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Innovations in the Plastic Surgery Care Pathway: Using Telemedicine for Clinical Efficiency and Patient Satisfaction.
Christopher D Funderburk1, Nicole S Batulis1, Justin T Zelones1
1From the Division of Plastic Surgery and The Value Institute Learning Center, Dartmouth-Hitchcock Medical Center; the Geisel School of Medicine at Dartmouth; and Yale Plastic and Reconstructive Surgery.
Postoperative telehealth visits significantly improved patient satisfaction, with nearly 100% satisfied and willing to use the service again. This remote care approach enhances efficiency and patient convenience.
Area of Science:
- Healthcare technology
- Quality improvement methodologies
- Patient outcomes
Background:
- Telemedicine facilitates remote clinical communication, addressing challenges of distance and missed work for postoperative patients.
- Implementing telehealth aims to optimize efficiency and enhance patient satisfaction in postoperative care.
- Postoperative visits often involve significant patient travel and time away from work.
Purpose of the Study:
- To develop and evaluate a telehealth workflow for postoperative patient visits.
- To assess patient satisfaction with remote postoperative care.
- To optimize efficiency and patient experience using quality improvement methods.
Main Methods:
- Utilized quality improvement methods, including Lean Six Sigma, to design a postoperative telehealth workflow.
- Enrolled 72 patients for the telehealth study.
- Administered preoperative surveys on technology comfort and telehealth interest, and postoperative surveys on satisfaction.
Main Results:
- Preoperative surveys indicated a majority preference (73%) for in-person visits.
- Postoperative surveys revealed high patient satisfaction (nearly 100%) with the telehealth experience.
- 96% of patients reported their questions were answered, and 97% would use telehealth again.
Conclusions:
- Telehealth encounters facilitate real-time clinical decision-making and reduce patient transportation needs and wait times.
- Despite initial hesitancy, most patients expressed high satisfaction with postoperative telehealth visits.
- The study demonstrates the effectiveness of telehealth in improving patient experience and access to care.
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