Patient Satisfaction and Perceived Quality of Care with Telemedicine in a Pediatric Gastroenterology Clinic
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Marcin, J.; Shaikh, U.; Steinhorn, R.H. Addressing health disparities in rural communities using telehealth. Pediatr. Res. 2016, 79, 169–176. [Google Scholar] [CrossRef]
- Marcin, J.P.; Ellis, J.; Mawis, R.; Nagrampa, E.; Nesbitt, T.S.; Dimand, R.J. Using Telemedicine to Provide Pediatric Subspecialty Care to Children With Special Health Care Needs in an Underserved Rural Community. Pediatrics 2004, 113, 1–6. [Google Scholar] [CrossRef] [PubMed]
- Hooshmand, M.; Foronda, C. Comparison of Telemedicine to Traditional Face-to-Face Care for Children with Special Needs: A Quasiexperimental Study. Telemed. J. e-Health 2018, 24, 433–441. [Google Scholar] [CrossRef]
- Kessler, E.A.; Sherman, A.K.; Becker, M.L. Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits. Pediatr. Rheumatol. 2016, 14, 54. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Stone, J.M.; Gibbons, T.E. Telemedicine in Pediatric Gastroenterology: An Overview of Utility. Telemed. J. e-Health 2018, 24, 577–581. [Google Scholar] [CrossRef]
- Langkamp, D.L.; McManus, M.D.; Blakemore, S.D. Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care. Telemed. J. e-Health 2015, 21, 110–114. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Velasquez, S.E.; Chaves-Carballo, E.; Nelson, E.-L. Pediatric Teleneurology: A Model of Epilepsy Care for Rural Populations. Pediatr. Neurol. 2016, 64, 32–37. [Google Scholar] [CrossRef]
- Simko, A.; Han, S.H.; Aldana, P.R. Telemedicine: Providing Access to Care in Pediatric Neurosurgery to Underserved Communities. World Neurosurg. 2020, 138, 556–557. [Google Scholar] [CrossRef]
- Mulgrew, K.W.; Shaikh, U.; Nettiksimmons, J. Comparison of Parent Satisfaction with Care for Childhood Obesity Delivered Face-to-Face and by Telemedicine. Telemed. J. e-Health 2011, 17, 383–387. [Google Scholar] [CrossRef]
- Bullock, D.R.; Vehe, R.K.; Zhang, L.; Correll, C.K. Telemedicine and other care models in pediatric rheumatology: An exploratory study of parents’ perceptions of barriers to care and care preferences. Pediatr. Rheumatol. 2017, 15, 55. [Google Scholar] [CrossRef] [Green Version]
- Badawy, S.M.; Radovic, A. Digital Approaches to Remote Pediatric Health Care Delivery During the COVID-19 Pandemic: Existing Evidence and a Call for Further Research. JMIR Pediatr. Parent. 2020, 3, e20049. [Google Scholar] [CrossRef] [PubMed]
- Mehrotra, A.; Ray, K.; Brockmeyer, D.M.; Barnett, M.L.; Bender, J.A. Rapidly converting to virtual practices: Outpatient care in the era of Covid-19. N. Engl. J. Med. Catal. 2020, 1–5. [Google Scholar] [CrossRef]
- Kumari, J.; Jat, K.R.; Kabra, S.K. Role of Telemedicine in Follow-up Care of Children with Respiratory Illnesses at a Tertiary Care Hospital—An Ambispective Observational Study. Indian J. Pediatr. 2021, 88, 974–978. [Google Scholar] [CrossRef] [PubMed]
