Quality Assurance of Teleconsultations in a Store-and-Forward Telemedicine Network - Obtaining Patient Follow-up Data and User Feedback

Hdl Handle:
http://hdl.handle.net/10144/338480
Title:
Quality Assurance of Teleconsultations in a Store-and-Forward Telemedicine Network - Obtaining Patient Follow-up Data and User Feedback
Authors:
Wootton, Richard; Liu, Joanne; Bonnardot, Laurent
Journal:
Frontiers in Public Health
Abstract:
User surveys in telemedicine networks confirm that follow-up data are essential, both for the specialists who provide advice and for those running the system. We have examined the feasibility of a method for obtaining follow-up data automatically in a store-and-forward network. We distinguish between follow-up, which is information about the progress of a patient and is based on outcomes, and user feedback, which is more general information about the telemedicine system itself, including user satisfaction and the benefits resulting from the use of telemedicine. In the present study, we were able to obtain both kinds of information using a single questionnaire. During a 9-month pilot trial in the Médecins Sans Frontières telemedicine network, an email request for information was sent automatically by the telemedicine system to each referrer exactly 21 days after the initial submission of the case. A total of 201 requests for information were issued by the system and these elicited 41 responses from referrers (a response rate of 20%). The responses were largely positive. For example, 95% of referrers found the advice helpful, 90% said that it clarified their diagnosis, 94% said that it assisted with management of the patient, and 95% said that the telemedicine response was of educational benefit to them. Analysis of the characteristics of the referrers who did not respond, and their cases, did not suggest anything different about them in comparison with referrers who did respond. We were not able to identify obvious factors associated with a failure to respond. Obtaining data by automatic request is feasible. It provides useful information for specialists and for those running the network. Since obtaining follow-up data is essential to best practice, one proposal to improve the response rate is to simplify the automatic requests so that only patient follow-up information is asked for, and to restrict user feedback requests to the cases being assessed each month by the quality assurance panel.
Publisher:
Frontiers Media
Issue Date:
7-Nov-2014
URI:
http://hdl.handle.net/10144/338480
DOI:
10.3389/fpubh.2014.00247
PubMed ID:
25505782
Language:
en
ISSN:
2296-2565
Appears in Collections:
Reports

Full metadata record

DC FieldValue Language
dc.contributor.authorWootton, Richarden_GB
dc.contributor.authorLiu, Joanneen_GB
dc.contributor.authorBonnardot, Laurenten_GB
dc.date.accessioned2015-01-16T16:29:17Z-
dc.date.available2015-01-16T16:29:17Z-
dc.date.issued2014-11-07-
dc.identifier.citationQuality Assurance of Teleconsultations in a Store-and-Forward Telemedicine Network - Obtaining Patient Follow-up Data and User Feedback. 2014, 2:247 Front Public Healthen_GB
dc.identifier.issn2296-2565-
dc.identifier.pmid25505782-
dc.identifier.doi10.3389/fpubh.2014.00247-
dc.identifier.urihttp://hdl.handle.net/10144/338480-
dc.description.abstractUser surveys in telemedicine networks confirm that follow-up data are essential, both for the specialists who provide advice and for those running the system. We have examined the feasibility of a method for obtaining follow-up data automatically in a store-and-forward network. We distinguish between follow-up, which is information about the progress of a patient and is based on outcomes, and user feedback, which is more general information about the telemedicine system itself, including user satisfaction and the benefits resulting from the use of telemedicine. In the present study, we were able to obtain both kinds of information using a single questionnaire. During a 9-month pilot trial in the Médecins Sans Frontières telemedicine network, an email request for information was sent automatically by the telemedicine system to each referrer exactly 21 days after the initial submission of the case. A total of 201 requests for information were issued by the system and these elicited 41 responses from referrers (a response rate of 20%). The responses were largely positive. For example, 95% of referrers found the advice helpful, 90% said that it clarified their diagnosis, 94% said that it assisted with management of the patient, and 95% said that the telemedicine response was of educational benefit to them. Analysis of the characteristics of the referrers who did not respond, and their cases, did not suggest anything different about them in comparison with referrers who did respond. We were not able to identify obvious factors associated with a failure to respond. Obtaining data by automatic request is feasible. It provides useful information for specialists and for those running the network. Since obtaining follow-up data is essential to best practice, one proposal to improve the response rate is to simplify the automatic requests so that only patient follow-up information is asked for, and to restrict user feedback requests to the cases being assessed each month by the quality assurance panel.en_GB
dc.language.isoenen
dc.publisherFrontiers Mediaen_GB
dc.rightsArchived with thanks to Frontiers in Public Healthen_GB
dc.titleQuality Assurance of Teleconsultations in a Store-and-Forward Telemedicine Network - Obtaining Patient Follow-up Data and User Feedbacken
dc.identifier.journalFrontiers in Public Healthen_GB

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