Patient experience and satisfaction with telemedicine during COVID-19: a multi-institution experience (Preprint)

2021 ◽  
Author(s):  
Adrian Rodrigues ◽  
Jonathan S. Yu ◽  
Hriday Bhambhvani ◽  
Tyler Uppstrom ◽  
William Ricci ◽  
...  

BACKGROUND The coronavirus disease 2019 (COVID-19) heralded an unprecedented increase in telemedicine utilization. OBJECTIVE Assess patient satisfaction with telemedicine during COVID-19 METHODS Telemedicine visit data were gathered from two separate institutions (Stanford Health Care (Stanford) and the Hospital for Special Surgery (HSS)). Patient satisfaction data from HSS were captured from a Press-Ganey questionnaire between April 19, 2020 and December 12, 2020, while the Stanford data was taken from a novel survey instrument that was distributed to all patients between June 22, 2020 and November 1, 2020. There were 60,550 telemedicine visits across 93 services at Stanford, each linked with a post-visit survey. At HSS, there were 66,349 total telemedicine visits with 7,348 randomly linked with a post-visit survey. The percentage of respondents who reported the highest possible likelihood to recommend score (“LTR top box percentage”) and mean overall visit scores were recorded. RESULTS Over 19 weeks, the LTR top box percentage at Stanford increased from 69.6% to 74.0% (p=.0002), and HSS showed no significant change across 35 weeks (p=.7100). LTR trend stability at Stanford was observed across 11 medical, four surgical, and five oncological services (p >.05). In the multivariable model, the use of a cell phone (aOR: 1.18; 95% CI: 1.12–1.23) and tablet (aOR: 1.15; 95% CI: 1.07–1.23) were associated with higher overall scores, while visits with interrupted connections (aOR: 0.49; 95% CI: 0.42–0.57) or help required to connect (aOR: 0.49; 95% CI: 0.42–0.56) predicted lower patient satisfaction. CONCLUSIONS We present the largest published description of patient satisfaction with telemedicine. We found high satisfaction with telemedicine encounters across multiple measures, and we identified a number of important telemedicine-specific factors that predict increased overall visit score. These include the use of cell phones or tablets, phone reminders, and connecting before the visit was scheduled to begin. Visits with poor connectivity, extended wait times, or difficulty being seen, examined, or understood by the provider were linked with reduced odds of high scores. Our results suggest that attention to connectivity and audio/visual definition will help optimize patient satisfaction with telemedicine encounters in the future. CLINICALTRIAL n/a

Author(s):  
Mayayuki Shinohara ◽  
Akira Hattori ◽  
Shigenori Ioroi ◽  
Hiroshi Tanaka ◽  
Haruo Hayami ◽  
...  

This paper presents a hazard/crime incident information sharing system using cell phones. Cell phone penetration is nearly 100% among adults in Japan, and they function as a telecommunication tool as well as a Global Positioning System (GPS) and camera. Open source software (Apache, Postfix, and MySQL) is installed on a system server, and together with the information service provided by Google Maps, are used to satisfy system requirements for the local community. Conventional systems deliver information to all people registered in the same block, even if an incident occurred far from their house. The key feature of the proposed system is that the distribution range of the hazard notification e-mail messages is determined by the geometrical distance from the incident location to the residence of each registered member. The proposed system applies not only to conventional cell phones but also smart phones, which are rapidly becoming popular in Japan. The new system functionality has been confirmed by a trial using members of the local community. System operation began after the successful trial and a training meeting for the local residents. System design, verification results, and operating status are described in this paper.


Author(s):  
Mayayuki Shinohara ◽  
Akira Hattori ◽  
Shigenori Ioroi ◽  
Hiroshi Tanaka ◽  
Haruo Hayami ◽  
...  

This paper presents a hazard/crime incident information sharing system using cell phones. Cell phone penetration is nearly 100% among adults in Japan, and they function as a telecommunication tool as well as a Global Positioning System (GPS) and camera. Open source software (Apache, Postfix, and MySQL) is installed on a system server, and together with the information service provided by Google Maps, are used to satisfy system requirements for the local community. Conventional systems deliver information to all people registered in the same block, even if an incident occurred far from their house. The key feature of the proposed system is that the distribution range of the hazard notification e-mail messages is determined by the geometrical distance from the incident location to the residence of each registered member. The proposed system applies not only to conventional cell phones but also smart phones, which are rapidly becoming popular in Japan. The new system functionality has been confirmed by a trial using members of the local community. System operation began after the successful trial and a training meeting for the local residents. System design, verification results, and operating status are described in this paper.


