Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-23T07:07:48.208Z Has data issue: false hasContentIssue false

A review of audiovisual telemedicine utilization and satisfaction assessment during the COVID-19 pandemic

Published online by Cambridge University Press:  20 December 2021

Raphael Agbali*
Affiliation:
College of Allied Health Sciences, Augusta University, Augusta, GA, USA
Andrew E. Balas
Affiliation:
College of Allied Health Sciences, Augusta University, Augusta, GA, USA
Francesco Beltrame
Affiliation:
Department of Informatics, Bioengineering, Robotics and System Engineering University of Genoa, Genoa, Italy
Gianluca De Leo
Affiliation:
College of Allied Health Sciences, Augusta University, Augusta, GA, USA
*
Author for correspondence: Raphael Agbali, E-mail: [email protected]

Abstract

Introduction

The use of telemedicine has broadened as technology that both restores continuity of care during disruptions in healthcare delivery and routinely provides primary care alone or in combination with in-person care. During the Covid-19 outbreak, the use of telemedicine as a routine care modality further accelerated.

Methods

A review of scientific studies that used telemedicine to provide care from December 2019 to December 2020 is presented. From an initial set of 2,191 articles, 36 studies are analyzed. Evidence is organized and evaluated according to the country of study, the clinical specialty, the technology platform used, and satisfaction and utilization outcomes.

Results

Thirty-one studies reported high patient satisfaction scores. Eight studies reported satisfaction from both providers and patients with no uniformly accepted assessment instrument. Eight studies conducted a descriptive analysis of telemedicine use and patient adoption patterns. Less than one-third of studies were controlled before/after studies. Most studies were conducted in the USA followed by Europe.

Conclusions

Reported satisfaction rates are high, consistent with previously documented research, whereas utilization rates increased significantly compared with the prepandemic period. Future work in developing standardized uniform assessment instruments, embedded with each telemedicine system, would increase versatility and agility in the assessment, boosting statistical power and the interpretation of results.

