Ariel Z Allen1, Denzel Zhu1, Christina Shin1, Deborah T Glassman2, Nitya Abraham3, Kara L Watts4. 1. Albert Einstein College of Medicine, Bronx, NY. 2. Department of Urology, Jefferson University Hospital, Philadelphia, PA. 3. Albert Einstein College of Medicine, Bronx, NY; Department of Urology, Montefiore Medical Center, Bronx, NY; Department of Gynecology, Urogynecology Division, Montefiore Medical Center, Bronx NY. 4. Albert Einstein College of Medicine, Bronx, NY; Department of Urology, Montefiore Medical Center, Bronx, NY. Electronic address: kwatts@montefiore.org.
Abstract
OBJECTIVE: To examine differences between telephone- and video-televisits and identify whether visit modality is associated with satisfaction in an urban, academic general urology practice. METHODS: A cross-sectional analysis of patients who completed a televisit at our urology practice (summer 2020) was performed. A Likert-based satisfaction telephone survey was offered to patients within 7 days of their televisit. Patient demographics, televisit modality (telephone vs video), and outcomes of the visit (e.g. follow-up visit scheduled, orders placed) were retrospectively abstracted from each chart and compared between the telephone and video cohorts. Multivariate regression analysis was used to evaluate variables associated with satisfaction while controlling for potential confounders. RESULTS: 269 patients were analyzed. 73% (196/269) completed a telephone televisit. Compared to the video cohort, the telephone cohort was slightly older (mean 58.8 years vs. 54.2 years, p=0.03). There were no significant differences in the frequency of orders placed for medication changes, labs, imaging, or for in-person follow-up visits within 30-days between cohorts. Survey results showed overall 84.7% patients were satisfied, and there was no significant difference between the telephone and video cohorts. Visit type was not associated with satisfaction on multivariable analyses, while use of an interpreter [OR:8.13 (1.00-65.94); p=0.05], labs ordered [OR:2.74 (1.12-6.70); p=0.03] and female patient gender [OR:2.28 (1.03-5.03); p=0.04] were significantly associated with satisfaction. CONCLUSIONS: Overall, most patients were satisfied with their televisit. Additionally, telephone- and video-televisits were similar regarding patient opinions, patient characteristics, and visit outcome. Efforts to increase access and coverage of telehealth, particularly telephone-televisits, should continue past the COVID-19 pandemic.
OBJECTIVE: To examine differences between telephone- and video-televisits and identify whether visit modality is associated with satisfaction in an urban, academic general urology practice. METHODS: A cross-sectional analysis of patients who completed a televisit at our urology practice (summer 2020) was performed. A Likert-based satisfaction telephone survey was offered to patients within 7 days of their televisit. Patient demographics, televisit modality (telephone vs video), and outcomes of the visit (e.g. follow-up visit scheduled, orders placed) were retrospectively abstracted from each chart and compared between the telephone and video cohorts. Multivariate regression analysis was used to evaluate variables associated with satisfaction while controlling for potential confounders. RESULTS: 269 patients were analyzed. 73% (196/269) completed a telephone televisit. Compared to the video cohort, the telephone cohort was slightly older (mean 58.8 years vs. 54.2 years, p=0.03). There were no significant differences in the frequency of orders placed for medication changes, labs, imaging, or for in-person follow-up visits within 30-days between cohorts. Survey results showed overall 84.7% patients were satisfied, and there was no significant difference between the telephone and video cohorts. Visit type was not associated with satisfaction on multivariable analyses, while use of an interpreter [OR:8.13 (1.00-65.94); p=0.05], labs ordered [OR:2.74 (1.12-6.70); p=0.03] and female patient gender [OR:2.28 (1.03-5.03); p=0.04] were significantly associated with satisfaction. CONCLUSIONS: Overall, most patients were satisfied with their televisit. Additionally, telephone- and video-televisits were similar regarding patient opinions, patient characteristics, and visit outcome. Efforts to increase access and coverage of telehealth, particularly telephone-televisits, should continue past the COVID-19 pandemic.
Authors: Mary E Kim; Lauren Timmons Sund; Mariah Morton; James Kim; Janet S Choi; M Eugenia Castro Journal: J Voice Date: 2022-07-18 Impact factor: 2.300
Authors: Sara Izadi-Najafabadi; Lisa McQuarrie; Stuart Peacock; Ross Halperin; Leah Lambert; Craig Mitton; Helen McTaggart-Cowan Journal: Curr Oncol Date: 2022-06-10 Impact factor: 3.109