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.

Frontiers in Pediatrics
|December 13, 2021
PubMed

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.

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