MP53-16 TELEMEDICINE HERE TO STAY? KEY INDICATORS TO PATIENT SATISFACTION

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP53-16 TELEMEDICINE HERE TO STAY? KEY INDICATORS TO PATIENT SATISFACTION Gideon Harianja, Michael Reimer, Cayde Ritchie, Matthew Buell, Akin S. Amasyali, Kai Wen Cheng, Catherine Chen, David Chamberlin, and Joshua Chamberlin Gideon HarianjaGideon Harianja More articles by this author , Michael ReimerMichael Reimer More articles by this author , Cayde RitchieCayde Ritchie More articles by this author , Matthew BuellMatthew Buell More articles by this author , Akin S. AmasyaliAkin S. Amasyali More articles by this author , Kai Wen ChengKai Wen Cheng More articles by this author , Catherine ChenCatherine Chen More articles by this author , David ChamberlinDavid Chamberlin More articles by this author , and Joshua ChamberlinJoshua Chamberlin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003301.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The COVID-19 pandemic initiated rapid widespread utilization of telemedicine affecting all health care providers, including those in pediatric urology. Understanding the factors of patient and parent satisfaction can aid in health care delivery. The aim of this study was to identify key indicators of patient and parent satisfaction with pediatric urology telemedicine visits. METHODS: We conducted a prospective cross-sectional survey of all patients evaluated with a telehealth visit from October 2021 - April 2022. We included all consecutive patients aged 0-18 years who received an outpatient pediatric urology telehealth visit. All patients received an 8-question patient/parent reported outcome (PRO) survey via email within 30 days of the visit, including 5 satisfaction questions regarding various aspects of telemedicine rated on a scale of 1-5. Statistical analysis was performed using Pearson correlation, Mann-Whitney U, and Chi Squared tests, with p<0.05 considered significant. RESULTS: A total of 1213 patients completed a telehealth visit, of which 83 (7%) completed the PRO survey. Visit type included 40 (48%) post-operative, 29 (35%) follow-up, and 14 (17%) new consults. From the survey responses, 84% reported time savings, 31% reported money savings, 30% avoided time away from work, and 27% of children avoided missing school. No technical issues were experienced in 86% of the visits. Satisfaction with telehealth was highest for the post-operative patient, 4.8/5 after orchiopexy and 4.4/5 after circumcision. Patients saved a median travel distance of 22 miles [IQR: 15-41]. Patients living farther than 22 miles had higher satisfaction scores in terms of simplicity and preference to in-person visits compared to those who lived closer (p=0.019). Patients living in zip codes below the median household income had significantly higher satisfaction scores (p=0.032). Patients with public health insurance had significantly higher overall satisfaction scores compared to those with private health insurance (p=0.022). There was no difference in satisfaction based on parent age or whether the patient was evaluated for a new, follow-up, or post-operative video visit. CONCLUSIONS: Children and their caregivers were satisfied with pediatric urology telehealth visits when seen as a new, follow-up, or post-operative patient. Indicators for satisfaction may include long travel distance to the clinic, lower than median household income zip codes, and public health insurance. Appropriate use of telehealth may provide better access to care and optimize healthcare delivery. Source of Funding: AOA Research Fellowship Grant © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e718 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Gideon Harianja More articles by this author Michael Reimer More articles by this author Cayde Ritchie More articles by this author Matthew Buell More articles by this author Akin S. Amasyali More articles by this author Kai Wen Cheng More articles by this author Catherine Chen More articles by this author David Chamberlin More articles by this author Joshua Chamberlin More articles by this author Expand All Advertisement PDF downloadLoading ...