Transition to virtual appointments for interventional neuroradiology due to the COVID-19 pandemic: a survey of satisfaction.


Journal

Journal of neurointerventional surgery
ISSN: 1759-8486
Titre abrégé: J Neurointerv Surg
Pays: England
ID NLM: 101517079

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 31 08 2020
revised: 30 09 2020
accepted: 01 10 2020
pubmed: 9 10 2020
medline: 24 11 2020
entrez: 8 10 2020
Statut: ppublish

Résumé

The COVID-19 pandemic has changed the way medicine is practiced, including the implementation of virtual care in many specialties. In the field of interventional neuroradiology (INR), virtual clinics are an uncommon practice with minimal literature to support its use. Our objective was to report prospective, single-centre data regarding patient and physician experience with virtual INR clinics for routine follow-up appointments. We surveyed all patients that participated in a virtual INR clinic follow-up appointment at our hospital over a 3 month period. Information gathered included length of appointment delays (ie, wait times), length of appointment times, overall satisfaction, and perceived safety metrics. A survey was also sent out to all physicians who participated in virtual clinics with similar questions. 118/122 patients and 6/6 physicians completed the survey. Wait times before previous in-person appointments were perceived to be much longer than virtual appointments, whereas in-person appointment times were longer. 112/118 (94.9%) patients and 4/6 (67%) physicians reported general satisfaction with their virtual clinic experience. There were 8/118 patients who felt their conditions could not be safely assessed virtually, compared with 1/6 (17%) physicians. Lastly, 72.2% of patients reported that they would prefer virtual or telephone visits in the future for non-urgent follow-up, and 5/6 (83%) of physicians reported the same. Virtual INR clinics are more efficient and are preferred among patients and physicians for non-urgent follow-up appointments. Our study demonstrates the feasibility of a virtual platform for INR care, which could be sustainable for future practice.

Sections du résumé

BACKGROUND BACKGROUND
The COVID-19 pandemic has changed the way medicine is practiced, including the implementation of virtual care in many specialties. In the field of interventional neuroradiology (INR), virtual clinics are an uncommon practice with minimal literature to support its use. Our objective was to report prospective, single-centre data regarding patient and physician experience with virtual INR clinics for routine follow-up appointments.
METHODS METHODS
We surveyed all patients that participated in a virtual INR clinic follow-up appointment at our hospital over a 3 month period. Information gathered included length of appointment delays (ie, wait times), length of appointment times, overall satisfaction, and perceived safety metrics. A survey was also sent out to all physicians who participated in virtual clinics with similar questions.
RESULTS RESULTS
118/122 patients and 6/6 physicians completed the survey. Wait times before previous in-person appointments were perceived to be much longer than virtual appointments, whereas in-person appointment times were longer. 112/118 (94.9%) patients and 4/6 (67%) physicians reported general satisfaction with their virtual clinic experience. There were 8/118 patients who felt their conditions could not be safely assessed virtually, compared with 1/6 (17%) physicians. Lastly, 72.2% of patients reported that they would prefer virtual or telephone visits in the future for non-urgent follow-up, and 5/6 (83%) of physicians reported the same.
CONCLUSION CONCLUSIONS
Virtual INR clinics are more efficient and are preferred among patients and physicians for non-urgent follow-up appointments. Our study demonstrates the feasibility of a virtual platform for INR care, which could be sustainable for future practice.

Identifiants

pubmed: 33028673
pii: neurintsurg-2020-016805
doi: 10.1136/neurintsurg-2020-016805
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1153-1156

Informations de copyright

© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Ronda Lun (R)

Neurology, Ottawa Hospital Civic Campus, Ottawa, Ontario, Canada rlun@toh.ca.
Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Gregory Walker (G)

Neurology, Ottawa Hospital Civic Campus, Ottawa, Ontario, Canada.
Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Department of Medicine - Division of Neurology, Royal Columbian Hospital, New Westminster, British Columbia, Canada.
Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.

Zeinab Daham (Z)

Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ottawa Hospital Research Institute Clinical Epidemiology Program, Ottawa, Ontario, Canada.

Tim Ramsay (T)

Ottawa Hospital Research Institute Clinical Epidemiology Program, Ottawa, Ontario, Canada.
School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.

Eduardo Portela de Oliveira (E)

Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.

Mohammed Kassab (M)

Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.
Department of Neurosurgery, Ottawa Hospital, Ottawa, Ontario, Canada.

Robert Fahed (R)

Neurology, Ottawa Hospital Civic Campus, Ottawa, Ontario, Canada.
Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.

Aiman Quateen (A)

Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.

Howard Lesiuk (H)

Department of Neurosurgery, Ottawa Hospital, Ottawa, Ontario, Canada.

Marlise P Dos Santos (M)

Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.

Brian Drake (B)

Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Department of Medical Imaging, Section of Interventional Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.
Department of Neurosurgery, Ottawa Hospital, Ottawa, Ontario, Canada.
Ottawa Hospital Research Institute, Ottawa, ON, Canada.

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