Affiliation:
1. Department of Orthopaedic Surgery and Rehabilitation, University of Miami/Jackson Memorial Hospital, Miami, Florida, USA
Abstract
Aims This study assesses patient barriers to successful telemedicine care in orthopaedic practices in a large academic practice in the COVID-19 era. Methods In all, 381 patients scheduled for telemedicine visits with three orthopaedic surgeons in a large academic practice from 1 April 2020 to 12 June 2020 were asked to participate in a telephone survey using a standardized Institutional Review Board-approved script. An unsuccessful telemedicine visit was defined as patient-reported difficulty of use or reported dissatisfaction with teleconferencing. Patient barriers were defined as explicitly reported barriers of unsatisfactory visit using a process-based satisfaction metric. Statistical analyses were conducted using analysis of variances (ANOVAs), ranked ANOVAs, post-hoc pairwise testing, and chi-squared independent analysis with 95% confidence interval. Results The survey response rate was 39.9% (n = 152). The mean age of patients was 51.1 years (17 to 85), and 55 patients (38%) were male. Of 146 respondents with completion of survey, 27 (18.5%) reported a barrier to completing their telemedicine visit. The majority of patients were satisfied with using telemedicine for their orthopaedic appointment (88.8%), and found the experience to be easy (86.6%). Patient-reported barriers included lack of proper equipment/internet connection (n = 13; 8.6%), scheduling difficulty (n = 2; 1.3%), difficulty following directions (n = 10; 6.6%), and patient-reported discomfort (n = 2; 1.3%). Barriers based on patient characteristics were age > 61 years, non-English primary language, inexperience with video conferencing, and unwillingness to try telemedicine prior to COVID-19. Conclusion The barriers identified in this study could be used to screen patients who would potentially have an unsuccessful telemedicine visit, allowing practices to provide assistance to patients to reduce the risk of an unsuccessful visit. Cite this article: Bone Jt Open 2021;2(9):745–751.
Publisher
British Editorial Society of Bone & Joint Surgery
Subject
Pharmacology (medical),Complementary and alternative medicine,Pharmaceutical Science
Reference5 articles.
1. US Centers for Disease Control and Prevention. Healthcare facilities: managing operations during the COVID-19 pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-hcf.html (date last accessed 30 July 2021).
2. IQVIA. Monitoring the impact of COVID-19 on the pharmaceutical market, data week ending July 10. 2020. https://www.iqvia.com/library/white-papers/monitoring-the-impact-of-covid-19-on-the-pharmaceutical-market (date last accessed 30 July 2021).
3. US Department of Health and Human Services. Medicare beneficiary use of telehealth visits: Early data from the start of the COVID-19 pandemic. Issue brief July 28. 2020. https://aspe.hhs.gov/reports/aspe-issue-brief-medicare-beneficiary-use-telehealth-visits-early-data-start-covid-19-pandemic (date last accessed 30 July 2021).
4. State of Telehealth
5. Evaluating barriers to adopting telemedicine worldwide: A systematic review
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