90
views
0
recommends
+1 Recommend
1 collections
    1
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Telemedicine Provides Enhanced Care for Low-Acuity Pediatric Urology Patients

      research-article

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Methods

          A survey was developed and sent to patients participating in a pediatric teleurology program at an academic medical center. This survey evaluated the patient’s history using this telemedicine platform, satisfaction with various aspects of the application as well as associated details about transportation and costs of traditional in-person visits.

          Results

          Of the 50 survey respondents, the majority reported that they found the app easy and comfortable to use as well as just as useful as in-person visits. Respondents also indicated that they incurred lower costs, traveled less, and faced less time lost from work.

          Conclusions

          Telemedicine is a useful tool to enhance low-acuity pediatric urology care while minimizing the financial and opportunity costs of these visits as compared to in-person visits.

          Related collections

          Most cited references20

          • Record: found
          • Abstract: found
          • Article: not found

          Systematic review of studies of patient satisfaction with telemedicine.

          To review research into patient satisfaction with teleconsultation, specifically clinical consultations between healthcare providers and patients involving real time interactive video. Systematic review of telemedicine satisfaction studies. Electronic databases searched include Medline, Embase, Science Citation Index, Social Sciences Citation Index, Arts and Humanities Citation Index, and the TIE (Telemedicine Information Exchange) database. Studies conducted worldwide and published between 1966 and 1998. Quality of evidence about patient satisfaction. 32 studies were identified. Study methods used were simple survey instruments (26 studies), exact methods not specified (5), and qualitative methods (1). Study designs were randomised controlled trial (1 trial); random patient selection (2); case-control (1); and selection criteria not specified or participants represented consecutive referrals, convenience samples, or volunteers (28). Sample sizes were 100 (7), and not specified (1). All studies reported good levels of patient satisfaction. Qualitative analysis revealed methodological problems with all the published work. Even so, important issues were highlighted that merit further investigation. There is a paucity of data examining patients' perceptions or the effects of this mode of healthcare delivery on the interaction between providers and clients. Methodological deficiencies (low sample sizes, context, and study designs) of the published research limit the generalisability of the findings. The studies suggest that teleconsultation is acceptable to patients in a variety of circumstances, but issues relating to patient satisfaction require further exploration from the perspective of both clients and providers.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Telemedicine and telementoring in the surgical specialties: A narrative review

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Patterns of Use and Correlates of Patient Satisfaction with a Large Nationwide Direct to Consumer Telemedicine Service

              Background Despite its rapid expansion, little is known about use of direct to consumer (DTC) telemedicine. Objective To characterize telemedicine patients and physicians and correlates of patient satisfaction Design Cross-sectional study Participants Patients and physicians of a large nationwide DTC telemedicine service Main Measures Patient characteristics included demographics and whether or not they reported insurance information. Physician characteristics included specialty, board certification, and domestic versus international medical training. Encounter characteristics included time of day, wait time, length, coupon use for free or reduced-cost care, diagnostic outcome, prescription receipt, and patient/physician geographic concordance. Patients rated satisfaction with physicians on scales of 0 to 5 stars and reported where they would have sought care had they not used telemedicine. Logistic regression was used to assess factors associated with 5-star physician ratings. Key Results The analysis included 28,222 encounters between 24,040 patients and 277 physicians completed between January 2013 and August 2016. Sixty-five percent of patients were under 40 years and 32% did not report insurance information. Family medicine was the most common physician specialty (47%) and 16% trained at a non-US medical school. Coupons were used in 24% of encounters. Respiratory infections were diagnosed in 35% of encounters and 69% resulted in a prescription. Had they not used telemedicine, 43% of patients reported they would have used urgent care/retail clinic, 29% would have gone to the doctor’s office, 15% would have done nothing, and 6% would have gone to the emergency department. Eighty-five percent of patients rated their physician 5 stars. High satisfaction was positively correlated with prescription receipt (OR 2.98; 95%CI 2.74–3.23) and coupon use (OR 1.47; 95%CI 1.33–1.62). Conclusions Patients were largely satisfied with DTC telemedicine, yet satisfaction varied by coupon use and prescription receipt. The impact of telemedicine on primary care and emergency department use is likely to be small under present usage patterns.
                Bookmark

                Author and article information

                Journal
                TMT
                Telehealth and Medicine Today
                Partners in Digital Health
                2471-6960
                24 July 2020
                2020
                : 5
                : 10.30953/tmt.v5.204
                Affiliations
                [1 ]School of Medicine, LSU Health Sciences Center New Orleans, New Orleans, LA, USA
                [2 ]School of Public Health, LSU Health Sciences Center New Orleans, New Orleans, LA, USA
                [3 ]Children’s Hospital New Orleans, New Orleans, LA, USA
                Author notes
                Corresponding author: Aaron D. Martin, Amar16@ 123456lsuhsc.edu
                Article
                204
                10.30953/tmt.v5.204
                4b59f4ce-0489-49cc-a4c0-01ae73a3b0a9
                © 2020 Aaron D. Martin

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                Categories
                Original Clinical Research

                Social & Information networks,General medicine,General life sciences,Health & Social care,Public health,Hardware architecture
                Telehealth,Quality of Care,Urology,Pediatric,Telemedicine,Patient Satisfaction

                Comments

                Comment on this article