- Kim, J.W.; Lame, M.; Szalay, L.; Lefchak, B.; Johnsson, B.; Gogia, K.; Clark, S.; Kessler, D.; Leyden, D.; Sharma, R.; et al. Telemedicine Surge for Pediatric Patients in Response to the COVID-19 Pandemic in New York City. Telemed. J. e-Health 2021, 27, 1105–1110. [Google Scholar] [CrossRef] [PubMed]
- Metzger, G.A.; Cooper, J.; Lutz, C.; Jatana, K.R.; Nishimura, L.; Deans, K.J.; Minneci, P.C.; Halaweish, I. The value of telemedicine for the pediatric surgery patient in the time of COVID-19 and beyond. J. Pediatr. Surg. 2021, 56, 1305–1311. [Google Scholar] [CrossRef]
- Pietruszewski, L.; Burkhardt, S.; Yoder, P.J.; Heathcock, J.; Lewandowski, D.J.; Maitre, N.L. Protocol and Feasibility-Randomized Trial of Telehealth Delivery for a Multicomponent Upper Extremity Intervention in Infants With Asymmetric Cerebral Palsy. Child Neurol. Open 2020, 7, 1–9. [Google Scholar] [CrossRef]
- Carter, C.; Herrero, C.; Bloom, D.; Karamitopoulos, M.; Castañeda, P. Early Experience with Virtual Pediatric Orthopedics in New York CityPearls for Incorporating Telemedicine into Your Practice. Bull. Hosp. Jt. Dis. 2020, 78, 236–242. [Google Scholar]
- Govil, N.; Raol, N.; Tey, C.S.; Goudy, S.L.; Alfonso, K.P. Rapid telemedicine implementation in the context of the COVID-19 pandemic in an academic pediatric otolaryngology practice. Int. J. Pediatr. Otorhinolaryngol. 2020, 139, 110447. [Google Scholar] [CrossRef]
- Paruthi, S. Telemedicine in Pediatric Sleep. Sleep Med. Clin. 2020, 15, e1–e7. [Google Scholar] [CrossRef]
- Sukhov, R.; Asante, A.; Ilizarov, G. Telemedicine for pediatric physiatry: How social distancing can bring physicians and families closer together. J. Pediatr. Rehabil. Med. 2020, 13, 329–338. [Google Scholar] [CrossRef]
- Verstraete, S.G.; Sola, A.M.; Ali, S.A. Telemedicine for Pediatric Inflammatory Bowel Disease in the Era of COVID-19. J. Pediatr. Gastroenterol. Nutr. 2020, 70, e140. [Google Scholar] [CrossRef] [PubMed]
- Galloway, D.P.; Mph, M.S.M.; Msn, L.T.W.; Venick, R.S.; Wendel, D.; Cole, C.R.; Martin, C.A. Effect of the COVID-19 Pandemic on Pediatric Intestinal Failure Healthcare Delivery. J. Parenter. Enter. Nutr. 2021, 45, 50–56. [Google Scholar] [CrossRef] [PubMed]
- Turner, A.; Ricketts, T.; Leslie, L.K. Comparison of Number and Geographic Distribution of Pediatric Subspecialists and Patient Proximity to Specialized Care in the US Between 2003 and 2019. JAMA Pediatr. 2020, 174, 852–860. [Google Scholar] [CrossRef] [PubMed]
- Baker, J.; Stanley, A. Telemedicine Technology: A Review of Services, Equipment, and Other Aspects. Curr. Allergy Asthma Rep. 2018, 18, 60. [Google Scholar] [CrossRef]
- Scott Kruse, C.; Karem, P.; Shifflett, K.; Vegi, L.; Ravi, K.; Brooks, M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. J. Telemed. Telecare 2018, 24, 4–12. [Google Scholar] [CrossRef] [Green Version]
