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. 2021 Feb;17(1):36-45.
doi: 10.1177/1556331620977171. Epub 2021 Feb 21.

Telehealth Can Be Implemented Across a Musculoskeletal Service Line Without Compromising Patient Satisfaction

Paul T Greenfield  1 , Wesley J Manz  1 , Emily L DeMaio  1 , Sage H Duddleston  1 , John W Xerogeanes  1 , T Scott Maughon  1 , Corey C Spencer  1 , Alexander Dawes  1 , Scott D Boden  1 , Kyle E Hammond  1 , Eric R Wagner  1 , Michael B Gottschalk  1 , Charles A Daly  1 , Mathew W Pombo  1
Affiliations

Telehealth Can Be Implemented Across a Musculoskeletal Service Line Without Compromising Patient Satisfaction

Paul T Greenfield et al. HSS J. 2021 Feb.

Abstract

Background: The COVID-19 pandemic has led to changes to in-office orthopedic care, with a rapid shift to telemedicine. Institutions' lack of established infrastructure for these types of visits has posed challenges requiring attention to confidentiality, safety, and patient satisfaction. Purpose: The aim of this study was to analyze the feasibility of telemedicine in orthopedics during the pandemic and its effect on efficiency and patient satisfaction. Methods: Patients seen by the Emory University Department of Orthopaedics Sports Medicine and Upper Extremity Divisions via telemedicine from March 23 to April 24, 2020, were contacted by telephone. Each patient was asked to respond to questions on satisfaction, ease of use, and potential future use; satisfaction with telemedicine and previous clinical visits were measured using a modified 5-point Likert scale. Results: Of the 762 patients seen, 346 (45.4%) completed the telemedicine questionnaire. Satisfaction varied by visit type, with average scores of 4.88/5 for in-office clinic visits versus 4.61/5 for telemedicine visits. There was no significant difference among age groups for satisfaction ratings. Patients 65 years old or older reported significantly longer visit times and decreased ease of use with the telemedicine platform. Conclusion: Telemedicine in a large orthopedics department was successfully implemented without compromising patient satisfaction. The use of telemedicine allows many patients to be seen quickly and efficiently without diminishing their musculoskeletal clinical experience.

Keywords: COVID-19; body sites; orthopedic surgery; practice specialty; sports; telemedicine; upper extremity.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Paul T. Greenfield, BS, Wesley J. Manz, MS, Emily L. DeMaio, BSN, John W. Xerogeanes, MD, T. Scott Maughon, MD, Corey C. Spencer, BS, Alexander Dawes, BS, Kyle E. Hammond, MD, and Charles A. Daly, MD, declare no conflicts of interest. Scott D. Boden, MD, reports a relationship with SeaSpine, outside the submitted work. Michael B. Gottschalk, MD, reports relationships with Stryker, Konica Minolta, Arthrex, Journal of Hand Surgery, and Techniques in Orthopaedics, outside the submitted work. Mathew W. Pombo, MD, reports relationships with Zimmer, Biomet, Arthrex, KSSTA (Knee Surgery, Sports Traumatology, Arthroscopy), and the Journal of Arthroscopy, and American Journal of Sports Medicine outside the submitted work. Eric R. Wagner, MD, reports relationships with Stryker, Journal of Hand Surgery Global Online, European Journal of Orthopaedic Surgery and Traumatology, and Techniques in Hand and Upper Extremity Surgery, outside the submitted work.

Figures

Fig. 1.
Fig. 1.
This flowchart demonstrates our implementation timeline.
Fig. 2.
Fig. 2.
This diagram displays the steps leading up to and during each telemedicine visit.
See this image and copyright information in PMC

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