Patient and Provider Experience With Cystic Fibrosis Telemedicine Clinic
Kalen Hendra1, Fatima Neemuchwala1,2, Marilynn Chan1,2
1UCSF Benioff Children's Hospital Oakland, Oakland, CA, United States.
Insights
Most cystic fibrosis (CF) patients, families, and providers were satisfied with telemedicine during the COVID-19 pandemic and wish to continue virtual visits. Telemedicine offers benefits like reduced travel and costs, but digital access disparities must be addressed.
Area of Science:
- Medical Informatics
- Public Health
- Patient Care
Background:
- The COVID-19 pandemic necessitated a shift from in-person to telemedicine visits for cystic fibrosis (CF) care.
- UCSF Benioff Children's Hospital transitioned all CF appointments to virtual consultations.
Purpose of the Study:
- To evaluate patient, family, and provider experiences with telemedicine during the pandemic.
- To assess the future interest in telemedicine for CF management.
- To identify benefits and challenges of virtual healthcare delivery in CF.
Main Methods:
- An anonymous 11-question survey was administered to CF patients, families, and providers in late 2020.
- Response rates were 64% for families (46/72) and 96% for providers (24/25).
Main Results:
- High satisfaction reported: 80% of families and 88% of providers were satisfied with telemedicine.
- Strong preference for future use: 72% of families and 88% of providers desired continued telemedicine visits.
- Significant interest in hybrid care: 87% of families and 90% of providers preferred at least two annual visits via telemedicine.
- Zoom platform satisfaction was high (76% families, 92% providers).
Conclusions:
- Telemedicine is a well-accepted modality for cystic fibrosis care, offering convenience and safety.
- Future CF care models should incorporate telemedicine, balancing virtual and in-person visits.
- Addressing digital divides (language, internet access) is crucial to prevent exacerbating health disparities.
Abstract:
In response to the novel coronavirus (COVID-19) pandemic, all in-person cystic fibrosis (CF) appointments were converted to telemedicine visits at UCSF Benioff Children's Hospital. The purpose of our study was to learn about the experiences that patients, families, and providers had with telemedicine visits and to assess their interest in using telemedicine in the future. Our hypothesis was that most patients, families, and providers want to continue telemedicine visits in the future. An anonymous 11-question survey was distributed to patients, families, and providers in November and December 2020. The survey was completed by 46 of 72 families (64% response rate) and 24 of 25 providers (96% response rate). Thirty-seven families (80%) and 21 providers (88%) were satisfied with their telemedicine experience. Thirty-three families (72%) want to have telemedicine visits in the future. Thirty-five families (76%) and 22 providers (92%) were satisfied with their experience using Zoom. Forty families (87%) and 19 providers (90%) want 2 or more visits each year to be via telemedicine. Our study showed that most families and providers were satisfied with telemedicine, would like to continue using telemedicine, and prefer to have at least 2 of the 4 recommended annual CF visits via telemedicine. Our survey identified the following benefits to telemedicine: decreased travel time, decreased cost, and avoiding exposure to COVID. However, we need to ensure that we do not exacerbate existing health disparities for families that do not speak English and/or do not have the internet capabilities to support telemedicine technology.
More Related Videos
Related Concept Videos
Cystic Fibrosis: Management
Sinus disease and chronic...
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
Patient-centered Care
Chest Physiotherapy
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Pulmonary Tuberculosis V
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...


