A Multicenter Evaluation of the Feasibility, Patient/Provider Satisfaction, and Value of Virtual Spine Consultation During the COVID-19 Pandemic.

Autor: Hobson S; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Aleem IS; Department of Orthopedic Surgery, Michigan Medicine, Ann Arbor, Michigan, USA., Bice MJ; Department of Orthopedic Surgery, UW Health University Hospital, Madison, Wisconsin, USA., Butt BB; Department of Orthopedic Surgery, Michigan Medicine, Ann Arbor, Michigan, USA., Bydon M; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Elder BD; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Fredericks DR Jr; Department of Orthopedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA., Helgeson MD; Department of Orthopedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA., Patel RD; Department of Orthopedic Surgery, Michigan Medicine, Ann Arbor, Michigan, USA., Sebastian A; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Wagner SC; Department of Orthopedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA., Williams SK; Department of Orthopedic Surgery, UW Health University Hospital, Madison, Wisconsin, USA., Xiong AE; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Anderson PA; Department of Orthopedic Surgery, UW Health University Hospital, Madison, Wisconsin, USA., Freedman B; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: freedman.brett@mayo.edu.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2021 Oct; Vol. 154, pp. e781-e789. Date of Electronic Publication: 2021 Aug 10.
DOI: 10.1016/j.wneu.2021.08.004
Abstrakt: Objective: To assess the feasibility, patient/provider satisfaction, and perceived value of telehealth spine consultation after rapid conversion from traditional in-office visits during the COVID-19 pandemic.
Methods: Data were obtained for patients undergoing telehealth visits with spine surgeons in the first 3 weeks after government restriction of elective surgical care at 4 sites (March 23, 2020, to April 17, 2020). Demographic factors, technique-specific elements of the telehealth experience, provider confidence in diagnostic and therapeutic assessment, patient/surgeon satisfaction, and perceived value were collected.
Results: A total of 128 unique visits were analyzed. New (74 [58%]), preoperative (26 [20%]), and postoperative (28 [22%]) patients were assessed. A total of 116 (91%) visits had successful connection on the first attempt. Surgeons felt very confident 101 times (79%) when assessing diagnosis and 107 times (84%) when assessing treatment plan. The mean and median patient satisfaction was 89% and 94%, respectively. Patient satisfaction was significantly higher for video over audio-only visits (P < 0.05). Patient satisfaction was not significantly different with patient age, location of chief complaint (cervical or thoracolumbar), or visit type (new, preoperative, or postoperative). Providers reported that 76% of the time they would choose to perform the visit again in telehealth format. Sixty percent of patients valued the visit cost as the same or slightly less than an in-office consultation.
Conclusions: This is the first study to demonstrate the feasibility and high patient/provider satisfaction of virtual spine surgical consultation, and appropriate reimbursement and balanced regulation for spine telehealth care is essential to continue this existing work.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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