Telehealth and patient satisfaction: a systematic review and narrative analysis

Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, Lan Tran, Jackeline Vela, Matthew Brooks, Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, Lan Tran, Jackeline Vela, Matthew Brooks

Abstract

Background: The use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations.

Objective: The objective of this systematic review and narrative analysis is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency.

Methods: Boolean expressions between keywords created a complex search string. Variations of this string were used in Cumulative Index of Nursing and Allied Health Literature and MEDLINE.

Results: 2193 articles were filtered and assessed for suitability (n=44). Factors relating to effectiveness and efficiency were identified using consensus. The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost 8%), improved communication (8%) and decreased travel time (7%), which in total accounted for 61% of occurrences.

Conclusion: This review identified a variety of factors of association between telehealth and patient satisfaction. Knowledge of these factors could help implementers to match interventions as solutions to specific problems.

Keywords: access; home telehealth.; patient quality; patient satisfaction; quality; telecommunications; telehealth; telemedicine.

Conflict of interest statement

Competing interests: None declared

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Figures

Figure 1
Figure 1
Literature search process with inclusion and exclusion criteria. CINAHL, Cumulative Index of Nursing and Allied Health Literature.

References

    1. World Health Organization. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth: World Health Organization, 2010.
    1. Finkelstein SM, Speedie SM, Potthoff S, et al. . Home telehealth improves clinical outcomes at lower cost for home healthcare. Telemed J E Health 2006;12:128–36. 10.1089/tmj.2006.12.128
    1. Rojas SV, Gagnon MP. A systematic review of the key indicators for assessing telehomecare cost-effectiveness. Telemed J E Health 2008;14:896–904. 10.1089/tmj.2008.0009
    1. Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med 2003;138:33–9. 10.7326/0003-4819-138-1-200301070-00009
    1. LaBarbera PA, Mazursky D. A Longitudinal Assessment of Consumer satisfaction/Dissatisfaction: the Dynamic Aspect of the Cognitive process. Journal of Marketing Research 1983;20:393–404. 10.2307/3151443
    1. Moher D, Liberati A, Tetzlaff J, et al. . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009;151:264–9. 10.7326/0003-4819-151-4-200908180-00135
    1. Kohler C. Narrative analysis . 30, 1993.
    1. Schulz-Heik RJ, Meyer H, Mahoney L, et al. . Results from a clinical yoga program for veterans: yoga via telehealth provides comparable satisfaction and health improvements to in-person yoga. BMC Complement Altern Med 2017;17:198 10.1186/s12906-017-1705-4
    1. Iqbal A, Raza A, Huang E, et al. . Cost effectiveness of a novel attempt to reduce readmission after Ileostomy Creation. JSLS 2017;21:e2016.00082 10.4293/JSLS.2016.00082
    1. Müller KI, Alstadhaug KB, Bekkelund SI, et al. . Acceptability, feasibility, and cost of telemedicine for nonacute headaches:a randomized study comparing video and Traditional consultations.. Journal of medical Internet research 2016;18:e140 10.2196/jmir.5221
    1. Dias AE, Limongi JCP, Hsing WT, et al. . Telerehabilitation in Parkinson's disease: Influence of cognitive status. Dement Neuropsychol 2016;10:327–32. 10.1590/s1980-5764-2016dn1004012
    1. Langabeer JR, Gonzalez M, Alqusairi D, et al. . Telehealth-Enabled Emergency Medical Services Program reduces Ambulance transport to Urban Emergency Departments. West J Emerg Med 2016;17:713–20. 10.5811/westjem.2016.8.30660
    1. Hoaas H, Andreassen HK, Lien LA, et al. . Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study. BMC Med Inform Decis Mak 2016;16:26 10.1186/s12911-016-0264-9
    1. Jacobs JJ, Ekkelboom R, Jacobs JP, et al. . Patient satisfaction with a teleradiology service in general practice. BMC Fam Pract 2016;17:17:17 10.1186/s12875-016-0418-y
    1. Bradbury A, Patrick-Miller L, Harris D, et al. . Utilizing remote Real-Time videoconferencing to expand access to Cancer genetic Services in Community Practices: a Multicenter Feasibility Study. J Med Internet Res 2016;18:e23 10.2196/jmir.4564
