Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVI
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ORIGINAL ARTICLE
Preliminary assessment of patient and physician satisfaction with the use of teleconsultation in urology during the COVID‑19 pandemic Ugo Pinar1 · Julien Anract1 · Ophélie Perrot1 · Thomas Tabourin1 · Emmanuel Chartier‑Kastler1 · Jerome Parra1 · Christophe Vaessen1 · Alexandre de La Taille2 · Morgan Roupret1 Received: 8 May 2020 / Accepted: 30 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Lockdown during the COVID-19 pandemic compelled urologists to change access to healthcare, especially for oncology patients. Teleconsultation is a safe way to receive medical advice without a risk of infection, and was implemented urgently in our academic centres. Our purpose was to evaluate patient and physician satisfaction with teleconsultation set up during the COVID-19 pandemic. Methods From March 16th 2020, all face-to-face consultations were cancelled in France, except for emergencies. Teleconsultation was started immediately by five senior urologists in two academic hospitals. All patients received an email survey including the validated Teleconsultation Satisfaction Questionnaire (TSQ) and demographic questions. Data were collected prospectively. Physicians also responded to the TSQ. Patient satisfaction was measured objectively with the validated 14-item TSQ. Each item was scored on a 5-point Likert scale. Factors associated with positive satisfaction with teleconsultation were assessed by multivariable logistic regression. Results Overall, 105 patients replied to the survey (91.3%). Median age was 66 years (IQR: 55‒71) and 95 were men (90.5%). Median overall TSQ score was 67 (IQR: 60‒69); teleconsultation was judged to be a good experience by 88 patients (83.8%) and four physicians (80%). Patients who met their surgeon for the first time were more likely to have a good experience (OR = 1.2 [95% CI 1.1‒1.5], p = 0.03). Conclusion Introduced rapidly during the COVID-19 lockdown, urology teleconsultation attained a high level of satisfaction among both patients and physicians. A major change in telemedicine use is foreseen in the post COVID-19 era. Keywords Telemedicine · Urology · Coronavirus · COVID-19
Introduction The coronavirus disease 2019 (COVID-19) pandemic has led many countries to total lockdown because of the contagious nature of the virus and the lack of effective treatment. In France, lockdown was pronounced on March 17th, 2020, for at least 2 months. The whole healthcare system * Morgan Roupret [email protected] 1
Urology Department, Sorbonne University, GRC 5, Predictive Onco-Urology, Hôpital la Pitié-Salpêtrière, 75013 Paris, France
APHP, Henri Mondor Hôpital, Urology, Hôpitaux Universitaires Henri Mondor, 94010 Creteil, France
2
has been massively impacted to accommodate COVID-19 patients, especially intensive care units. On March 16th, the French Association of Urology recommended that every non-urgent consultation should be delayed and non-urgent surgery postponed [1]. This major decision could have a negative impact on
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