Type
Assessment
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization [Internet]. Archived: WHO Timeline Covid-19. Geneva. C2021 [updated 2020 Apr 27; cited 2020 Dec 30]. Available from: https://www.who.int/news-room/detail/27-04-2020-who-timeline---Covid-19.Google Scholar
Centers for Disease Control and Prevention [Internet]. Interim Guidance for Healthcare Facilities: Preparing for Community Transmission of Covid-19 in the United States. Atlanta. c2021 [updated 2020 Dec 22; cited 2020 Dec 30]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/guidance-hcf.html.Google Scholar
American Telemedicine Association [Internet]. What Is Telemedicine, Exactly? Arlington (VA). c2021 [cited 2020 Dec 30]. Available from: https://www.americantelemed.org/ata-news/what-is-telemedicine-exactly/.Google Scholar
Greenhalgh, T, Wherton, J, Shaw, S, Morrison, C. Video consultations for Covid-19. BMJ. 2020;368:m998.Google ScholarPubMed
Hollander, JE, Carr, BG. Virtually perfect? Telemedicine for Covid-19. N Engl J Med. 2020;382:1679–81.CrossRefGoogle ScholarPubMed
Bashshur, R, Doarn, CR, Frenk, JM, Kvedar, JC, Woolliscroft, JO. Telemedicine and the COVID-19 pandemic, lessons for the future. Telemed J E Health. 2020;26:571–3.CrossRefGoogle ScholarPubMed
Ohannessian, R. Telemedicine: Potential applications in epidemic situations. Eur Res Telemed. 2015;3:95–8.CrossRefGoogle Scholar
Chang, TC, Lee, JD, Wu, SJ. The telemedicine and teleconsultation system application in clinical medicine. In: The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 2; 2004. pp. 3392–3395.CrossRefGoogle Scholar
Bonnefoy, A, Gionet-Landry, D. Humanitarian Telemedicine. Potential Telemedicine Applications to Assist Developing Countries in Primary snd Secondary Care. Vienna (Austria). European Space Policy Institute (ESPI); 2014. Report 48. [Cited 2020 Jan 6]. Available from: https://espi.or.at/publications/espi-public-reports/category/2-public-espi-reports?start=30.Google Scholar
Tebeje, TH, Klein, J. Applications of e-Health to support person-centered health care at the time of COVID-19 pandemic. Telemed J E Health. 2020. doi:10.1089/tmj.2020.0201.Google Scholar
Committee on Pediatric Workforce. The use of telemedicine to address access and physician workforce shortages. Pediatrics. 2015;136:202–9.CrossRefGoogle Scholar
Centers for Medicare & Medicaid Services (CMS) [Internet]. Medicare telemedicine health care provider fact sheet. Baltimore (MD). c2021 [updated 2020 Mar 17; cited 2021 Jan 4]. Available from: https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet.Google Scholar
Perrin, PB, Pierce, BS, Elliott, TR. COVID-19 and telemedicine: A revolution in healthcare delivery is at hand. Health Sci Rep. 2020;3:e166.CrossRefGoogle ScholarPubMed
Vis, C, Bührmann, L, Riper, H, Ossebaard, H. Health technology assessment frameworks for eHealth: A systematic review. Int J Technol Assess Health Care. 2020;36:204–16. doi:10.1017/S026646232000015X.CrossRefGoogle ScholarPubMed
Ekeland, A, Grøttland, A. Assessment of MAST in European patient-centered telemedicine pilots. Int J Technol Assess Health Care. 2015;31:304–11.CrossRefGoogle ScholarPubMed
Barsom, E, Van Heeds, E, Bemelman, W, Schijven, M. Measuring patient satisfaction with video consultation: A systematic review of assessment tools and their measurement properties. Int J Technol Assess Health Care. 2020;36:356–62.CrossRefGoogle Scholar
Cremades, M, Georgina, F, David, P, Navinés, J, Espin, F, Pardo, F, et al. Telemedicine to follow patients in a general surgery department. A randomized controlled trial. Am J Surg. 2020;219:882–7.CrossRefGoogle Scholar
Rabuñal, R, Suarez-Gil, R, Golpe, R, Martínez-García, M, Gómez-Méndez, R, Romay-Lema, E, et al. Usefulness of a telemedicine tool TELEA in the management of the Covid-19 pandemic. Telemed J E Health. 2020;26:1332–5.CrossRefGoogle ScholarPubMed