    1. AlAzab R, Khader Y. Telenephrology application in rural and remote Areas of Jordan: benefits and impact on quality of life. Rural Remote Health 2016;16.
    1. Fields BG, Behari PP, McCloskey S, et al. . Remote Ambulatory Management of Veterans with Obstructive Sleep Apnea. Sleep 2016;39:501–509. 10.5665/sleep.5514
    1. Georgsson M, Staggers N. Quantifying usability: an evaluation of a diabetes mHealth system on effectiveness, efficiency, and satisfaction metrics with associated user characteristics. J Am Med Inform Assoc 2016;23:5–11. 10.1093/jamia/ocv099
    1. Polinski JM, Barker T, Gagliano N, et al. . PatientsSatisfaction with and preference for Telehealth Visits. J Gen Intern Med 2016;31:269–75. 10.1007/s11606-015-3489-x
    1. Levy CE, Silverman E, Jia H, et al. . Effects of physical therapy delivery via home video telerehabilitation on functional and health-related quality of life outcomes. J Rehabil Res Dev 2015;52:361–70. 10.1682/JRRD.2014.10.0239
    1. Holmes M, Clark S. Technology-enabled care services: novel method of managing liver disease. Gastrointestinal Nursing 2014;12:S22–S27. 10.12968/gasn.2014.12.Sup10.S22
    1. Levy N, Moynihan V, Nilo A, et al. . The Mobile insulin titration intervention (MITI) for insulin glargine titration in an Urban, Low-Income Population: randomized Controlled Trial Protocol. JMIR Res Protoc 2015;4:e31 10.2196/resprot.4206
    1. Moin T, Ertl K, Schneider J, et al. . Women veterans' experience with a web-based diabetes prevention program: a qualitative study to inform future practice. J Med Internet Res 2015;17:e127 10.2196/jmir.4332
    1. Cottrell E, Cox T, O'Connell P, et al. . Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: a service evaluation. BMJ Open 2015;5:e007270 10.1136/bmjopen-2014-007270
    1. Tabak M, Brusse-Keizer M, van der Valk P, et al. . A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial. Int J Chron Obstruct Pulmon Dis 2014;9:935 10.2147/COPD.S60179
    1. Kim H, Spaulding R, Werkowitch M, et al. . Costs of multidisciplinary parenteral nutrition care provided at a distance via mobile tablets. JPEN J Parenter Enteral Nutr 2014;38:50S–7. 10.1177/0148607114550692
    1. Cancela J, Pastorino M, Tzallas AT, et al. . Wearability assessment of a wearable system for Parkinson's disease remote monitoring based on a body area network of sensors. Sensors 2014;14:17235–55. 10.3390/s140917235
    1. Casey M, Hayes PS, Glynn F, et al. . Patients' experiences of using a smartphone application to increase physical activity: the SMART MOVE qualitative study in primary care. Br J Gen Pract 2014;64:e500–e508. 10.3399/bjgp14X680989
    1. Tsai CH, Kuo YM, Uei SL, et al. . Influences of satisfaction with telecare and family trust in older taiwanese people. Int J Environ Res Public Health 2014;11:1359–68. 10.3390/ijerph110201359
    1. Oliveira TC, Bayer S, Gonçalves L, et al. . Telemedicine in Alentejo. Telemed J E Health 2014;20:90–3. 10.1089/tmj.2012.0308
    1. Minatodani DE, Chao PJ, Berman SJ, et al. . Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. Telemed J E Health 2013;19:573–8. 10.1089/tmj.2012.0201
    1. Akter S, D'Ambra J, Ray P, et al. . Modelling the impact of mHealth service quality on satisfaction, continuance and quality of life. Behav Inf Technol 2013;32:1225–41. 10.1080/0144929X.2012.745606
    1. Hung YC, Bauer J, Horsley P, et al. . Patient satisfaction with nutrition services amongst Cancer patients treated with autologous stem cell transplantation: a comparison of usual and extended care. J Hum Nutr Diet 2014;27 Suppl 2:333–8. 10.1111/jhn.12135
    1. Buis LR, Hirzel L, Turske SA, et al. . Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part I): assessment of participant reach and adoption. J Med Internet Res 2013;15:e282 10.2196/jmir.2929
    1. Houser SH, Ray MN, Maisiak R, et al. . Telephone follow-up in primary care: can interactive voice response calls work? Stud Health Technol Inform 2013;192:112.
    1. Kairy D, Tousignant M, Leclerc N, et al. . The patient's perspective of in-home telerehabilitation physiotherapy services following total knee arthroplasty. Int J Environ Res Public Health 2013;10:3998–4011. 10.3390/ijerph10093998
