The inability to access and use smartphones or camera-outfitted internet-connected devices during the COVID-19 pandemic relegates certain patients to receive audio-only telemedicine instead of audio/video-based telemedicine. The investigators are conducting a randomized controlled trial in order to characterize patient and provider attitudes towards these two modalities of care and to test the feasibility of a new model to make tablets for video-based care accessible to those who need that. The investigators hypothesize that patient and provider satisfaction will be higher with video-based telehealth when compared to phone-based telehealth.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
15
An internet-connected tablet provided to patient for upcoming visit with physician by audio/video which can also be used to complete a survey.
Johns Hopkins Outpatient Center
Baltimore, Maryland, United States
Provider rating as assessed by the Consumer Assessment of Healthcare Providers and Systems question on provider rating
Provider rating will be assessed with the Consumer Assessment of Healthcare Providers and Systems question on provider rating of 0-10; 0 being worst provider possible and 10 being best provider possible.
Time frame: Within 2 weeks of the study visit
Satisfaction with telemedicine visit for patient as assessed by a Likert scale
Satisfaction with telemedicine visit for patient will be assessed with Likert-scale questions related to satisfaction. Satisfaction (1=strongly disagree to 5=strongly agree). 1. In general, I was satisfied with using a video or phone call for this visit 2. I could explain my medical problems well enough 3. Talking to the doctor was as satisfying as talking in person Overall score 3 to 15 with higher scores signifying better satisfaction.
Time frame: Within 2 weeks of the study visit
Satisfaction with telemedicine visit for provider as assessed by a Likert scale
Satisfaction with telemedicine visit for provider will be assessed with Likert-scale questions related to satisfaction. \[1=Strongly Disagree. 5=Strongly Agree\]. 1. In general, I was satisfied with using telemedicine for this visit 2. Talking to the patient was as satisfying as talking in person. Overall score 2 to 10 with higher scores signifying better satisfaction.
Time frame: Within 2 weeks of the study visit
Efficacy of telemedicine visit for provider as assessed by a Likert scale
Efficacy of telemedicine visit for provider will be assessed with Likert-scale questions related to efficacy. \[1=Strongly Disagree. 5=Strongly Agree\]. b. I was able to understand the patient's explanation of their medical problems well enough. c. In general, this telemedicine visit was effective in improving this patient's medical care d. An in-person visit would likely have provided additional clinically-relevant information e. An in-person visit would likely have led to a change in management
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Time frame: Within 2 weeks of the study visit
Provider communication as assessed by yes/no question
The ability of a provider to communicate will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to communication. Did this provider explain things in a way that was easy to understand? Yes/No
Time frame: Within 2 weeks of the study visit
Provider listening as assessed by yes/no question
Provider listening will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire related to listening. Did this provider listen carefully to you? Yes/No
Time frame: Within 2 weeks of the study visit
Provider respect as assessed by yes/no question
Provider respect will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to respect. Did this provider show respect for what you had to say? Yes/No
Time frame: Within 2 weeks of the study visit
Provider time spent as assessed by yes/no question
Provider time spent will be assessed by patients with the yes/no question of a modified version of the Consumer Assessment of Healthcare Providers and Systems questionnaire relating to time spent during the clinical encounter. Did this provider spend enough time with you? Yes/No
Time frame: Within 2 weeks of the study visit
Patient health rating as assessed by a likert scale
Patient health will be assessed with Likert-scale questions related to patient health. In general, how would you rate your overall health? 1. Excellent 2. Very good 3. Good 4. Fair 5. Poor In general, how would you rate your overall mental or emotional health? 1. Excellent 2. Very good 3. Good 4. Fair 5. Poor Overall score 2 to 10 with lower scores signifying better health.
Time frame: Within 2 weeks of the study visit