scholarly journals Evaluation of Patient-Initiated Direct Care Mobile Phone–Based Teledermatology During The COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Jasleen Kaur ◽  
Priyanka Sharma ◽  
G P Thami ◽  
Maninder Sethi ◽  
Shruti Kakar
Keyword(s):  
Patient Satisfaction ◽  
Mobile Phone ◽  
Care Center ◽  
Tertiary Care ◽  
Confidence Score ◽  
Accurate Diagnosis ◽  
Direct Care ◽  
Tertiary Care Center ◽  
Patients Satisfaction ◽  
Assess Patient Satisfaction

BACKGROUND With advances in telecommunication, especially smartphones, teledermatology services offered by specialists are now being directly requested by the patients themselves. This model is known as patient-initiated, direct care teledermatology. It has been pushed to the forefront due to the COVID-19 pandemic. OBJECTIVE The objectives of this study were to determine patients’ satisfaction and dermatologists’ confidence when a diagnosis was made via direct care mobile phone–based teledermatology. METHODS Patients availing direct care teledermatology services during the COVID-19 pandemic at a tertiary care center were subjected to a questionnaire within 5 days of the teleconsultation to assess patient satisfaction and opinions regarding using this model during and beyond the current COVID-19 pandemic. The dermatologists rated their confidence in making the clinical diagnosis on a scale from 1-10 for every case. RESULTS Of 437 participants, 419 (95.9%) were satisfied with this mode of teledermatology. An overwhelming majority (n=428, 97.9%) felt safe consulting the dermatologist via teleconsultation and not having to visit the hospital during the COVID-19 pandemic. In addition, 269 (61.6%) patients agreed that they would be happy to use a teledermatology service beyond the COVID-19 pandemic. The dermatologists’ confidence score in making an accurate diagnosis ranged from 3 to 10, with a mean of 9.20 (SD 1.12). CONCLUSIONS The high levels of patient satisfaction and dermatologists’ confidence scores indicate that direct care mobile phone–based teledermatology may be a useful tool in providing dermatological services in appropriate settings and its use should continue to be explored beyond the COVID-19 pandemic.

scholarly journals Evaluation of Patient-Initiated Direct Care Mobile Phone–Based Teledermatology During The COVID-19 Pandemic

Iproceedings ◽  
10.2196/35400 ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. e35400
Author(s):  
Jasleen Kaur ◽  
Priyanka Sharma ◽  
G P Thami ◽  
Maninder Sethi ◽  
Shruti Kakar
Keyword(s):  
Patient Satisfaction ◽  
Mobile Phone ◽  
Conflicts Of Interest ◽  
Care Center ◽  
Tertiary Care ◽  
Confidence Score ◽  
Accurate Diagnosis ◽  
Direct Care ◽  
Patients Satisfaction ◽  
Assess Patient Satisfaction

Background With advances in telecommunication, especially smartphones, teledermatology services offered by specialists are now being directly requested by the patients themselves. This model is known as patient-initiated, direct care teledermatology. It has been pushed to the forefront due to the COVID-19 pandemic. Objective The objectives of this study were to determine patients’ satisfaction and dermatologists’ confidence when a diagnosis was made via direct care mobile phone–based teledermatology. Methods Patients availing direct care teledermatology services during the COVID-19 pandemic at a tertiary care center were subjected to a questionnaire within 5 days of the teleconsultation to assess patient satisfaction and opinions regarding using this model during and beyond the current COVID-19 pandemic. The dermatologists rated their confidence in making the clinical diagnosis on a scale from 1-10 for every case. Results Of 437 participants, 419 (95.9%) were satisfied with this mode of teledermatology. An overwhelming majority (n=428, 97.9%) felt safe consulting the dermatologist via teleconsultation and not having to visit the hospital during the COVID-19 pandemic. In addition, 269 (61.6%) patients agreed that they would be happy to use a teledermatology service beyond the COVID-19 pandemic. The dermatologists’ confidence score in making an accurate diagnosis ranged from 3 to 10, with a mean of 9.20 (SD 1.12). Conclusions The high levels of patient satisfaction and dermatologists’ confidence scores indicate that direct care mobile phone–based teledermatology may be a useful tool in providing dermatological services in appropriate settings and its use should continue to be explored beyond the COVID-19 pandemic. Conflicts of Interest None declared.

scholarly journals Clinicopathological correlation in the diagnosis of granulomatous cutaneous disorders: a retrospective study

2021 ◽  
Vol 7 (4) ◽  
pp. 538
Author(s):  
Manisha Nijhawan ◽  
Divya Yadav ◽  
Shivi Nijhawan ◽  
Damini Shaktawat
Keyword(s):  
Retrospective Study ◽  
Care Center ◽  
Tertiary Care ◽  
Common Type ◽  
Accurate Diagnosis ◽  
Tertiary Care Center ◽  
Clinicopathological Correlation ◽  
Cutaneous Tuberculosis ◽  
Skin Biopsies ◽  
Granulomatous Disorder

