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Quality in Clinical Consultations: A Cross-Sectional Study.

Anneke Graf1, Chan Hee Koh2, Gordon Caldwell3

  • 1Department of Endocrinology, University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK.

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Summary
This summary is machine-generated.

The coronavirus disease 2019 pandemic negatively impacted clinical consultation quality, with telemedicine consultations scoring lower than face-to-face visits. Higher quality consultations correlated with increased patient and clinician satisfaction and better outcomes.

Keywords:
COVID-19 pandemicclinical consultationsqualitytelemedicine

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Area of Science:

  • Clinical Medicine
  • Health Services Research

Background:

  • The COVID-19 pandemic prompted a rapid shift towards telemedicine, potentially affecting the quality of healthcare delivery.
  • Assessing outpatient consultation quality is crucial for understanding patient care during and after the pandemic.

Purpose of the Study:

  • To evaluate outpatient consultation quality using 10 indicators.
  • To determine the impact of telemedicine adoption on consultation quality.
  • To investigate the association between consultation quality, patient/clinician satisfaction, and consultation outcomes.

Main Methods:

  • A cross-sectional study surveyed patients and clinicians post-consultation between February 1 and March 31, 2021.
  • Consultation quality was measured using a Consultation Quality Score (CQS) based on 10 quality indicators.
  • Statistical analysis examined differences in CQS between face-to-face and telemedicine consultations and associations with satisfaction and outcomes.

Main Results:

  • Face-to-face consultations demonstrated a significantly higher CQS compared to telephone consultations (p < 0.001).
  • A higher CQS was strongly associated with increased overall satisfaction for both patients (p < 0.001) and clinicians (p = 0.004).
  • Improved consultation quality also correlated with more definitive consultation outcomes (p = 0.03).

Conclusions:

  • Consultation quality is measurable and can be assessed using defined indicators.
  • The shift to telemedicine during the pandemic has negatively affected outpatient consultation quality.
  • High-quality consultations are linked to greater satisfaction and more conclusive decision-making regarding patient outcomes.