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Video consultations in community palliative care - patient satisfaction: mixed methods study
Jessica Lee1, Orfhlaith Mc Carthy2, Suzanne Ryan2
1Palliative Medicine, Marymount University Hospital and Hospice, Cork, Ireland jessicanicanlaoi@gmail.com.
BMJ Supportive & Palliative Care
|November 23, 2022
Summary
Patients reported high satisfaction with video consultations (VC) for community palliative care (CPC). While effective for discussing symptoms and medications, some areas like spirituality require further attention for virtual delivery.
Area of Science:
- Palliative Care
- Telehealth
- Patient Experience
Background:
- Community palliative care (CPC) traditionally relies on in-person visits.
- The COVID-19 pandemic accelerated the adoption of video consultation (VC) for CPC.
- Limited evidence exists on patient satisfaction with specific components of virtual palliative care.
Purpose of the Study:
- To assess patient satisfaction with video consultation (VC) in community palliative care (CPC).
- To identify patient experiences with technology, communication, and consultation content during virtual palliative care.
Main Methods:
- A mixed-methods study utilizing a telephone questionnaire.
- Satisfaction assessed across technology comfort, video communication, and palliative care components.
- Quantitative data analyzed descriptively; qualitative data analyzed thematically.
Main Results:
- 93% of patients were satisfied with VC; 100% felt able to communicate effectively.
- High satisfaction (90%) with discussing physical symptoms and medications.
- Dissatisfaction noted regarding the inability for physical examination (16%); spirituality discussions were less favorable.
Conclusions:
- Video consultation (VC) is a satisfactory modality for community palliative care (CPC) delivery.
- Patient satisfaction varies across different aspects of the virtual consultation.
- Findings inform future research and service development for telehealth in palliative care.
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