<p class="abstract"><strong>Background:</strong> To ascertain the various cutaneous granulomatous disorders and clinicopathological concordance in skin biopsies.</p><p class="abstract"><strong>Methods: </strong>The study included the patients with skin biopsy showing granulomatous infiltrate in a tertiary care center. The cases were categorized according to level of concordance into consistent, corroborative and inconsistent based on the concurrence between clinical and histological diagnosis.</p><p class="abstract"><strong>Results: </strong>Of the total 155 granulomatous disorder, 75.48% showed clinicopathological concordance, 19.35% showed corroborative diagnosis while 5.16% were inconsistent. The maximum number of biopsies performed were in the group of young adult (19-49 years, 57.41%). The most common type of granuloma found was of tuberculoid type and disorders were Hansen’s disease, fungal infection and cutaneous tuberculosis.</p><p class="abstract"><strong>Conclusions:</strong> Our study showed that the coordination of dermatologist and pathologist plays a pivotal role in making accurate diagnosis of granulomatous cutaneous dermatoses.</p>

scholarly journals Effect of waiting time estimates on patients satisfaction in the emergency department in a tertiary care center

2020 ◽  
Vol 41 (8) ◽  
pp. 883-886
Author(s):  
Khaled Alrajhi ◽  
Nawfal Aljerian ◽  
Rand Alazaz ◽  
Lama Araier ◽  
Lujane Alqahtani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Patients Satisfaction ◽  
Time Estimates

scholarly journals Comparative study of psychiatric patients receiving treatment in tertiary care hospital and in primary health care center

2020 ◽  
Vol 7 (7) ◽  
pp. 1093
Author(s):  
C. Guruprasad ◽  
Dayananda Sagar L. ◽  
Vishwanatha . ◽  
Chandrashekar H.
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Primary Health

Background: Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Government of Karnataka initiated the Manochaitanya programme to ensure that mental health services at all primary health care centers, community health centers and taluk hospitals on every Tuesday. Its required to know the patient satisfaction in this programme.Methods: This study was conducted over a period of two years, cross-sectionally seen 102 cases from 9 PHC’s that runs psychiatric clinics every Tuesday. This population was compared with 107 from Tertiary care center. All were assessed by the Psychiatrist using ICD-10 clinically after the informed consent. After 3 follow ups they were assessed with semi structured proforma, Indian Disability Evaluation and Assessment Scale (IDEAS), Global Assessment of Functioning (GAF), Patient Satisfaction Questionnaire Short Form (PSQ-18) instruments.Results: The Patient satisfaction was found to be higher in PHCs 83.07±8.72 compared to tertiary subjects 75.27±9.51 (p<0.05). Severe mental illness was higher 48.96% in PHCs as compared to tertiary care center common mental illness 23.36%. Subjects from tertiary care centres report higher GAF score (65%) higher among tertiary care subjects than their PHC counterparts (35%).Conclusions: The patients receiving treatment in PHC’s reported more satisfaction than those who receive treatment in tertiary care center. Higher disability scores on IDEAS in PHC’s than tertiary Center due reporting of more cases of severe mental illness in PHC’s. Married patients have shown higher satisfaction as compared to single/ Divorced/ Separated patients. Alcohol Dependence Syndrome was found to be more in tertiary care hospital than in PHC’s.

scholarly journals Evaluation of cancer patient satisfaction during COVID-19 pandemic: A survey conducted at a tertiary care center in India

2021 ◽  
Vol 17 (6) ◽  
pp. 1540
Author(s):  
Umbarkar Prakash ◽  
Kannan Venkatesan ◽  
Deshpande Sudesh ◽  
Elenjickal Nikhil ◽  
Naidu Suresh ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cancer Patient ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center

scholarly journals Patient Satisfaction in Out-patient Services at a Tertiary Care Center: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (225) ◽  
Author(s):  
Lisasha Poudel ◽  
Swechhya Baskota ◽  
Prajita Mali ◽  
Priza Pradhananga ◽  
Nabina Malla ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Care Center ◽  
Tertiary Care ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Tertiary Care Center ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
The Mean

Introduction: Patient satisfaction is an important and commonly used valid indicator for themeasurement of service quality. Patient responses to healthcare services are one of the bestways to obtain information about patient views regarding the quality of healthcare. The mainaim of the study was to find out the patient’s satisfaction level in the tertiary care center. Methods: A descriptive cross-sectional study was conducted among 94 outpatients at a tertiary carecenter. Data were collected after obtaining ethical clearance from the institutional review committee.Patients were selected conveniently who visited any four of the major department. We collecteddemographic data and the patient satisfaction towards outpatient clinic experience was studied. Weused the Patient Satisfaction Questionnaire–18 to assess patient satisfaction. Data were entered andanalyzed in Statistical Package for the Social Sciences version 23. The mean score and the standarddeviation were calculated. Results: Overall satisfaction was 74.78% with a mean value of 3.7394±0.40128. The highest satisfactionscore was found in regards to the interpersonal manner of health personnel (4.2872±0.61561) followedby communication (3.9628±0.40982) and the lowest was seen in accessibility and convenience(3.2394±0.81478). Conclusions: The mean score and percentage of patient satisfaction were high in the hospital.However, the accessibility and availability of medical personnel were only a matter of concern.

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