- Bhuva, S.; Lankford, C.; Patel, N.; Haddas, R. Implementation and Patient Satisfaction of Telemedicine in Spine Physical Medicine and Rehabilitation Patients During the COVID-19 Shutdown. Am. J. Phys. Med. Rehabil. 2020, 99, 1079–1085. [Google Scholar] [CrossRef]
- Ramaswamy, A.; Yu, M.; Drangsholt, S.; Ng, E.; Culligan, P.J.; Schlegel, P.N.; Hu, J.C. Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study. J. Med. Internet Res. 2020, 22, e20786. [Google Scholar] [CrossRef]
- Valentino, L.A.; Skinner, M.W.; Pipe, S.W. The role of telemedicine in the delivery of health care in the COVID-19 pandemic. Haemophilia 2020, 26, e230–e231. [Google Scholar] [CrossRef]
- North, S. Telemedicine in the Time of COVID and Beyond. J. Adolesc. Health 2020, 67, 145–146. [Google Scholar] [CrossRef]
- Orrange, S.; Patel, A.; Mack, W.J.; Cassetta, J. Patient Satisfaction and Trust in Telemedicine During the COVID-19 Pandemic: Retrospective Observational Study. JMIR Hum. Factors 2021, 8, e28589. [Google Scholar] [CrossRef]
- Elliott, T.; Tong, I.; Sheridan, A.; Lown, B.A. Beyond Convenience: Patients’ Perceptions of Physician Interactional Skills and Compassion via Telemedicine. Mayo Clin. Proc. Innov. Qual. Outcomes 2020, 4, 305–314. [Google Scholar] [CrossRef] [PubMed]
- de Jong, M.J.; Boonen, A.; van der Meulen-de, A.E.; Romberg-Camps, M.J.; van Bodegraven, A.A.; Mahmmod, N.; Markus, T.; Dijkstra, G.; Winkens, B.; van Tubergen, A.; et al. Cost-effectiveness of Telemedicine-directed Specialized vs Standard Care for Patients With Inflammatory Bowel Diseases in a Randomized Trial. Clin. Gastroenterol. Hepatol. 2020, 18, 1744–1752. [Google Scholar] [CrossRef] [PubMed]
- Siegel, C.A. Transforming Gastroenterology Care With Telemedicine. Gastroenterology 2017, 152, 958–963. [Google Scholar] [CrossRef] [PubMed]
- Joyce, A.A.; Conger, A.; McCormick, Z.L.; Kendall, R.W.; Wagner, G.; Teramoto, M.; Cushman, D.M. Changes in Interventional Pain Physician Decision-Making, Practice Patterns, and Mental Health During the Early Phase of the SARS-CoV-2 Global Pandemic. Pain Med. 2020, 21, 3585–3595. [Google Scholar] [CrossRef] [PubMed]
- Cushman, D.M.; Teramoto, M.; Babu, A.; Olafsen, N.; Onishi, K.; Asay, A.; McCormick, Z.L. Sports Medicine Physician Decision-Making, Practice Changes, and Mental Health During the Early Phase of the SARS-CoV-2 Global Pandemic. Clin. J. Sport Med. 2022, 32, 28–39. [Google Scholar] [CrossRef] [PubMed]
Telemedicine Clinic | In-Person Clinic | ||
---|---|---|---|
Total | 156 | 76 | |
New or Returning patient | p = 0.67 + | ||
New Patient | 55 (35%) | 29 (38%) | |
Return Patient | 101 (65%) | 47 (62%) | |
Primary Clinic Location * | |||
Medford, OR | 31 (20%) | 0 (0%) | |
Portland, OR | 17 (11%) | 0 (0%) | |
Riverbend, OR | 38 (24%) | 54 (71%) | |
Salem, OR | 70 (45%) | 22 (29%) | |
