WMJ Vol 121 Issue 3: Patients’ View of Their Primary Care Telemedicine During the COVID-19 Pandemic and Implications for Future Integration: A Multimethod Study
Introduction: Telemedicine has become an integral part of primary care since the COVID-19 pandemic. This paper reports patients’ assessments of their early telemedicine visits.
Methods: Adult primary care patients who had a telemedicine visit were identified from electronic medical records of a large Midwestern health system and randomly invited to participate in semistructured interviews. Participants compared telemedicine visits (audio and video) to face-to-face visits on measures of satisfaction and answered open-ended questions about the technology, primary care relationships, and ongoing use of telemedicine. Interviews were recorded and responses transcribed for qualitative analysis.
Results: The quantitative results revealed participants valued convenience and judged telemedicine visits “about the same” as office visits on satisfaction measures. Participants were largely willing to have another telemedicine visit but were concerned with the technological challenges and lack of physical examination. The qualitative analysis found most participants reported that telemedicine care was best with a known clinician. Further, they judged telemedicine to be best for follow-ups and simple or single problems and believed it should be balanced with face-to-face visits.
Conclusions: Participants expect telemedicine will continue and have clearly articulated their telemedicine preferences. These preferences include telemedicine with a known clinician, the visits that they judged most appropriate for telemedicine, the need to balance telemedicine with face-to-face visits, and assured technologic access. The need for quality measures beyond patient satisfaction and the role of team-based telemedicine care emerged as areas for further research.
The target audience for this journal-based activity is healthcare providers caring for the people and communities of Wisconsin and beyond.
As a result of this journal-based activity, learners will be able to:
- Summarize the results of a study exploring primary care telemedicine during the COVID-19 pandemic that pertain to patient satisfaction and comparison of telemedicine visits to face-to-face visits.
- Interpret the study results pertaining to telemedicine preferences and challenges expressed during patient interviews.
- Discuss implications of this study for the learner practice and team-based telemedicine care.
It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE). In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.
For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.
|Name of Individual||Individual's Role in Activity|
Financial Relationship Disclosure
|Shezad Baloch||Accreditation Specialist||No relevant relationships with ineligible companies to disclose||No|
|Ellen Goldstein, MD||Author||No relevant relationships with ineligible companies to disclose||No|
|Kendra Nervik, Phd(c)||Author||No relevant relationships with ineligible companies to disclose||No|
|Collin Ellenbecker, BSC||Author||No relevant relationships with ineligible companies to disclose||No|
|Wen-Jan Tuan, DHA, MS, MPH||Author||No relevant relationships with ineligible companies to disclose||No|
|Mark A. Micek, MD, MPH||Author||No relevant relationships with ineligible companies to disclose||No|
|Ellen Goldstein, PhD, MFT||Author||No relevant relationships with ineligible companies to disclose||No|
|John J. Frey, MD||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Sabina Diehr, MD||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Elizabeth Bade, MD||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|David Dwyer, Phd., RN, NE-BC||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Laura Ozkan, PA||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Fahad Aziz, MD||Editor||No relevant relationships with ineligible companies to disclose||No|
*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients.
The ACCME does not consider providers of clinical services directly to patients to be ineligible companies.
|In support of improving patient care, this activity has been planned and implemented by the University of Wisconsin–Madison ICEP and the Wisconsin Medical Journal. The University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.|
Credit Designation Statements
American Medical Association (AMA)
The University of Wisconsin–Madison ICEP designates this journal-based CE activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Education Units
The University of Wisconsin–Madison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for 0.1 continuing education units (CEUs) or 1 hour.
- 1.00 AAPA Category 1 CME
- 1.00 AMA PRA Category 1 Credit™
- 1.00 ANCC Contact Hours
- 1.00 University of Wisconsin–Madison Continuing Education Hours
- 1.00 Approved for AMA PRA Category 1 Credit™
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