Cargando…
Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology
PURPOSE: Telemedicine adoption hinges on positive experiences for patients and providers. We report participants’ experience from our prospective study. PATIENTS AND METHODS: Ophthalmic examinations for children 0–17 years of age were conducted by an optometrist using digital exam instruments and st...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444028/ https://www.ncbi.nlm.nih.gov/pubmed/36071727 http://dx.doi.org/10.2147/OPTH.S374811 |
_version_ | 1784783123898171392 |
---|---|
author | Stewart, Carly Coffey-Sandoval, Josephine Souverein, Erik A Ho, Tiffany C Lee, Thomas C Nallasamy, Sudha |
author_facet | Stewart, Carly Coffey-Sandoval, Josephine Souverein, Erik A Ho, Tiffany C Lee, Thomas C Nallasamy, Sudha |
author_sort | Stewart, Carly |
collection | PubMed |
description | PURPOSE: Telemedicine adoption hinges on positive experiences for patients and providers. We report participants’ experience from our prospective study. PATIENTS AND METHODS: Ophthalmic examinations for children 0–17 years of age were conducted by an optometrist using digital exam instruments and streamed to an ophthalmologist. The ophthalmologist, optometrist, parent, and patient (≥10 years) completed surveys capturing patient and provider experience outcomes. RESULTS: Three hundred forty-eight examinations were conducted with 210 patients in a hospital-based pediatric ophthalmology clinic. About 99% of parents were comfortable with exam quality, and 97% indicated they would have another telemedicine examination. Fifty-four of 55 consented for surgery during the initial telemedicine examination. Thirty-seven percent of families traveled ≥2 hours round-trip to their appointment; 1/3 of parents and patients missed a full day of work/school. Video glasses were by far the most useful instrument, while technical proficiency was most challenging with the digital indirect ophthalmoscope. Problem-focused examinations took 33 minutes of the ophthalmologist’s time on average. Equipment challenges caused delays in 40/348 (11.5%) of visits, with the majority lasting 5–10 minutes. In a few cases, a backup device was used. Despite seeing significantly fewer patients on telemedicine days, the ophthalmologist’s surgical volume increased 25%. CONCLUSION: All participants were satisfied with telemedicine visits despite longer durations and learning curve. Results indicate an opportunity for telemedicine in community settings to improve access to specialized care. Telemedicine enabled the optometrist to manage or co-manage more complex patients with a pipeline to the ophthalmologist for surgical cases. In the right setting, collaborative telemedicine consultations may be beneficial to one’s practice. |
format | Online Article Text |
id | pubmed-9444028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-94440282022-09-06 Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology Stewart, Carly Coffey-Sandoval, Josephine Souverein, Erik A Ho, Tiffany C Lee, Thomas C Nallasamy, Sudha Clin Ophthalmol Original Research PURPOSE: Telemedicine adoption hinges on positive experiences for patients and providers. We report participants’ experience from our prospective study. PATIENTS AND METHODS: Ophthalmic examinations for children 0–17 years of age were conducted by an optometrist using digital exam instruments and streamed to an ophthalmologist. The ophthalmologist, optometrist, parent, and patient (≥10 years) completed surveys capturing patient and provider experience outcomes. RESULTS: Three hundred forty-eight examinations were conducted with 210 patients in a hospital-based pediatric ophthalmology clinic. About 99% of parents were comfortable with exam quality, and 97% indicated they would have another telemedicine examination. Fifty-four of 55 consented for surgery during the initial telemedicine examination. Thirty-seven percent of families traveled ≥2 hours round-trip to their appointment; 1/3 of parents and patients missed a full day of work/school. Video glasses were by far the most useful instrument, while technical proficiency was most challenging with the digital indirect ophthalmoscope. Problem-focused examinations took 33 minutes of the ophthalmologist’s time on average. Equipment challenges caused delays in 40/348 (11.5%) of visits, with the majority lasting 5–10 minutes. In a few cases, a backup device was used. Despite seeing significantly fewer patients on telemedicine days, the ophthalmologist’s surgical volume increased 25%. CONCLUSION: All participants were satisfied with telemedicine visits despite longer durations and learning curve. Results indicate an opportunity for telemedicine in community settings to improve access to specialized care. Telemedicine enabled the optometrist to manage or co-manage more complex patients with a pipeline to the ophthalmologist for surgical cases. In the right setting, collaborative telemedicine consultations may be beneficial to one’s practice. Dove 2022-09-01 /pmc/articles/PMC9444028/ /pubmed/36071727 http://dx.doi.org/10.2147/OPTH.S374811 Text en © 2022 Stewart et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Stewart, Carly Coffey-Sandoval, Josephine Souverein, Erik A Ho, Tiffany C Lee, Thomas C Nallasamy, Sudha Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title | Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title_full | Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title_fullStr | Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title_full_unstemmed | Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title_short | Patient and Provider Experience in Real-Time Telemedicine Consultations for Pediatric Ophthalmology |
title_sort | patient and provider experience in real-time telemedicine consultations for pediatric ophthalmology |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444028/ https://www.ncbi.nlm.nih.gov/pubmed/36071727 http://dx.doi.org/10.2147/OPTH.S374811 |
work_keys_str_mv | AT stewartcarly patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology AT coffeysandovaljosephine patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology AT souvereinerika patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology AT hotiffanyc patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology AT leethomasc patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology AT nallasamysudha patientandproviderexperienceinrealtimetelemedicineconsultationsforpediatricophthalmology |