Khairat, S, Meng, C, Xu, Y, Edson, B, Gianforcaro, R. Interpreting Covid-19 and virtual care trends: Cohort study. JMIR Public Health Surveill. 2020;6:e18811. doi:10.2196/18811. PMID: 32252023; PMCID: PMC7162649.CrossRefGoogle ScholarPubMed
Gerbutavicius, R, Brandlhuber, U, Glück, S. Evaluierung der patientenzufriedenheit mit einer augenärztlichen videosprechstunde während der Covid-19-pandemie [Evaluation of patient satisfaction with an ophthalmology video consultation during the Covid-19 pandemic]. Ophthalmologe. 2020:18. doi:10.1007/s00347-020-01143-0 (German).Google Scholar
Whitten, PS, Mair, FS, Haycox, A, May, C, Williams, T, Helmrich, S. Systematic review of cost effectiveness studies of telemedicine interventions. BMJ. 2002;324:7351.CrossRefGoogle ScholarPubMed
Batbaatar, E, Dorjdagva, J, Luvsannyam, A, Savino, M, Amenta, P. Determinants of patient satisfaction: A systematic review. Perspect Public Health. 2017;137:89101.CrossRefGoogle ScholarPubMed
Ashry, AH, Alsawy, MF. Doctor-patient distancing: An early experience of telemedicine for post-operative neurosurgical care in the time of Covid-19. Egypt J Neurol Psychiatric Neurosurg. 2020;56:80. doi:10.1186/s41983-020-00212-0.Google Scholar
Compton, M, Soper, M, Reilly, B, Gettle, L, List, R, Bailey, M, et al. A feasibility study of urgent implementation of cystic fibrosis multidisciplinary telemedicine clinic in the face of Covid-19 pandemic: Single-center experience. Telemed J E Health. 2020;26:978–84.CrossRefGoogle ScholarPubMed
Fieux, M, Duret, S, Bawazeer, N, Denoix, L, Zaouche, S, Tringali, S. Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;137:257–61.CrossRefGoogle ScholarPubMed
Garcia-Huidobro, D, Rivera, S, Valderrama, CS, Bravo, P, Capurro, D. System-wide accelerated implementation of telemedicine in response to Covid-19: Mixed methods evaluation. J Med Internet Res. 2020;22:e22146. doi:10.2196/22146. PMID: 32903195; PMCID: PMC7541041.CrossRefGoogle ScholarPubMed
Gilbert, AW, Billany, J, Adam, R, Martin, L, Tobin, R, Bagdai, S, et al. Rapid implementation of virtual clinics due to Covid-19: Report and early evaluation of a quality improvement initiative. BMJ Open Qual. 2020;9:e000985.CrossRefGoogle ScholarPubMed
Jones, MS, Goley, AL, Alexander, BE, Keller, SB, Caldwell, MM, Buse, JB. Inpatient transition to virtual care during Covid-19 pandemic. Diabetes Technol Ther. 2020;22:444–8.CrossRefGoogle ScholarPubMed
Lai, FH, Yan, EW, Yu, KK, Tsui, WS, Chan, DT, Yee, BK. The protective impact of telemedicine on persons with dementia and their caregivers during the Covid-19 pandemic. Am J Geriatr Psychiatry. 2020;28:1175–84.CrossRefGoogle ScholarPubMed
Lonergan, PE, Washington, ISL, Branagan, L, Gleason, N, Pruthi, RS, Carroll, PR, et al. Rapid utilization of telehealth in a comprehensive cancer center as a response to Covid-19: Cross-sectional analysis. J Med Internet Res. 2020;22:e19322.CrossRefGoogle Scholar
Madden, N, Emeruwa, UN, Friedman, AM, Aubey, JJ, Aziz, A, Baptiste, CD, et al. Telehealth uptake into prenatal care and provider attitudes during the Covid-19 pandemic in New York City: A quantitative and qualitative analysis. Am J Perinatol. 2020;37:1005–14.Google ScholarPubMed
Negrini, S, Donzelli, S, Negrini, A, Negrini, A, Romano, M, Zaina, F. Feasibility and acceptability of telemedicine to substitute outpatient rehabilitation services in the Covid-19 emergency in Italy: An observational everyday clinical-life study. Arch Phys Med Rehabil. 2020;101:2027–32.CrossRefGoogle ScholarPubMed
Pinar, U, Anract, J, Perrot, O, Tabourin, T, Chartier-Kastler, E, Parra, J, et al. Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID-19 pandemic. World J Urol. 2020: 16. doi:10.1007/s00345-020-03432-4.Google ScholarPubMed
Satin, AM, Shenoy, K, Sheha, ED, Basques, B, Schroeder, GD, Vaccaro, AR, et al. Spine patient satisfaction with telemedicine during the Covid-19 pandemic: A cross-sectional study. Global Spine J. 2020;22:e2192568220965521.Google Scholar
