoey; Daignault‐Newton, Stephanie; Ellimoottil, Chad; Dupree, James M.

doi:10.1016/j.urology.2021.03.050

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…While there are a wide variety of forces limiting access to fertility care (emotional, sociocultural, bias) [ 19 ], the cost of care has been identified as an important barrier to fertility care which disproportionately affects racial and ethnic minorities [ 19 , 20 ]. While estimates of cost savings with telemedicine for female patients seeking fertility care are unknown, a study of male infertility patients estimated that a patient saves a median of 97 min and $149–252 per clinic visit by avoiding travel and taking time off work [ 21 ]. Regarding travel time, studies in other specialties found that preference for telehealth increases when patients live more than 5 miles from the office [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives of telehealth for fertility care: a national survey

Lersten

Fought

Yannetsos

et al. 2023

J Assist Reprod Genet

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Purpose To evaluate patient satisfaction using telehealth for fertility care. Methods Cross-sectional survey using the validated telehealth usability questionnaire (TUQ) distributed nationally via fertility advocacy groups of fertility patients aged ≥ 18 years with self-reported use of telehealth for care. Patient satisfaction of telehealth for fertility care as determined by the TUQ questionnaire. The survey also included questions about telehealth related to usefulness, ease of use, effectiveness, reliability, and the option for patients to add open-ended comments related to their experiences using telehealth for fertility care. Results A total of 81 fertility patients completed the survey. Patients reported high rates of satisfaction (81.4%) with telehealth in areas of usefulness, ease of use, effectiveness, reliability, and satisfaction. However, many patients (60.5%) expressed a preference for in-person visits for their initial visit while the acceptability of telehealth increased for follow-up visits. Negative themes from respondent comments address that telehealth visits felt more impersonal and rushed. Conclusion Fertility patients reported high satisfaction using telehealth for care. Patients still preferred in-person visits for initial consultations. For follow-up visits, most respondents favored telehealth or had no preference. Incorporation of telehealth in fertility practices should continue though it may be helpful for patients to be given options for visit types. Supplementary Information The online version contains supplementary material available at 10.1007/s10815-023-02811-1.

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Section: Discussionmentioning

confidence: 99%

Patient perspectives of telehealth for fertility care: a national survey

Lersten

Fought

Yannetsos

et al. 2023

J Assist Reprod Genet

View full text Add to dashboard Cite

show abstract

“…Satisfaction rates are also high with audio-only or telephone visits at 85% ( 24 ) and not all patients may be able to engage in video encounters. Across the medical and surgical literature, the potential for cost savings is estimated to range from $48 to over $252 when calculating travel costs and lost wages from having to take time off work for an in-person appointment ( 25 , 26 , 57 ). Not surprisingly, patients who used telehealth reduced travel distances, travel time, and time spent at an appointment.…”

Section: Discussionmentioning

confidence: 99%

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Andino¹,

Eyrich²,

Boxer³

2023

mHealth

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Background and Objective The coronavirus disease 2019 (COVID-19) public health emergency (PHE) resulted in rapid expansion and use of telehealth services. Regulatory and reimbursement flexibilities were put in place to ensure patients had continued access to care while the health system was overwhelmed by COVID-19 cases. These changes have allowed clinicians to use and researchers to evaluate telehealth in new ways. Methods This narrative review focuses on highlighting telehealth research and evaluation that took place from March 2020 to February 2023 in the outpatient setting of the United States healthcare system. Key Content and Findings The research conducted during the COVID-19 PHE shows that telehealth was primarily used as a substitute for in-person care, to maintain continuity of care for established patients, and has not had a negative impact on clinical outcomes or resulted in increasing healthcare costs. Conclusions Studies show high patient and physician satisfaction, similar clinical outcomes and suggest that telehealth is used as a substitute for in-person care. The findings of this narrative review have direct implications for key stakeholders using telehealth now and beyond the COVID-19 pandemic. Patients, physicians and providers, healthcare leaders and administrators, as well as policymakers should consider how telehealth should continue to be reimbursed and regulated even as the COVID-19 PHE expired in May 2023.

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“…Owing to the pandemic-driven, accelerated application of video visits, many clinicians gained experience with this mode of health care delivery. This way of providing care offers several advantages, including saving travel time and costs for both patients and their companions and the efficient use of health care resources, such as outpatient clinic space and support [ 12 - 14 ]. As we move into the post–COVID-19 era, video visits are expected to persist as a routine practice, but large-scale use has seemed to stagnate, presumably owing to a lack of guidance, vision, and attention to patients’ needs, as observed in the United States [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Outpatient Video Visits During the COVID-19 Pandemic: Cross-Sectional Survey Study of Patients’ Experiences and Characteristics

van den Bosch,

van Dalen,

Meinders

et al. 2024

J Med Internet Res

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Background During the first lockdown of the COVID-19 pandemic, an exponential increase in video consultations replacing in-person outpatient visits was observed in hospitals. Insight into patients’ experiences with this type of consultation is helpful for a broad, sustainable, and patient-centered implementation of video consultation. Objective This study aims to examine patients’ experiences with video consultation during the COVID-19 pandemic and identify discriminative patient and consultation characteristics to determine when video consultation is most feasible. Methods A cross-sectional survey study was conducted. Patients aged ≥18 years and scheduled for a video consultation at the outpatient clinic of a Dutch university medical center from August 2020 to December 2020 for all medical specialties were eligible. Patients’ experiences were explored through a study-specific survey using descriptive quantitative statistics. Open-ended questions were qualitatively analyzed and thematically categorized into appreciated aspects and aspects for improvement. Discriminative patient and consultation characteristics were identified using 3 distinctive survey items. Characteristics of patients who scored and those who did not score all 3 items positively were analyzed using binary logistic regression. Results A total of 1054 patients were included in the analysis. Most patients (964/1054, 91.46%) were satisfied with their video consultation, with a mean overall grade of 8.6 (SD 1.3) of 10. In the qualitative analyses, 70.02% (738/1054) of the patients cited aspects they appreciated and 44.97% (474/1054) mentioned aspects for improvement during their consultation. Patients with better self-rated health reported a positive evaluation significantly more often (P=.001), which also held true for other medical specialties (vs surgical and nonsurgical specialties; P<.001). Conclusions Video consultation was perceived as highly satisfactory by patients during the COVID-19 pandemic, with the best experience reported by healthy participants and those undergoing their first consultation. Appreciated aspects are mainly at the individual professional level, organizational level, and innovation level itself. The aspects that were mentioned for improvement can be changed for the better.

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Video Visits are Practical for the Follow-up and Management of Established Male Infertility Patients

Cited by 12 publications

References 15 publications

Patient perspectives of telehealth for fertility care: a national survey

Patient perspectives of telehealth for fertility care: a national survey

Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review

Outpatient Video Visits During the COVID-19 Pandemic: Cross-Sectional Survey Study of Patients’ Experiences and Characteristics

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