Author(s):  
Kay H. Braguglia

Whether it is hand held, in a pocket, on a backpack, clipped to a belt, or hidden in a brief case or purse, college students and cellular telephones go together.  Communication with fellow students, professors, parents, and everyone else is just a click away. While walking across campus and down the halls of academic buildings, cellular telephones are being used.  This research questions in what ways do students use cellular telephones and does this use interfere with or assist in learning and college life?  This paper reports the results of a survey of undergraduate business students addressing this question.  The objectives were to determine: (1) how much time is spent using a cell phone and which phone features are used most frequently, (2) what students believe concerning the impact of cell phones on learning in the classroom and during study, (3) how often students are in contact with parents on a cell phone, and (4) how much do students pay for cell phone services.  The results indicate that 100% of the students own a cell phone.  Sixty-six percent of the students use voice calls most frequently and 30% use text messages most often.  A total of 55.8% of students report that they spend 3 hours or less on their cell phone daily and 44.8% spend four or more hours daily on their cell phones.  Over half of the students report that they have some interaction with their cell phones during class time for every class.  Seventy-seven percent state that this cell phone use seldom or never interferes with classroom learning. All of the students (100%) believe that they should be able to receive emergency information over a cell phone during class time.  Seventy-six percent believe that cell phones seldom or never assist in classroom learning.  However, students report that cell phone use impacts on study time outside of class.  Cell phone distractions during study time outside class was reported by 34.6% of the students as happening often or always and an additional 43.5% are sometimes distracted by cell phones during study time. Bad or upsetting news received over a cell phone before class impacts academic performance of 14.2% of the students often or always.  Thirty-five percent of the students talk to parents more than once a day and another 23.7% have contact on a daily basis. Therefore, 59.5% report that they have contact with their parents at least once a day.    Fifteen percent of the students pay over $100 per month for cell phone service, 28% pay from $75 to $100, 34% spend $51 to $75, and 14% spend $26 to $50 per month.  More than 90% of the students report that they have text messaging, calculator, clock, calendar, and appointment reminder on their cell phone.  Over 70% have the internet and games.  Over 60% have a camera and email.  Only 13% have an MP3 music player and 7% have an FM radio.  


2021 ◽  
pp. 18-19
Author(s):  
Deena. E. ◽  
Ruma Nayak

Objective: To investigate the patient satisfaction and the acceptability of salbutamol through Metered Dose Inhaler (MDI) in the treatment of wheeze in asthma. 34 participants between ages of 5 and 18 years were incl Methods: uded. Modied Pulmonary Index (MPI) score was used to assess the improvement after treatment with salbutamol delivered by inhaler.Pre and post treatment scores were used to assess treatment outcome. Questionnaire was used to assess patient satisfaction by interviewing parents of participants. After the use of inhaler, 12% participants had no change in symptoms Results: , while 6% showing worsening of symptoms. In the remaining 82%, the symptoms reduced. 2.9% were not at all satised with the treatment, while 20.6% were moderately satised with the treatment. 76.5% of the participants were highly satised with the treatment. The use of Metered dose inhaler with salbutamol is very Conclusion: effective in reducing wheeze and other symptoms in asthma. Even those with no improvement in symptoms had high satisfaction with the treatment using salbutamol through MDI. This mode of drug delivery can enhance adherence and asthma control.


Author(s):  
Geoffrey C. Kabat

The possibility that using a cell phone could cause brain cancer first arose in the early 1990s and has been the subject of research since then. Radiofrequency waves used in cellular communications are far too weak to induce cancer by any known mechanism, and most scientific and regulatory bodies have found the evidence for health effects from use of mobile phones to be unconvincing. Nevertheless, positive results, largely from a single group of researchers, and an ambiguous assessment from single agency have kept the controversy alive. New studies are in progress.


