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. 2022 Feb 9;57(7):1391–1397. doi: 10.1016/j.jpedsurg.2022.01.048

Table 3.

Surgeon perceived positive and negative effects on clinical practice and patient experience.

What effects have you seen from the
implementation of telehealth on your clinical practice?
Positive Effects Negative Effects
Administrative
  • More Efficient Clinic

  • Improved Throughput

  • More Time with Patients

  • More Flexible Scheduling

  • Less No Shows to Clinic

Physician Associated
  • Improved Clinician Quality of Life

  • Less Travel for Multi-Institutional Surgeons

  • Less Phone Calls or ER Visits

  • Less Exposure to Infectious Disease (ex COVID)


71 (28.7%)
46 (18.6%)
17 (6.9%)
106 (42.9%)
67 (27.1%)
26 (10.5%)
63 (25.5%)
31 (12.6%)
134 (54.3%)
Administrative
  • Difficulties with Technology

  • Patients Less Acceptable of Delays

  • More Cumbersome Documentation/Billing

  • Distractions on Patients Side of Call

Clinical
  • Inability to Diagnose or Treat Owing to Lack of Physical Exam

  • Inability to Bond with Patients

  • Harder to Educate Patients

Physician Associated
  • More Demands on Time


152 (61.5%)
50 (20.2%)
60 (24.3%)
72 (29.1%)
112 (45.3%)
66 (26.7%)
33 (13.4%)
49 (19.8%)
What effects have you seen from the implementation of telehealth on your patients?
Positive Effects Negative Effects
Patient Quality of Life
  • Easier for Patients to Make it to their Appointment

  • Less Impact on their Day (Less Time Missing Work)

  • Less Money and/or Time Spent on Transportation/Parking

Patient Enjoyment
  • Improved Satisfaction

  • Could Include more Family Members in Visit

  • Easier to get Interpreter Services

  • More Rapid/Efficient Access to Care

Patient Safety
  • Reduced Risk of Exposure to Other Sick Patients


153 (61.9%)
6 (2.4%)
160 (64.8%)
69 (27.9%)
104 (42.1%)
168 (68.0%)
99 (40.1%)
171 (69.2%)
Barriers to Care
  • Difficulty on Patients’ Side with using Telehealth Technologies

  • Substantial Barrier for Patient to Get Access to Technology

  • Difficulty with Getting Interpreter Services

Patient Enjoyment
  • Patients Prefer to be Seen in Person

  • Cannot Build a Physician-Patient Bond


161 (65.2%)
59 (23.9%)
73 (29.6%)
83 (33.6%)
60 (24.3%)

ER - Emergency Room. COVID – Coronavirus Disease.