Serper, M, Nunes, F, Ahmad, N, Roberts, D, Metz, DC, Mehta, SJ. Positive early patient and clinician experience with telemedicine in an academic gastroenterology practice during the Covid-19 pandemic. Gastroenterology. 2020;159:158991.e4.CrossRefGoogle Scholar
Shafi, K, Lovecchio, F, Forston, K, Wyss, J, Casey, E, Press, J, et al. The efficacy of telehealth for the treatment of spinal disorders: Patient-reported experiences during the Covid-19 pandemic. HSS J. 2020;16:17.CrossRefGoogle Scholar
Yoon, EJ, Tong, D, Anton, GM, Jasinski, JM, Claus, CF, Soo, TM, et al. Patient satisfaction with neurosurgery telemedicine visits during the coronavirus disease 2019 pandemic: A prospective cohort study. World Neurosurg. 2021;145:e184e191.CrossRefGoogle ScholarPubMed
Zhang, H, Cha, EE, Lynch, K, Cahlon, O, Gomez, DR, Shaverdian, N, et al. Radiation oncologist perceptions of telemedicine from consultation to treatment planning: A mixed-methods study. Int J Radiat Oncol Biol Phys. 2020;108:421–9.Google ScholarPubMed
Harper, K, Roof, M, Wadhawan, N, Terala, A, Turchan, M, Bagnato, F, et al. Vanderbilt university medical center ambulatory teleneurology Covid-19 experience. Telemed J E Health. 2020. doi:10.1089/tmj.2020.0382.Google Scholar
Haxhihamza, K, Arsova, S, Bajraktarov, S, Kalpak, G, Stefanovski, B, Novotni, A, et al. Patient satisfaction with use of telemedicine in university clinic of psychiatry: Skopje, North Macedonia during COVID-19 pandemic. Telemed J E Health. 2020. doi:10.1089/tmj.2020.0256.Google ScholarPubMed
Kalra, G, Williams, AM, Commiskey, PW, Bowers, EMR, Schempf, T, Sahel, JA, et al. Incorporating video visits into ophthalmology practice: A retrospective analysis and patient survey to assess initial experiences and patient acceptability at an academic eye center. Ophthalmol Ther. 2020;9:549–62. doi:10.1007/s40123-020-00269-3.CrossRefGoogle ScholarPubMed
Layfield, E, Triantafillou, V, Prasad, A, Deng, J, Shanti, RM, Newman, JG, et al. Telemedicine for head and neck ambulatory visits during Covid-19: Evaluating usability and patient satisfaction. Head Neck. 2020;42:1681–9.CrossRefGoogle ScholarPubMed
Li, HL, Chan, YC, Huang, JX, Cheng, SW. Pilot study using telemedicine video consultation for vascular patients’ care during the Covid-19 period. Ann Vasc Surg. 2020;68:7682.CrossRefGoogle ScholarPubMed
Liu, L, Gu, J, Shao, F, Liang, X, Yue, L, Cheng, Q, et al. Application and preliminary outcomes of remote diagnosis and treatment during the Covid-19 outbreak: Retrospective cohort study. JMIR mHealth uHealth. 2020;8:e19417.CrossRefGoogle ScholarPubMed
Mann, DM, Chen, J, Chunara, R, Testa, PA, Nov, O. COVID-19 transforms health care through telemedicine: Evidence from the field. J Am Med Inform Assoc. 2020;27:1132–5.CrossRefGoogle ScholarPubMed
Morisada, MV, Hwang, J, Gill, AS, Wilson, MD, Strong, EB, Steele, TO Telemedicine, patient satisfaction, and chronic rhinosinusitis care in the era of Covid-19. Am J Rhinol Allergy. 2020;35:494–9.CrossRefGoogle ScholarPubMed
Punia, V, Nasr, G, Zagorski, V, Lawrence, G, Fesler, J, Nair, D, et al. Evidence of a rapid shift in outpatient practice during the Covid-19 pandemic using telemedicine. Telemed J E Health. 2020;26:1301–3.CrossRefGoogle ScholarPubMed
Ramaswamy, A, Yu, M, Drangsholt, S, Ng, E, Culligan, PJ, Schlegel, PN, et al. Patient satisfaction with telemedicine during the Covid-19 pandemic: Retrospective cohort study. J Med Internet Res. 2020;22:e20786.CrossRefGoogle ScholarPubMed
Byrne, E, Watkinson, S. Patient and clinician satisfaction with video consultations during the Covid-19 pandemic: An opportunity for a new way of working. J Orthod. 2020:1465312520973677. doi:10.1177/1465312520973677.Google ScholarPubMed
Siow, MY, Walker, JT, Britt, E, Kozy, JP, Zanzucchi, A, Girard, PJ, et al. What was the change in telehealth usage and proportion of no-show visits for an orthopaedic trauma clinic during the Covid-19 pandemic? Clin Orthop Relat Res. 2020;478:2257–63.CrossRefGoogle ScholarPubMed
