Impact of Postoperative Telemedicine Visit vs In-person Visit on Patient Satisfaction During the COVID-19 Pandemic
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cedars-Sinai Medical Center
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Patient satisfaction
Study Overview
Brief Summary
The purpose of this clinical study is to evaluate whether remote video/audio postoperative visits (telemedicine visits) affects patient satisfaction compared to in-person visits during the COVID-19 pandemic. If the primary objective of the study is achieved, it would allow better understanding of how telemedicine can be integrated into modern surgical practice to take care of postoperative patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients over 18 years of age inclusive at the time of the study who underwent colorectal surgery and are presenting for their first postoperative visit
- •Patients with a computer or phone device with video and audio capabilities
Exclusion Criteria
- •Children <18 years of age
- •Patients with mental disability
- •Patients without a computer or phone device with video and audio capabilities
- •Patients who require physical intervention during their first postoperative visit (e.g. drain removal, suture removal, staple removal)
- •Patients who are readmitted to the hospital prior to their first postoperative visit will be excluded.
Arms & Interventions
Group I
Patients who will undergo telemedicine visit approximately 1 week postoperatively, then an in-person clinic visit approximately 4 weeks postoperatively
Intervention: Telemedicine visit (Behavioral)
Group II
Patients who will undergo in-person clinic visit approximately 1 week postoperatively, then a telemedicine visit approximately 4 weeks postoperatively
Intervention: In-person postoperative visit (Behavioral)
Outcomes
Primary Outcomes
Patient satisfaction
Time Frame: 7 to 14 days postoperatively
Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit
Secondary Outcomes
- Patient willingness to recommend provider to peers rated from 1 to 5(7 to 14 days postoperatively)
- Combined patient satisfaction score from 1st and 2nd postoperative visits(7 to 31 days postoperatively)
- 60-day rate of re-operation(60 days postoperatively)
- Length of visit(7 to 14 days postoperatively)
- 60-day rate of hospital readmission(60 days postoperatively)
- Distance (in kilometers) of patient's primary residence to the clinic location(7 to 31 days postoperatively)
- Patient-reported rating of safety(7 to 14 days postoperatively)
Investigators
Karen Zaghiyan
Associate Professor of Surgery
Cedars-Sinai Medical Center