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Related Experiment Videos

Telerounding and patient satisfaction after surgery.

Lars M Ellison1, Peter A Pinto, Fernando Kim

  • 1Brady Urological Institute, Johns Hopkins Medical Institution, Baltimore, MD, USA.

Journal of the American College of Surgeons
|September 30, 2004
PubMed
Summary

Telemedicine, specifically telerounds (remote video conferencing), significantly improved patient satisfaction with postoperative care. This technology enhances communication and care coordination for hospitalized patients.

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Area of Science:

  • Medical Informatics
  • Health Services Research
  • Surgical Care

Background:

  • Technological advancements have spurred telemedicine adoption, primarily for outpatient management.
  • This study investigates telemedicine's role in inpatient postoperative care.

Purpose of the Study:

  • To assess the impact of remote video conferencing (telerounds) during the immediate postoperative period on patient-reported satisfaction.
  • To compare patient satisfaction across different telerounding models (additional vs. substituted visits).

Main Methods:

  • 85 patients undergoing urologic procedures were randomized into three postoperative care groups: standard bedside rounds, bedside rounds plus telerounds, or substituted bedside rounds with telerounding.
  • Patient satisfaction was measured using a validated survey two weeks post-discharge.

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Main Results:

  • Patients in telerounding arms reported significant improvements in examination thoroughness, quality of discussions, care coordination, and physician availability.
  • Robotic telerounding specifically showed higher satisfaction with physician availability.
  • Improvements persisted after adjusting for patient age.

Conclusions:

  • Telerounding, whether as an adjunct or substitute for bedside rounds, enhances patient satisfaction in postoperative care.
  • Telemedicine effectively facilitates physician-patient communication in the hospital setting.