Satisfaction of hem/onc patients with video visits during the COVID-19 pandemic at a tertiary care center in Michigan.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 185-185
Author(s):  
Fawzi Abu Rous ◽  
Sunny R K Singh ◽  
Pin Li ◽  
Mohamed Elgamal ◽  
Hussna Abunafeesa ◽  
...  

185 Background: In early 2020, the WHO declared the COVID-19 pandemic a public health emergency. Consequently, medical institutions minimized health care services to facilitate social distancing and telemedicine became the forefront of patient-provider interaction. Herein, we present the results of our study that explored patient satisfaction with video visits during the pandemic at a tertiary care center. Methods: A 12-question survey (table) was emailed following a video visit with a Hem/Onc provider carried out between February and December 2020, questions were answered anonymously. The survey also collected patient demographics. The survey evaluated 5 aspects of telemedicine using a five-point graded scale. Results: A total of 1107 patients responded. Median age was 65 years (25-97) with 51.5% over 65, 64% were females and 36% males. Based on zip codes of primary residence and 2015-2019 US Census data, a significant proportion lived in inner-city Detroit, 77.3% were Caucasians, and 15.2% African Americans. Median household income was 66.8K (Michigan’s median is 57K). Regarding access: ease of scheduling appointments, ease of contacting the office and ability to schedule desired appointments, were respectively given positive responses (good, very good, or fair) by 97.61%, 97.32%, and 98.4%. Regarding CP: ability to explain problem, show concern for worries, include patients in decisions, and discussion of treatment plan, were respectively given positive responses by 99.09%, 99.26%, 98.9%, 99.35%. Regarding telemedicine technology: ease of talking to CP, quality of video, and audio connections, were respectively given positive responses by 94.27%, 90.77%, and 91.42%. For the overall visit assessment, 98.58% gave a positive response for the video staff performance. Regarding their comfort level to return to clinic: 78.75% were comfortable and 10.14% were not. Conclusions: Patients reported an overall high level of satisfaction with telemedicine. One area of improvement is the technological aspect. More than 50% were older than 65 years and a significant proportion lived in underserved areas which indicates that telemedicine is easily accessible. Moreover, around 80% were comfortable to return to clinic while 10% were not which highlights the importance of offering both telemedicine and in-person care.[Table: see text]

Endoscopy ◽  
2020 ◽  
Vol 52 (10) ◽  
pp. 864-870
Author(s):  
Kara L. Raphael ◽  
Ellen McNoble ◽  
Jessica Goldbeck ◽  
Megan Stiles ◽  
Larry S. Miller ◽  
...  

Background A significant proportion of duodenoscope-transmitted infections have resulted from errors related to reprocessing. Remote video auditing (RVA) is a tool that can monitor reprocessing compliance but it has not been previously evaluated in a tertiary care setting. The aims of this study were to evaluate: 1) RVA feasibility in a tertiary care setting (defined as the ability to audit every step of duodenoscope reprocessing without delaying the next procedure due to unavailability of duodenoscopes); and 2) the use of RVA as a compliance monitoring tool. Methods This was a prospective study at a tertiary care center. A video camera with offsite monitoring was installed in March 2018. Auditors delivered a compliance score after each procedure. The duodenoscope was not used until it passed the audit. Feasibility and compliance data were collected from April 2018 to August 2019 after a 1-month run-in phase. Both per-step compliance and overall 100 % compliance rates were measured. Results Of 743 duodenoscope reprocessing procedures, 32 666 individual steps were audited and 99.9 % of the steps were fully viewable. The mean time per audit was 38.3 minutes, the mean duodenoscope turnover time was 76.1 minutes, and there were no delays to the next procedure due to unavailability of duodenoscopes. The per-step compliance rate was 99.5 % but the overall 100 % compliance rate was 90.3 %. Conclusions The use of RVA in duodenoscope reprocessing was feasible and promoted sustained high-level compliance in a tertiary care center.


Author(s):  
Bishnu Prasad Das ◽  
Jitendra Patra

Background: Cancer is a major public health problem worldwide and is the second leading cause of death in the developing countries. Among various diseases, cancer has become a big threat to human beings globally. As per Indian population census data, the rate of mortality due to cancer in India was high and alarming with about 8,06,000 existing cases by the end of the last century. In view of these facts, the present article describes the status of various types of cancers in the southern part of Odisha.Methods: A total of 1123 patients were registered in the department of radiotherapy, maharaja krushna chandra gajapati medical college, Odisha, during the period from January to December 2019 and were included for the retrospective analysis.Results: Females outnumbered males with a ratio of 1.32. Highest number of the patients belong to the age group of 60-69 years. Major cancer sites in females were cervix, breast followed by head and neck. Leading cancer sites in males were head and neck, stomach, rectum and lungs. Most of the cases presented in advanced stage of disease (78%). Squamous cell carcinoma was the most common histopathology (81%). A significant proportion of patients defaulted after undergoing preliminary investigations (27.4%). Out of the total (1123) population 482 patients received radiation and 760 patients received chemotherapy and 425 received supportive care.Conclusions: The outcome of this study will significantly help us to understand the cancer burden in southern Odisha and its distribution to define region specific strategies for cancer management.


2019 ◽  
Vol 12 (2) ◽  
pp. 31-35
Author(s):  
Padma Chandavathu ◽  
◽  
Akurathi Krishna Rao ◽  

Sign in / Sign up

Export Citation Format

Share Document