Provider confidence in the telemedicine spine evaluation : results from a global study
© 2020. The Author(s)..
PURPOSE: To utilize data from a global spine surgeon survey to elucidate (1) overall confidence in the telemedicine evaluation and (2) determinants of provider confidence.
METHODS: Members of AO Spine International were sent a survey encompassing participant's experience with, perception of, and comparison of telemedicine to in-person visits. The survey was designed through a Delphi approach, with four rounds of question review by the multi-disciplinary authors. Data were stratified by provider age, experience, telemedicine platform, trust in telemedicine, and specialty.
RESULTS: Four hundred and eighty-five surgeons participated in the survey. The global effort included respondents from Africa (19.9%), Asia Pacific (19.7%), Europe (24.3%), North America (9.4%), and South America (26.6%). Providers felt that physical exam-based tasks (e.g., provocative testing, assessing neurologic deficits/myelopathy, etc.) were inferior to in-person exams, while communication-based aspects (e.g., history taking, imaging review, etc.) were equivalent. Participants who performed greater than 50 visits were more likely to believe telemedicine was at least equivalent to in-person visits in the ability to make an accurate diagnosis (OR 2.37, 95% C.I. 1.03-5.43). Compared to in-person encounters, video (versus phone only) visits were associated with increased confidence in the ability of telemedicine to formulate and communicate a treatment plan (OR 3.88, 95% C.I. 1.71-8.84).
CONCLUSION: Spine surgeons are confident in the ability of telemedicine to communicate with patients, but are concerned about its capacity to accurately make physical exam-based diagnoses. Future research should concentrate on standardizing the remote examination and the development of appropriate use criteria in order to increase provider confidence in telemedicine technology.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society - 30(2021), 8 vom: 22. Aug., Seite 2109-2123 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lovecchio, Francis [VerfasserIn] |
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| Links: |
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| Themen: |
Examination |
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| Anmerkungen: |
Date Completed 22.09.2021 Date Revised 18.02.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00586-020-06653-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM317890239 |
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| 100 | 1 | |a Lovecchio, Francis |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Provider confidence in the telemedicine spine evaluation |b results from a global study |
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| 500 | |a Date Completed 22.09.2021 | ||
| 500 | |a Date Revised 18.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020. The Author(s). | ||
| 520 | |a PURPOSE: To utilize data from a global spine surgeon survey to elucidate (1) overall confidence in the telemedicine evaluation and (2) determinants of provider confidence | ||
| 520 | |a METHODS: Members of AO Spine International were sent a survey encompassing participant's experience with, perception of, and comparison of telemedicine to in-person visits. The survey was designed through a Delphi approach, with four rounds of question review by the multi-disciplinary authors. Data were stratified by provider age, experience, telemedicine platform, trust in telemedicine, and specialty | ||
| 520 | |a RESULTS: Four hundred and eighty-five surgeons participated in the survey. The global effort included respondents from Africa (19.9%), Asia Pacific (19.7%), Europe (24.3%), North America (9.4%), and South America (26.6%). Providers felt that physical exam-based tasks (e.g., provocative testing, assessing neurologic deficits/myelopathy, etc.) were inferior to in-person exams, while communication-based aspects (e.g., history taking, imaging review, etc.) were equivalent. Participants who performed greater than 50 visits were more likely to believe telemedicine was at least equivalent to in-person visits in the ability to make an accurate diagnosis (OR 2.37, 95% C.I. 1.03-5.43). Compared to in-person encounters, video (versus phone only) visits were associated with increased confidence in the ability of telemedicine to formulate and communicate a treatment plan (OR 3.88, 95% C.I. 1.71-8.84) | ||
| 520 | |a CONCLUSION: Spine surgeons are confident in the ability of telemedicine to communicate with patients, but are concerned about its capacity to accurately make physical exam-based diagnoses. Future research should concentrate on standardizing the remote examination and the development of appropriate use criteria in order to increase provider confidence in telemedicine technology | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Examination | |
| 650 | 4 | |a International | |
| 650 | 4 | |a Spine surgery | |
| 650 | 4 | |a Survey | |
| 650 | 4 | |a Telemedicine | |
| 700 | 1 | |a Riew, Grant J |e verfasserin |4 aut | |
| 700 | 1 | |a Samartzis, Dino |e verfasserin |4 aut | |
| 700 | 1 | |a Louie, Philip K |e verfasserin |4 aut | |
| 700 | 1 | |a Germscheid, Niccole |e verfasserin |4 aut | |
| 700 | 1 | |a An, Howard S |e verfasserin |4 aut | |
| 700 | 1 | |a Cheung, Jason Pui Yin |e verfasserin |4 aut | |
| 700 | 1 | |a Chutkan, Norman |e verfasserin |4 aut | |
| 700 | 1 | |a Mallow, Gary Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Neva, Marko H |e verfasserin |4 aut | |
| 700 | 1 | |a Phillips, Frank M |e verfasserin |4 aut | |
| 700 | 1 | |a Sciubba, Daniel M |e verfasserin |4 aut | |
| 700 | 1 | |a El-Sharkawi, Mohammad |e verfasserin |4 aut | |
| 700 | 1 | |a Valacco, Marcelo |e verfasserin |4 aut | |
| 700 | 1 | |a McCarthy, Michael H |e verfasserin |4 aut | |
| 700 | 1 | |a Makhni, Melvin C |e verfasserin |4 aut | |
| 700 | 1 | |a Iyer, Sravisht |e verfasserin |4 aut | |
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