Outpatient Visits Versus Telehealth for Postoperative Care After Minimally Invasive Gynecologic Surgery: A Randomized Controlled Trial
概览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Patient satisfaction with surgery and postoperative visits
概览
简要总结
Telehealth, or telemedicine, utilizes technology to deliver clinical care remotely, either in real time or asynchronously, between clinician and patient. Telemedicine has been successfully implemented to increase healthcare delivery for patients in rural areas with otherwise long travel times, and studies have also determined that telemedicine can increase patient satisfaction scores while simultaneously decreasing direct and indirect costs for patients.
Previous scholarship has demonstrated that telemedicine can be a safe alternative to face-to-face postoperative visits for surgical patients, streamlining recovery with no significant delays in the diagnosis of surgical complications. As healthcare systems continue to emphasize value-based care, it is important to assess whether virtual postoperative visits effectively meet patient needs while optimizing resource utilization.
Patient-reported outcomes and satisfaction surveys can help identify potential gaps in care and ensure that telehealth is implemented in a way to maximize both efficiency and quality. Our primary objective is to determine whether patient satisfaction with postoperative telehealth follow-up is non-inferior to in-person clinic visits.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Participant has provided written informed consent.
- •Women over the age of
- •Ability for patients to complete telehealth visits (i.e. working telephone or internet access) and speak and understand English.
- •Laparoscopic or robotic surgeries including: excision of endometriosis, adnexal surgery with oophorectomy or cystectomy, myomectomy, and hysterectomy.
- •Undergoing minimally invasive gynecologic surgeries with complex pelvic surgeons (AAGL fellowship-trained).
排除标准
- •Conversion to open surgery.
- •Malignancy noted intraoperatively or on final pathology evaluation.
- •Surgeon or patient preference for in person clinic follow up.
- •Pregnancy - pregnancy tests will be completed as part of routine preoperative care on the day of surgery
研究组 & 干预措施
control group
in person clinic visits
experimental group
virtual visits ((telephone or video)
结局指标
主要结局
Patient satisfaction with surgery and postoperative visits
时间窗: 3 months
Satisfaction scores will be compiled from participant responses to the Surgical-Consumer Assessment of Healthcare Providers and Systems (S-CAHPS) questionnaire. This questionnaire was developed by the American College of Surgeons and includes seven composites: (1) information to help prepare for surgery, (2) surgeon communication preoperatively, (3) surgeon attentiveness on the day of surgery, (4) information to help during recovery, (5) surgeon communication after surgery, (6) qualities of office staff, and (7) an overall surgeon rating. Specific attention will be paid to participant ratings of items 4, 5, and 7.
Patient satisfaction with virtual care delivery
时间窗: 3 months
Satisfaction scores will be compiled from responses to the Telehealth Usability Questionnaire (TUQ): a validated tool of 21 questions used to assess patients' and providers' perceptions of telehealth systems. It evaluates domains such as ease of use, interface quality, interaction quality, reliability, and overall satisfaction, providing a structured way to measure and improve telehealth user experience (graded on a 5-point Likert scale).
次要结局
- Additional healthcare utilization and adverse events(3 months)
- Incidence of common postoperative outcomes(3 months)
- Postoperative pain(3 months)