Emergency upscaling of video consultation during the COVID-19 pandemic: Contrasting user experience with data insights from the electronic health record in a large academic hospital. (June 2021)

• Record Type: Journal Article
• Authors: Barsom, E.Z.; Meijer, H.A.W.; Blom, J.; Schuuring, M.J.; Bemelman, W.A.; Schijven, M.P.
• Is Part Of: International journal of medical informatics. Volume 150(2021)
• Publication Date: 2021-06
• Subjects: VC video consultation -- EHR electronic health record -- PCA Principal Components Analysis; Telemedicine -- Video consultation -- Virtual visit -- COVID-19 -- Electronic health record -- Patient records; Medical informatics -- Periodicals; Information science -- Periodicals; Computers -- Periodicals; Medical technology -- Periodicals; Medical Informatics -- Periodicals; Technology, Medical -- Periodicals; Computers; Information science; Medical informatics; Medical technology; Electronic journals; Periodicals; Electronic journals; 610.285
• DOI: 10.1016/j.ijmedinf.2021.104463
• Languages: English
• ISSNs: 1386-5056

Abstract

Highlights: Data from the electronic health record was used to evaluate technical quality. Video consultation offers additional value in terms of visual cues and reading emotions. Patients and healthcare providers are highly satisfied with video consultation during a pandemic. In general, actual consultation durations of video consultations are shorter than the scheduled consultation duration. Further development in end-user technology is needed for video consultation solutions. Abstract: Background: Video consultation (VC) has been scaled up at our academic centre attempting to facilitate and accommodate patient-provider interaction in times of social distancing during the recent and ongoing COVID-19 pandemic. Objectives: This study evaluates qualitative outcomes with data insights from the electronic health record, to contrast satisfaction outcomes with the actual use of VC. Methods: Healthcare providers and patients using VC during the COVID-19 pandemic at a large academic centre in the Netherlands were surveyed for user satisfaction and experiences with VC. In addition, quantitative technical assessment was performed using data related to VC from the EHR record. Results: In total, 1, 027/4, 443 patients and 87/166 healthcare providers completed their online questionnaire. Users rated the use of VC during a pandemic with an average score of 8.3/10 and 7.6/10 respectively. Both groups believed the use of VC was a good solution to continue the provision of healthcare during this pandemic. The use of VC increased from 92 in March 2020 to 837 in April 2020. Conclusion: This study strongly signals that VC is an important modality in futureproofing outpatient care during and beyond pandemic times. Further development in end-user technology is needed for EHR integrated VC solutions. Guidelines needs to be developed advising both patients and healthcare providers. Such guidelines should not solely focus on technical implementation and troubleshooting, but must also consider important aspects such as digital health literacy, patient and provider authentication, privacy and ethics.