Evaluation of teleconsultation system in the urological patient during the COVID-19 pandemic.

Autor: Leibar Tamayo A; Servicio de Urología, Hospital Universitario La Paz, Madrid, España. Electronic address: asierleibar@gmail.com., Linares Espinós E; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Ríos González E; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Trelles Guzmán C; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Álvarez-Maestro M; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., de Castro Guerín C; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Fernández-Pascual E; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Girón de Francisco M; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Gómez de Vicente JM; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Gómez Rivas J; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Mainez Rodriguez JA; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Pérez-Carral JR; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Garcia-Matres MJ; Servicio de Urología, Hospital Universitario La Paz, Madrid, España., Martinez-Piñeiro L; Servicio de Urología, Hospital Universitario La Paz, Madrid, España.
Jazyk: English; Spanish; Castilian
Zdroj: Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2020 Nov; Vol. 44 (9), pp. 617-622. Date of Electronic Publication: 2020 Jun 18.
DOI: 10.1016/j.acuro.2020.06.002
Abstrakt: Introduction: The global pandemic of COVID-19 has led to rapid implementation of telemedicine, but there is little information on patient satisfaction of this system as an alternative to face-to-face care.
Objective: To evaluate urological patient satisfaction with teleconsultation during the COVID-19 pandemic.
Material and Methods: Observational, prospective, cross-sectional, non-interventional study carried out by telephone survey during the period considered as the peak of the pandemic (March-April 2020). A quality survey composed of 11 questions on urological care provided by physicians during the COVID-19 pandemic was conducted, selecting a representative sample of patients attended by teleconsultation.
Results: Two hundred patients were contacted by telephone to answer a survey on the quality of teleconsultation. The distribution of patients surveyed among the specialized consultations was homogeneous with the number of consultations cited in the period; 18% of them required assistance from family members. Sixty percent of patients avoided going to a medical center during the pandemic. Of the surveyed patients, 42% had cancelled diagnostic tests, 59% had cancelled medical consultations, 3.5% had cancelled treatments and 1% had cancelled interventions. Ten percent reported a worsening of urological symptoms during confinement. According to physicians, consultations were effectively delivered in 72% of cases, with teleconsultation being carried out by their usual urologist in 81%. Teleconsultation overall satisfaction level was 9 (IQI8-10), and 61.5% of respondents consider teleconsultation as a «health care option» after the healthcare crisis.
Conclusion: Teleconsultation has been evaluated with a high level of satisfaction during the COVID-19 pandemic, offering continuous care to urological patients during the healthcare crisis. The perceived quality offers a field of optional telematic assistance in selected patients, which should be re-evaluated in a period without confinement measures.
(Copyright © 2020 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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