    1. Bishop TF, Press MJ, Mendelsohn JL, et al. . Electronic communication improves access, but barriers to its widespread adoption remain. Health Aff 2013;32:1361–7. 10.1377/hlthaff.2012.1151
    1. Piette JD, Marinec N, Gallegos-Cabriales EC, et al. . Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. J Telemed Telecare 2013;19:89–94. 10.1177/1357633X13476234
    1. Gund A, Sjöqvist BA, Wigert H, et al. . A randomized controlled study about the use of eHealth in the home health care of premature infants. BMC Med Inform Decis Mak 2013;13:1 10.1186/1472-6947-13-22
    1. ter Huurne ED, Postel MG, de Haan HA, et al. . Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study. J Med Internet Res 2013;15:e12 10.2196/jmir.2211
    1. Chun YJ, Patterson PE. A usability gap between older adults and younger adults on interface design of an Internet-based telemedicine system. Work 2012;41 Suppl 1:349–52. 10.3233/WOR-2012-0180-349
    1. Lee AC, Pulantara W, Barbara Sargent PT, et al. . The VISYTER telerehabilitation system for globalizing physical therapy consultation: issues and challenges for telehealth implementation. Journal of Physical Therapy Education 2012;26:90.
    1. Saifu HN, Asch SM, Goetz MB, et al. . Evaluation of human immunodeficiency virus and hepatitis C telemedicine clinics. Am J Manag Care 2012;18:207–12.
    1. Lua PL, Neni WS. Feasibility and acceptability of mobile epilepsy educational system (MEES) for people with epilepsy in Malaysia. Telemed J E Health 2012;18:777–84. 10.1089/tmj.2012.0047
    1. Finkelstein SM, MacMahon K, Lindgren BR, et al. . Development of a remote monitoring satisfaction survey and its use in a clinical trial with lung transplant recipients. J Telemed Telecare 2012;18:42–6. 10.1258/jtt.2011.110413
    1. Gibson KL, Coulson H, Miles R, et al. . Conversations on telemental health: listening to remote and rural first nations communities. Rural Remote Health 2011;11:1656–74.
    1. Doorenbos AZ, Eaton LH, Haozous E, et al. . Satisfaction with telehealth for Cancer support groups in rural american indian and Alaska native communities. Clin J Oncol Nurs 2010;14:765–70. 10.1188/10.CJON.765-770
    1. Breen P, Murphy K, Browne G, et al. . Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. BMC Med Inform Decis Mak 2010;10:1–8. 10.1186/1472-6947-10-48
    1. Everett J, Kerr D. Telehealth as adjunctive therapy in insulin pump treated patients: a pilot study. Practical Diabetes International 2010;27:9–10. 10.1002/pdi.1430
    1. Gardner-Bonneau D. Remote patient monitoring: a human factors Assessment. Biomed Instrum Technol 2010;44:71–7. 10.2345/0899-8205-44.s1.71
    1. Schein RM, Schmeler MR, Saptono A, et al. . Patient satisfaction with telerehabilitation assessments for wheeled mobility and seating. Assist Technol 2010;22:215–22. 10.1080/10400435.2010.518579
    1. Kruse CS, Kothman K, Anerobi K, et al. . Adoption factors of the Electronic Health Record: a Systematic Review. JMIR Med Inform 2016;4:e19 10.2196/medinform.5525
    1. Kruse CS, Mileski M, Alaytsev V, et al. . Adoption factors associated with electronic health record among long-term care facilities: a systematic review. BMJ Open 2015;5:e006615 10.1136/bmjopen-2014-006615
    1. Luna R, Rhine E, Myhra M, et al. . Cyber threats to health information systems: a systematic review. Technol Health Care 2016;24:1-9 10.3233/THC-151102
    1. Kruse CS, Mileski M, Moreno J, et al. . Mobile health solutions for the aging population:a systematic narrative analysis. J Telemed Telecare 2017;23:1–13. 10.1177/1357633X16649790
    1. de Jong CC, Ros WJ, Schrijvers G, et al. . The effects on health behavior and health outcomes of Internet-based asynchronous communication between health providers and patients with a chronic condition: a systematic review. J Med Internet Res 2014;16:e19 10.2196/jmir.3000
    1. Young LB, Foster L, Silander A, et al. . Home telehealth: patient satisfaction, program functions, and challenges for the care coordinator. J Gerontol Nurs 2011;37:38–46. 10.3928/00989134-20110706-02
    1. U.S. Center for Medicare and Medicaid Services. HCAHPS: patient's perspectives of care surve. (accessed 30 Apr 2017).
    1. Cambridge Dictionary Effective. (accessed 30 Apr 2017).
    1. Efficient. (accessed 30 Apr2017).

Source: PubMed

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