Covid19, Satisfaction, Patient, Telemedicine
Conditions
Keywords
Covid19, Patient satisfaction, Telemedicine
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.
Interventions
BEHAVIORALTelemedicine visit
A postoperative visit with the patient's surgeon conducted remotely via audio/video smartphone app
BEHAVIORALIn-person postoperative visit
A standard-of-care in-person postoperatively visit with the patient's surgeon
Sponsors
Cedars-Sinai Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
1. 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 2. Patients with a computer or phone device with video and audio capabilities
Exclusion criteria
1. Children \<18 years of age 2. Patients with mental disability 3. Patients without a computer or phone device with video and audio capabilities 4. Patients who require physical intervention during their first postoperative visit (e.g. drain removal, suture removal, staple removal) 5. Patients who are readmitted to the hospital prior to their first postoperative visit will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 7 to 14 days postoperatively | Patient satisfaction score measured by electronic survey sent to all participating patients after their first postoperative visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of visit | 7 to 14 days postoperatively | Length of postoperative visit |
| Patient willingness to recommend provider to peers rated from 1 to 5 | 7 to 14 days postoperatively | Patient willingness to recommend provider to peers rated from 1 to 5 |
| Combined patient satisfaction score from 1st and 2nd postoperative visits | 7 to 31 days postoperatively | Combined patient satisfaction score from 1st and 2nd postoperative visits |
| Patient-reported rating of safety | 7 to 14 days postoperatively | Patient-reported sense of safety score rated from 1 to 5 with higher scores indicating greater sense of safety. This is designed to gauge how safe patients feel visiting the clinic in-person vs. online via telemedicine during the COVID pandemic |
| 60-day rate of hospital readmission | 60 days postoperatively | Incidence of hospital readmission 60 days postoperatively |
| 60-day rate of re-operation | 60 days postoperatively | Incidence of re-operation 60 days postoperatively |
| Distance (in kilometers) of patient's primary residence to the clinic location | 7 to 31 days postoperatively | Distance (in kilometers) of patient's primary residence to the clinic location |
Countries
United States
Outcome results
None listed