2003 ◽  
Vol 18 (2) ◽  
pp. 45-46
Author(s):  
Alice G Brandfonbrener

Television viewers would agree that the level of creativity is often higher in the commercials than in the programming. My current favorite promotes Sprint by poking fun at a user of a cell phone service with a poor-quality signal, who places an order for 200 head of oxen and receives instead 200 dachshunds, viewed stampeding around the corral. This has less to do with my admiration for Sprint and more with my personal devotion to dachshunds. The lesson on the importance of clear messages can be used in a larger context than cell phones, however. When messages are unclear, for whatever reason, behaviors based on or motivated by them cannot be expected to have the desired results. In this editorial, I examine the importance of providing clear information to parents who are making even the first decisions concerning their children’s study of music and dance. In a subsequent issue of MPPA, we will critique the relative clarity of communication about health and performance of a different sort, that from the many recent performing artists turned authors addressing their colleagues.


2012 ◽  
Vol 110 (1) ◽  
pp. 144-148
Author(s):  
Marvin Karlins ◽  
Edyth Hargis ◽  
Alan Balfour

397 students arriving to take an exam in a junior level Principles of Management course were clearly warned on several occasions to keep cell phones outside the testing area or receive a failing test grade if the policy was violated. Just before the examination was administered, with all students sitting in their assigned seats, the professor made a final announcement that anyone still in possession of a cell phone would have one last opportunity to come forward and place it in a box at the front of the testing room. After eight students accepted this final “opportunity,” the professor produced a handheld metal detector, demonstrated how it could detect cell phones placed inside clothing, and informed the class that random screening of students would be conducted as they handed in their examinations. He then added that, as a special favor, he would allow a two-minute amnesty period during which any student could bring a cell phone to the front of the room for storage during the test. 38 students responded by turning in cell phones they had retained in direct violation of course policy. Implications of this cell phone dishonesty for creating viable business ethics and the role of perceived entitlement in shaping the behavior of these future business leaders were discussed.


2020 ◽  
pp. 8-16
Author(s):  
Kevin Jasiel ZÚÑIGA-MAYORAL ◽  
Juan Carlos HERNÁNDEZ-VALENZUELA ◽  
Antonio MEZA-ARELLANO ◽  
Iliana Janeth MEZA-ROSAS

This article shows the analysis of the information acquired in the research "Study to know the usefulness of a technological device for the prevention of car accidents caused by cattle in Santa Rosalía Baja California Sur", where the data was collected by applying electronic surveys using Information and Communications Technologies (ICT), similarly, the total number of people who own cell phones and their knowledge of mobile applications, considering that the purpose of the research is to determine the viability of the GPS device that works in conjunction with the technology implemented in a cell phone, thus allowing to create strategies for a better development and the correct launch of such technology, resulting in 90% acceptance for the implementation of a system of geolocation of semovients as a safety alternative when moving along the transpeninsular road inside state.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249827
Author(s):  
Amir Hossein Kalantari ◽  
Seyedeh Monavar Yazdi ◽  
Tetiana Hill ◽  
Abolfazl Mohammadzadeh Moghaddam ◽  
Esmaeel Ayati ◽  
...  

Cell phone use while driving is a common contributing factor in thousands of road traffic injuries every year globally. Despite extensive research investigating the risks associated with cell phone use while driving, social media campaigns to raise public awareness and a number of laws banning phone use while driving, this behaviour remains prevalent throughout the world. The current study was conducted in Iran, where road traffic injuries are the leading causes of death and disability, and where drivers continue to use their cell phones, despite legislative bans restricting this behaviour. A total of 255 drivers in the city of Mashhad (male = 66.3%; mean age = 30.73 years; SD = 9.89) completed either an online or a paper-based survey assessing the self-reported frequency of using a cell phone while driving. Psychosocial factors contributing to cell phone use while driving and support for legislation restricting this behaviour, as well as the Big Five personality traits, were also measured. Overall, the results showed that almost 93% of drivers use their cell phones while driving at least once a week, with 32.5% reporting they always use their cell phones while driving. Ordinal logistic regression revealed that the presence of a child passenger, age, perceived benefits and risks of using cell phones while driving, as well as the perceived ability to drive safely while using a cell phone, were strongly associated with the frequency of cell phone use while driving. As for personality traits—extraversion, agreeableness and conscientiousness significantly predicted the frequency of cell phone use in this sample of Iranian drivers.


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