Article ; Online: Patient perceptions of surgical telehealth consultations during the COVID 19 pandemic in Australia: Lessons for future implementation.
2021 Volume 91, Issue 9, Page(s) 1662–1667
Abstract: ... sample of surgical patients by their surgeon following a telehealth consultation during the COVID-19 ... Patient satisfaction with surgical telehealth consultations is high. Barriers to more widespread implementation include ... satisfaction, but within carefully selected clinical scenarios. The COVID-19 pandemic led to telehealth replacing face-to-face care ...
| Abstract | Introduction: Prior studies of telehealth report high levels of patient satisfaction, but within carefully selected clinical scenarios. The COVID-19 pandemic led to telehealth replacing face-to-face care for many surgical consultations across a variety of situations. More evidence is needed regarding patient perceptions of telehealth in surgery, in particular, exploring barriers and facilitators associated with its sustained implementation beyond the pandemic. Methods: Survey invitations were emailed to a convenience sample of surgical patients by their surgeon following a telehealth consultation during the COVID-19 pandemic. Surgeons were recruited from a sample (n = 683) who completed a survey on telehealth (distributed via email to all Australian Fellows of the Royal Australasian College of Surgeons). Mixed methods analysis was performed of the patient survey data. Results: A total of 1166 consultations were captured: 50% routine reviews, 17% initial appointments and 20% post-operative reviews. Video-link was used in 49% of consultations. The majority of patients (94%), were satisfied with the quality of their surgical telehealth consultation and 75% felt it delivered the same level of care as face-to-face encounters. Telehealth was convenient to use (96%) and led to cost savings for 60% of patients. When asked about future appointment preferences after the pandemic, 41% indicated they would prefer telehealth (24% video-link and 17% telephone) over face-to-face appointments. There was a perception by patients that telehealth consultation fees should be less than face-to-face consultation fees. Conclusion: Patient satisfaction with surgical telehealth consultations is high. Barriers to more widespread implementation include financial, clinical appropriateness, technical and confidentiality concerns. |
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| MeSH term(s) | Australia/epidemiology ; COVID-19 ; Humans ; Pandemics ; Perception ; Referral and Consultation ; SARS-CoV-2 ; Telemedicine | |||||
| Language | English | |||||
| Publishing date | 2021-06-21 | |||||
| Publishing country | Australia | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2050749-5 | |||||
| ISSN | 1445-2197 ; 1445-1433 ; 0004-8682 | |||||
| ISSN (online) | 1445-2197 | |||||
| ISSN | 1445-1433 ; 0004-8682 | |||||
| DOI | 10.1111/ans.17020 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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