Distance from Primary Clinic (miles) | p = 0.78 + | ||
<15 miles | 74 (47%) | 38 (50%) | |
>15 miles | 82 (53%) | 38 (50%) | |
Patient Age (years) | p = 0.23 + | ||
Less than 1 | 9 (6%) | 1 (1%) | |
Between 1–10 | 68 (44%) | 39 (51%) | |
Greater than 10 | 79 (50%) | 36 (47%) | |
Survey Respondants | p = 0.64 + | ||
Initial Survey | 75 (68%) | 36 (32%) | |
6-Month Survey | 57 (71%) | 23 (29%) |
Pros | Telemedicine: n (%) | In-Person: n (%) |
Lack of Travel | 38 (67%) | 12 (52%) |
Efficiency | 11 (19%) | 6 (26%) |
Ability to Socially Distance | 11 (19%) | 4 (17%) |
Ease of Scheduling | 7 (12%) | 4 (17%) |
Do Not Need Childcare | 7 (12%) | 3 (13%) |
Patient Comfort | 3 (5%) | 2 (9%) |
Do Not Miss School | 3 (5%) | 1 (4%) |
Do Not Need Mask | 2 (4%) | 0 (0%) |
Easier Follow Up | 1 (2%) | 0 (0%) |
Cons | Telemedicine: n(%) | In-Person: n(%) |
Lack of Physical Exam | 32 (56%) | 13 (57%) |
Lack of Personal Connection | 15 (26%) | 5 (22%) |
Technology Glitches | 8 (14%) | 3 (13%) |
Poor Communication | 0 (0%) | 2 (9%) |
Efficiency | 0 (0%) | 1 (4%) |
Reluctant to Call Back | 1 (2%) | 0 (0%) |
Inability to Include Multiple People | 1 (2%) | 0 (0%) |
Finding Location for Telemedicine Visit | 1 (2%) | 0 (0%) |
Patient Less Motivated | 1 (2%) | 0 (0%) |
Diagnosis | Telemedicine | In-Person | ||
---|---|---|---|---|
New | Return | New | Return | |
Abdominal Pain | 16 (29%) | 11 (11%) | 8 (28%) | 8 (17%) |
Constipation | 12 (22%) | 25 (25%) | 2 (7%) | 3 (6%) |
Diarrhea | 9 (16%) | 2 (2%) | 5 (17%) | 0 (0%) |
Gastroesophageal Reflux | 6 (11%) | 18 (18%) | 1 (3%) | 2 (4%) |
Nausea/Vomiting | 6 (11%) | 4 (4%) | 6 (21%) | 4 (9%) |
Poor Weight Gain | 2 (4%) | 7 (7%) | 1 (3%) | 4 (9%) |
Dysphagia | 2 (4%) | 7 (7%) | 2 (7%) | 2 (4%) |
Inflammatory Bowel Disease | 0 (0%) | 10 (10%) | 0 (0%) | 12 (26%) |
Celiac Disease/EoE/Allergy | 1 (2%) | 7 (7%) | 1 (3%) | 4 (9%) |
Elevated Liver Enzymes | 0 (0%) | 3 (3%) | 1 (3%) | 1 (2%) |
Liver Disase/Liver Transplant | 0 (0%) | 1 (3%) | 2 (4%) | |
Other * | 1 (2%) | 7 (7%) | 1 (3%) | 5 (11%) |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Love, M.; Hunter, A.K.; Lam, G.; Muir, L.V.; Lin, H.C. Patient Satisfaction and Perceived Quality of Care with Telemedicine in a Pediatric Gastroenterology Clinic. Pediatr. Rep. 2022, 14, 181-189. https://doi.org/10.3390/pediatric14020025
Love M, Hunter AK, Lam G, Muir LV, Lin HC. Patient Satisfaction and Perceived Quality of Care with Telemedicine in a Pediatric Gastroenterology Clinic. Pediatric Reports. 2022; 14(2):181-189. https://doi.org/10.3390/pediatric14020025
Chicago/Turabian StyleLove, Michael, Anna K. Hunter, Gillian Lam, Linda V. Muir, and Henry C. Lin. 2022. "Patient Satisfaction and Perceived Quality of Care with Telemedicine in a Pediatric Gastroenterology Clinic" Pediatric Reports 14, no. 2: 181-189. https://doi.org/10.3390/pediatric14020025