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- Title
Telemedicine During COVID-19 for Outpatient Sports and Musculoskeletal Medicine Physicians.
- Authors
Tenforde, Adam S.; Iaccarino, Mary A.; Borgstrom, Haylee; Hefner, Jaye E.; Silver, Julie; Ahmed, Marwa; Babu, Ashwin N.; Blauwet, Cheri A.; Elson, Lauren; Eng, Christine; Kotler, Dana; Homer, Scott; Makovitch, Steven; McInnis, Kelly C.; Vora, Ariana; Borg‐Stein, Joanne; Borg-Stein, Joanne
- Abstract
<bold>Introduction: </bold>The global pandemic due to SARS-CoV-2 has resulted in an expansion of telemedicine. Measures of quality and barriers for rapid use by patients and physicians are not well described.<bold>Objective: </bold>To describe results from a quality improvement initiative during a rapid adoptive phase of telemedicine during the pandemic.<bold>Design: </bold>Patient and physician satisfaction with synchronous audiovisual telemedicine visits was measured during the early adoptive phase (6 April 2020-17 April 2020) within the division of sports medicine in an academic Physical Medicine and Rehabilitation (PM&R) department. Patients were invited to participate in a quality improvement initiative by completing an online survey at the end of a telemedicine visit. Physicians completed a separate survey.<bold>Primary Outcome Measures: </bold>Patient measures included visit type, duration of encounter, quality, and satisfaction. Physicians reported on experiences performed telemedicine.<bold>Results: </bold>Surveys were completed by 119 patients (293 telemedicine encounters, response rate 40.6%) and 14 physiatrists. Telemedicine was utilized primarily for follow-up visits (n = 74, 70.6%), and the most common duration was 15 to 29 minutes. Patients rated their telemedicine visit as "excellent" or "very good" across measures (91.6%-95.0%) including addressing concerns, communication, developing a treatment plan, convenience, and satisfaction. Value of completing a future telemedicine visit was measured at 84.9%. Most reported estimated travel time saved was in excess of 30 minutes. Rate of no-show was 2.7%. Most physicians (57.1%) had no prior experience with telemedicine visits, and most were comfortable performing these visits after completing 1 to 4 sessions (71%). Nearly all physicians (92.9%) rated their telemedicine experience as very good or excellent. The key barrier identified for telemedicine was technical issues. All physicians reported plans to perform telemedicine visits if reimbursement continues.<bold>Conclusions: </bold>In summary, rapid expansion of telemedicine during the COVID-19 pandemic was well-received by a majority of patients and physicians. This suggests feasibility in rapid expansion of telemedicine for other outpatient sports medicine practices.
- Subjects
SPORTS physicians; COVID-19; TELEMEDICINE; SPORTS medicine; COVID-19 pandemic; PHYSICIANS; VIRAL pneumonia; PHYSICAL medicine; PATIENT satisfaction; CONTINUING education units; CONTINUING medical education; EPIDEMICS
- Publication
PM & R: Journal of Injury, Function & Rehabilitation, 2020, Vol 12, Issue 9, p926
- ISSN
1934-1482
- Publication type
journal article
- DOI
10.1002/pmrj.12422