Tenforde, AS, Iaccarino, MA, Borgstrom, H, Hefner, JE, Silver, J, Ahmed, M, et al. Telemedicine during Covid-19 for outpatient sports and musculoskeletal medicine physicians. PM R. 2020;12:926–32.CrossRefGoogle ScholarPubMed
Tenforde, AS, Borgstrom, H, Polich, G, Steere, H, Davis, IS, Cotton, K, et al. Outpatient physical, occupational, and speech therapy synchronous telemedicine: A survey study of patient satisfaction with virtual visits during the Covid-19 pandemic. Am J Phys Med Rehabil. 2020;99:977–81.CrossRefGoogle ScholarPubMed
Zhu, C, Williamson, J, Lin, A, Bush, K, Hakim, A, Upadhyaya, K, et al. Implications for telemedicine for surgery patients after Covid-19: Survey of patient and provider experiences. Am Surg. 2020;86:907–15.CrossRefGoogle ScholarPubMed
Luengo-Alonso, G, Pérez-Tabernero, FG, Tovar-Bazaga, M, Arguello-Cuenca, JM, Calvo, E. Critical adjustments in a department of orthopaedics through the Covid-19 pandemic. Int Orthop. 2020;44:1557–64.CrossRefGoogle Scholar
Peden, CJ, Mohan, S, Pagán, V. Telemedicine and Covid-19: An observational study of rapid scale up in a US academic medical system. J Gen Intern Med. 2020;35:2823–5.Google Scholar
Shenoy, P, Ahmed, S, Paul, A, Skaria, TG, Joby, J, Alias, B. Switching to teleconsultation for rheumatology in the wake of the Covid-19 pandemic: Feasibility and patient response in India. Clin Rheumatol. 2020;39:2757–62.Google ScholarPubMed
Barney, A, Buckelew, S, Mesheriakova, V, Raymond-Flesch, M. The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: Challenges and opportunities for innovation. J Adolesc Health. 2020;67:164–71.CrossRefGoogle Scholar
Viswanathan, M, Berkman, ND. Development of the RTI item bank on risk of bias and precision of observational studies. J Clin Epidemiol. 2012;65:163–78.CrossRefGoogle ScholarPubMed
Viswanathan, M, Ansari, M, Berkman, N, Chang, S, Hartling, L, Mc Pheeters, L, et al. Assessing the risk of bias of individual studies in systematic reviews of health care interventions. Agency for Healthcare Research and Quality Methods Guide for Comparative Effectiveness Reviews; 2012 [Cited 2020 Mar 6]. Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK174881/.Google Scholar
Cassar, S, Misso, ML, Hopkins, WG, Shaw, CS, Teede, HJ, Stepto, NK. Insulin resistance in polycystic ovary syndrome: A systematic review and meta-analysis of euglycaemic-hyperinsulinaemic clamp studies. Hum Reprod. 2016;31:2619–31.CrossRefGoogle ScholarPubMed
Hopkins, WG, Marshall, SW, Batterham, AM, Hanin, J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc. 2009;41:313.CrossRefGoogle ScholarPubMed
Lin, CC, Dievler, A, Robbins, C, Sripipatana, A, Quinn, M, Nair, S. Telehealth in health centers: Key adoption factors, barriers, and opportunities. Health Aff (Millwood). 2018;37:1967–74.CrossRefGoogle Scholar
Ignatowicz, A, Atherton, H, Bernstein, CJ, Bryce, C, Court, R, Sturt, J, et al. Internet videoconferencing for patient-clinician consultations in long-term conditions: A review of reviews and applications in line with guidelines and recommendations. Digit Health. 2019;5:e2055207619845831.Google Scholar
Healthcare Financial Management Association [Internet]. Telemedicine Blog Westchester (IL): Major insurers roll back no-cost sharing telehealth services. 2020 Oct 07. Mulvany CF, director. Washington, DC: HFMA. c2021 [cited 2021 Jan 4]. Available from: https://www.hfma.org/topics/technology/article/-major-insurers-roll-back-no-cost-sharing-telehealth-services.html?MessageRunDetailID=3486497604.Google Scholar
Orlando, JF, Beard, M, Kumar, S. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLoS ONE. 2019;14:e0221848.CrossRefGoogle ScholarPubMed
Guyatt, GH, Oxman, AD, Kunz, R, Vist, GE, Falck-Ytter, Y, Schünemann, HJ. GRADE working group. What is “quality of evidence” and why is it important to clinicians? BMJ. 2008;336:995–8.CrossRefGoogle Scholar