Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic. (November 2020)

• Record Type: Journal Article
• Authors: Tenforde, Adam S.; Borgstrom, Haylee; Polich, Ginger; Steere, Hannah; Davis, Irene S.; Cotton, Kester; O'Donnell, Mary; Silver, Julie K.
• Is Part Of: American journal of physical medicine & rehabilitation. Volume 99:Number 11(2020)
• Publication Date: 2020-11
• Subjects: Rehabilitation -- Physical Therapy -- Occupational Therapy -- Speech Therapy -- Telemedicine -- Telehealth -- Pandemics; Rehabilitation -- Periodicals; Medicine, Physical -- Periodicals; 617.062
• DOI: 10.1097/PHM.0000000000001571
• Languages: English
• ISSNs: 0894-9115

Abstract

Abstract : Abstract: The COVID-19 pandemic transformed health care delivery, including rapid expansion of telehealth. Telerehabilitation, defined as therapy provided by physical therapy, occupational therapy, and speech and language pathology, was rapidly adopted with goals to provide access to care and limit contagion. The purpose of this brief report was to describe the feasibility of and satisfaction with telerehabilitation. A total of 205 participants completed online surveys after a telerehabilitation visit. Most commonly, participants were women (53.7%), 35–64 yrs old, and completed physical therapy (53.7%) for established visits of 30–44 mins in duration for primary impairments in sports, lower limb injuries, and pediatric neurology. Overall, high ratings ("excellent" or "very good" responses) were observed for all patient-centered outcome metrics (range, 93.7%–99%) and value in future telehealth visit (86.8%) across telerehabilitation visits. Women participated more frequently and provided higher ratings than male participants did. Other benefits included eliminating travel time, incorporating other health care advocates, and convenience delivering care in familiar environment to pediatric patients. Technology and elements of hands-on aspects of care were observed limitations. Recognizing reduced indirect costs of care that telerehabilitation may provide along with high patient satisfaction are reasons policy makers should adopt these services into future health care delivery models.