Convenience is Key for Patient Engagement with Remote Video Visits in a Musculoskeletal Practice | ||
The Archives of Bone and Joint Surgery | ||
مقاله 14، دوره 9، شماره 4، مهر و آبان 2021، صفحه 439-444 اصل مقاله (401.84 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2020.50024.2480 | ||
نویسندگان | ||
Harrison Miner؛ David Ring؛ Karl M. Koenig* | ||
Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, USA | ||
چکیده | ||
Background: Remote video visits (aka telemedicine, virtual care) have the potential to increase access to orthopaedic specialty evaluation while decreasing the overall cost of care. Clinical implementation of remote video visits may benefit from an understanding of potential barriers to participation. Methods: We enrolled one hundred and thirty participants from a university-based musculoskeletal clinic with a large uninsured population. We asked participants to complete a survey, including demographics and scaled perception questions about remote video visits. Data from these surveys were analyzed with multivariable logistic regression to determine factors associated with willingness to participate in video visits, as well as the situations in which patients would consider a video visit. Results: Willingness to participate in video visits was associated with the perception of video visits being more convenient (OR 3.0) and a decreased perceived importance of physical exam (OR 0.36) but not age, technology comfort, or travel distance to the clinic. Additionally, those with prior video visit experience were more comfortable with technology, perceived video visits to be more convenient, and were more willing to have another video visit. Fifteen percent were willing to have a video visit for their first visit, while 78% would participate for a routine nonsurgical follow-up. Conclusion: Musculoskeletal telemedicine programs can become established by focusing on people that prioritize convenience, place less importance on a hands-on exam, and are established patients. Level of evidence: II | ||
کلیدواژهها | ||
Musculoskeletal care؛ Telemedicine؛ Virtual؛ Willingness | ||
مراجع | ||
1. Association NRH. National Rural Health Snapshot 2016. Available from: https://www.ruralhealthweb. org/about-nrha/about-rural-health-care#_ftn1. 2. Kangovi S, Barg FK, Carter T, Long JA, Shannon R, Grande D. Understanding why patients of low socioeconomic status prefer hospitals over ambulatory care. Health affairs. 2013;32(7):1196- 203. 3. Amazon. Amazon Care: Healthcare built around you 2020. Available from: https://amazon.care/. 4. Walmart. Health Programs: Video Doctor Visits 2020. Available from: https://one.walmart.com/content/ usone/en_us/me/health/health-programs/videodoctor- visits.html. 5. Markwick L, McConnochie K, Wood N. Expanding Telemedicine to Include Primary Care for the Urban Adult. J Health Care Poor Underserved. 2015;26(3):771-6. 6. Benger JR, Noble SM, Coast J, Kendall JM. The safety and effectiveness of minor injuries telemedicine. Buvik A, Bugge E, Knutsen G, Smabrekke A, Wilsgaard T. Quality of care for remote orthopaedic consultations using telemedicine: a randomised controlled trial. BMC Health Serv Res. 2016;16:483. 8. Cottrell MA, O’Leary SP, Swete-Kelly P, Elwell B, Hess S, Litchfield MA, et al. Agreement between telehealth and in-person assessment of patients with chronic musculoskeletal conditions presenting to an advanced-practice physiotherapy screening clinic. Musculoskelet Sci Pract. 2018;38:99-105. 9. Sharareh B, Schwarzkopf R. Effectiveness of telemedical applications in postoperative followup after total joint arthroplasty. J Arthroplasty. 2014;29(5):918-22.e1. 10. Wongworawat MD, Capistrant G, Stephenson JM. The Opportunity Awaits to Lead Orthopaedic Telehealth Innovation: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(17):e93. 11. Kane CK, Gillis K. The Use Of Telemedicine By Physicians: Still The Exception Rather Than The Rule. Health Aff (Millwood). 2018;37(12):1923-30. 12. Powell RE, Henstenburg JM, Cooper G, Hollander JE, Rising KL. Patient Perceptions of Telehealth Primary Care Video Visits. Ann Fam Med. 152017. p. 225-9. 13. Baruffaldi F, Maderna R, Ricchiuto I, Paltrinieri A. Orthopaedic specialists’ acceptance of videoconferencing consultations. J Telemed Telecare. 2004; 10(1):59-60. 14. Bureau USC. Census - Geography Profile 2019 [cited 2019]. Available from: https://data.census.gov/ cedsci/ profile?q=&g=0100000US&table=DP05&tid= ACSDP1Y2018.DP05&hidePreview=true. 15. Anderson D, Villagra VG, Coman E, Ahmed T, Porto A, Jepeal N, et al. Reduced Cost Of Specialty Care Using Electronic Consultations For Medicaid Patients. Health Aff (Millwood). 2018;37(12):2031-6. 16. Buvik A, Bergmo TS, Bugge E, Smaabrekke A, Wilsgaard T, Olsen JA. Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial. J Med Internet Res. 2019;21(2):e11330. 17. Ohinmaa A, Vuolio S, Haukipuro K, Winblad I. A costminimization analysis of orthopaedic consultations using videoconferencing in comparison with conventional consulting. J Telemed Telecare. 2002; 8(5):283-9. 18. Ferucci ED, Holck P, Day GM, Choromanski TL, Freeman SL. Factors associated with use of telemedicine for follow-up of rheumatoid arthritis. Arthritis Care Res (Hoboken). 2019 | ||
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