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Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine

Agathoklis Efthymiadis, Edward JM Hart, Alexandra M Guy, Rebecca Harry, Tharani Mahesan, Wissam Abou Chedid, Santiago Uribe-Lewis and Matthew JA Perry
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DOI: https://doi.org/10.7861/fhj.2020-0076
Future Healthc J October 2020
Agathoklis Efthymiadis
AGuildford, UK
Roles: senior house officer Stokes Centre for Urology
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Edward JM Hart
AGuildford, UK
Roles: senior house officer Stokes Centre for Urology
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Alexandra M Guy
AGuildford, UK
Roles: senior house officer Stokes Centre for Urology
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Rebecca Harry
BStokes Centre for Urology, Guildford, UK
Roles: doctor's assistant
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Tharani Mahesan
CStokes Centre for Urology, Guildford, UK
Roles: urology registrar
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  • For correspondence: tharani.mahesan@nhs.net
Wissam Abou Chedid
DStokes Centre for Urology, Guildford, UK
Roles: senior urology fellow
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Santiago Uribe-Lewis
EStokes Centre for Urology, Guildford, UK
Roles: clinical scientist
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Matthew JA Perry
FStokes Centre for Urology, Guildford, UK
Roles: consultant urological surgeon
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ABSTRACT

Objective To evaluate urology patient satisfaction with telephone consultations during the COVID-19 pandemic.

Methods All patients who received a telephone appointment in a 1-month period were invited to complete a questionnaire. An adaption of the Telehealth Satisfaction Scale (TeSS) was used. Patient responses were compared based on type of clinic, age and gender.

Results 119 questionnaires were completed. The majority of responses to the adapted TeSS (Q1–7) were graded as ‘Excellent’, ranging from 79 (66%) to 112 (94%). ‘Agree’ responses ranged from 92 (77%) to 117 (98%) for questions (Q8–12), indicating high satisfaction. Patients consulted in post radical prostatectomy and PSA surveillance clinics gave a significantly greater number of ‘Excellent’ or ‘Agree’ responses. Older age was associated with a significantly greater number of ‘Agree’ responses to one item only. Responses were not affected by gender.

Conclusion Our study demonstrates high overall satisfaction with the use of telephone consultations among urology patients. For some patients, telephone consultations are more suitable and may be utilised more frequently in the future. However, it is clear that in selected cases face-to-face consultations are required for safe, comprehensive clinical assessment.

KEYWORDS
  • Telemedicine
  • teleurology
  • SARS-CoV-2
  • COVID-19
  • coronavirus
  • © Royal College of Physicians 2020. All rights reserved.
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Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine
Agathoklis Efthymiadis, Edward JM Hart, Alexandra M Guy, Rebecca Harry, Tharani Mahesan, Wissam Abou Chedid, Santiago Uribe-Lewis, Matthew JA Perry
Future Healthc J Oct 2020, fhj.2020-0076; DOI: 10.7861/fhj.2020-0076

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Are telephone consultations the future of the NHS? The outcomes and experiences of an NHS urological service in moving to telemedicine
Agathoklis Efthymiadis, Edward JM Hart, Alexandra M Guy, Rebecca Harry, Tharani Mahesan, Wissam Abou Chedid, Santiago Uribe-Lewis, Matthew JA Perry
Future Healthc J Oct 2020, fhj.2020-0076; DOI: 10.7861/fhj.2020-0076
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