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A Web-Based Interactive Patient-Provider Software Platform Does Not Increase Patient Satisfaction or Decrease

Anabelle T Visperas1, Kenneth A Greene1, Viktor E Krebs1

  • 1Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH.

The Journal of Arthroplasty
|February 14, 2021
PubMed
Summary

Adding a web-based interactive patient-provider software platform (IPSP) to standard care did not significantly improve patient satisfaction or healthcare resource utilization after knee or hip replacement surgery. Further evaluation of IPSP as part of virtual care is recommended.

Keywords:
interactive patient-provider software platformpatient satisfactiontotal hip arthroplastytotal joint arthroplastytotal knee arthroplasty

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Area of Science:

  • Digital Health
  • Health Services Research
  • Orthopedic Surgery

Background:

  • Web-based platforms are being explored to enhance patient-provider communication, aiming to improve satisfaction, care delivery, and reduce costs.
  • This study focused on the JointCOACH interactive patient-provider software platform (IPSP), designed for patient communication and pre/post-operative guidance.
  • The research specifically investigated the impact of IPSP on patients undergoing total knee and hip replacements.

Purpose of the Study:

  • To compare patient satisfaction between standard of care (SOC) and SOC + IPSP groups.
  • To evaluate differences in healthcare resource utilization for patients receiving SOC versus SOC + IPSP.
  • To assess the effectiveness of an interactive patient-provider software platform in orthopedic surgery outcomes.

Main Methods:

  • A prospective, randomized clinical trial involving 399 patients undergoing elective total hip or knee arthroplasty.
  • Patients were randomized into two groups: standard of care (SOC) and SOC + interactive patient-provider software platform (IPSP).
  • Outcomes measured included patient satisfaction (Visual Analog Scale, Picker Patient Experience-15) and healthcare utilization (length of stay, ED visits, readmissions) at 30 and 90 days post-surgery.

Main Results:

  • No statistically significant differences were observed in length of stay between the SOC and SOC + IPSP groups.
  • Patient satisfaction levels at 30 and 90 days did not differ significantly between the two study arms.
  • Healthcare resource utilization, including office visits, emergency department visits, phone calls, and readmissions, showed no significant differences between groups.

Conclusions:

  • The addition of IPSP to standard care did not yield statistically significant improvements in patient satisfaction or healthcare utilization for total knee and hip replacement patients.
  • IPSP can serve to reinforce patient education and communication but should be considered as a component of virtual care.
  • The study suggests evaluating IPSP as an element of virtual care, rather than a supplement to traditional in-office follow-up.