Patient satisfaction with telemedicine in rhinology during the COVID-19 pandemic

Am J Otolaryngol. 2021 May-Jun;42(3):102921. doi: 10.1016/j.amjoto.2021.102921. Epub 2021 Jan 9.

Abstract

Background: The COVID-19 pandemic has forced the rapid integration of telemedicine services across several specialties, especially in Otolaryngology where risk of transmission is very high. Studies before and during the COVID-19 pandemic have shown that Otolaryngology is generally amenable to telemedicine. However, few studies have assessed patient satisfaction with telemedicine during the COVID-19 pandemic, and fewer have focused on patient satisfaction with telehealth in Rhinology.

Objectives: To determine if patients believe the benefits of virtual live synchronous telemedicine visits out-weigh the drawbacks when compared to in-person clinical visits.

Methods: Single center retrospective case series and survey study of patients presenting to a tertiary care Rhinology practice between 3/15/2020 and 6/1/2020. All patients had previous in-person encounters with Rhinology (n = 45).

Results: Twenty-nine participants (64.4%) had audio-video visits while 16 (35.6%) had audio visits. 36 (80%) patients stated that their needs were met during their telemedicine visit while 32 (71.1%) patients felt that nothing was missed or not addressed during the virtual visit. The most commonly cited advantage to telemedicine visits was convenience (22.2%) and provider availability (20.0%). While most participants did not disclose a disadvantage to a virtual visit besides the lack of a physical exam (68.9%), the most commonly cited disadvantage to a virtual visit was technological difficulties (17.8%).

Conclusions: Virtual telemedicine visits were shown to effectively meet the needs of established patients and address concerns in a convenient time efficient manner. However, patients indicated that limited technology and a less personalized feel hindered the telemedicine experience in Rhinology.

Keywords: COVID-19; Clinic; Coronavirus; Out-patient; Rhinology; Satisfaction; Sinusitis; Survey; Telehealth; Telemedicine.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Ohio / epidemiology
  • Otolaryngology*
  • Pandemics
  • Patient Satisfaction*
  • Retrospective Studies
  • SARS-CoV-2
  • Surveys and Questionnaires
  • Telemedicine / statistics & numerical data*