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Elsevier - PMC COVID-19 Collection logoLink to Elsevier - PMC COVID-19 Collection
. 2021 May 3;77(18):3229. doi: 10.1016/S0735-1097(21)04583-6

TELEHEALTH CARE BEFORE AND DURING COVID-19: TRENDS AND QUALITY IN A LARGE HEALTH SYSTEM

Paulina Luna 1, Megan Lee 1, Nikki DeLucia 1, Yollanda London 1, Pamela Hoffman 1, Matthew Burg 1, Kristie Harris 1, Erica Spatz 1, Carlos Mena Hurtado 1, Kim Smolderen 1
PMCID: PMC8091376

Background

As COVID-19 accelerated telehealth use, we examined correlates of patient satisfaction with telehealth before and during COVID-19.

Methods

In this cross-sectional observational study, patients with a telehealth visit between October 2019 and April 2020 were invited to complete a satisfaction survey. We used multivariable, hierarchical, cumulative-logit models to examine correlates of quality of care and interest in future telehealth use.

Results

A total of 8,930 patients completed the survey, with a surge in responses seen on March 22 (on/after: 94%). Most patients saved time and were satisfied with the patient portal, video quality and instructions (Figure). Positive correlates of quality of care and interest in future telehealth use were ease of portal (OR=1.43, 95%CI 1.30-1.58; OR=1.56, 95%CI 1.41-1.73, respectively), video quality (OR=1.62, 95%CI 1.50-1.75; OR=1.26, 95%CI 1.16-1.37, respectively), instructions (OR=5.62, 95%CI 5.05-6.26; OR=1.80, 95%CI 1.62-2.01, respectively) and time saved (>4 hours OR=1.69, 95%CI 1.22-2.34; OR=3.49, 95%CI 2.47-4.93, respectively). Those seen after March 22 (OR=0.76, 95%CI 0.63-0.93) or by high-volume providers (OR=0.71, 95%CI 0.60-0.85) had a lower interest in future telehealth use.

Conclusion

While satisfaction levels were relatively high, better ratings of technical support, instructions and time saved resulted in higher satisfaction, with visits during the pandemic and with high-volume providers in lower satisfaction.

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Footnotes

Poster Contributions

Saturday, May 15, 2021, 2:45 p.m.-3:30 p.m.

Session Title: Spotlight on Special Topics: Innovation, Digital Health, and Technology 3

Abstract Category: 60. Spotlight on Special Topics: Innovation, Digital Health, and Technology


Articles from Journal of the American College of Cardiology are provided here courtesy of Elsevier

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