Telemedicine During COVID-19 for Outpatient Sports and Musculoskeletal Medicine Physicians.
Adolescent
Adult
Aged
Betacoronavirus
COVID-19
Child
Coronavirus Infections
/ epidemiology
Female
Humans
Male
Middle Aged
Outpatients
Pandemics
Patient Satisfaction
/ statistics & numerical data
Physical and Rehabilitation Medicine
/ methods
Physicians
/ standards
Pneumonia, Viral
/ epidemiology
SARS-CoV-2
Telemedicine
/ methods
Young Adult
Journal
PM & R : the journal of injury, function, and rehabilitation
ISSN: 1934-1563
Titre abrégé: PM R
Pays: United States
ID NLM: 101491319
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
20
04
2020
revised:
08
05
2020
accepted:
11
05
2020
pubmed:
20
5
2020
medline:
22
9
2020
entrez:
20
5
2020
Statut:
ppublish
Résumé
The global pandemic due to SARS-CoV-2 has resulted in an expansion of telemedicine. Measures of quality and barriers for rapid use by patients and physicians are not well described. To describe results from a quality improvement initiative during a rapid adoptive phase of telemedicine during the pandemic. Patient and physician satisfaction with synchronous audiovisual telemedicine visits was measured during the early adoptive phase (6 April 2020-17 April 2020) within the division of sports medicine in an academic Physical Medicine and Rehabilitation (PM&R) department. Patients were invited to participate in a quality improvement initiative by completing an online survey at the end of a telemedicine visit. Physicians completed a separate survey. Patient measures included visit type, duration of encounter, quality, and satisfaction. Physicians reported on experiences performed telemedicine. Surveys were completed by 119 patients (293 telemedicine encounters, response rate 40.6%) and 14 physiatrists. Telemedicine was utilized primarily for follow-up visits (n = 74, 70.6%), and the most common duration was 15 to 29 minutes. Patients rated their telemedicine visit as "excellent" or "very good" across measures (91.6%-95.0%) including addressing concerns, communication, developing a treatment plan, convenience, and satisfaction. Value of completing a future telemedicine visit was measured at 84.9%. Most reported estimated travel time saved was in excess of 30 minutes. Rate of no-show was 2.7%. Most physicians (57.1%) had no prior experience with telemedicine visits, and most were comfortable performing these visits after completing 1 to 4 sessions (71%). Nearly all physicians (92.9%) rated their telemedicine experience as very good or excellent. The key barrier identified for telemedicine was technical issues. All physicians reported plans to perform telemedicine visits if reimbursement continues. In summary, rapid expansion of telemedicine during the COVID-19 pandemic was well-received by a majority of patients and physicians. This suggests feasibility in rapid expansion of telemedicine for other outpatient sports medicine practices.
Identifiants
pubmed: 32424977
doi: 10.1002/pmrj.12422
pmc: PMC7276758
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
926-932Informations de copyright
© 2020 American Academy of Physical Medicine and Rehabilitation.
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