Patient satisfaction with telemedicine in acute care setting: A systematic review

Background: Telemedicine has revolutionized healthcare services with its unprecedented abilities to connect patients with healthcare professional across the distances. Patient satisfaction is an important measure of the quality and effectiveness of healthcare services.
Aim: The goal of this systematic review is to investigate patient satisfaction with telemedicine in acute care setting.
Methods and results: Four sources of data were searched: PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, and Web of Science. We used the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) as our basis of organization. Our analysis has showed that acute telemedicine was effective in managing a broad spectrum of acute medical conditions while achieving high levels of patient satisfaction.
Conclusion: Patient satisfaction is a complex product of expectations and experiences. Furthermore, it is an important indicator of the quality of the service. Despite the challenging nature of acute medicine, telemedicine services were successful in improving the quality of the service and achieving high levels of patient satisfaction.
Relevance for patients: Telemedicine is rapidly evolving as an essential component of our healthcare system. Implementing telemedicine in acute care is a relatively new concept and patient satisfaction in these settings needs to be evaluated.
[1] Perednia DA, Allen A. Telemedicine Technology and Clinical Applications. JAMA 1995;273:483-8.
[2] Vianello A, Savoia F, Pipitone E, Nordio B, Gallina G, Paladini L, et al. “Hospital at Home” for Neuromuscular Disease Patients with Respiratory Tract Infection: A Pilot Study. Respir Care 2013;58:2061-8.
[3] Qaddoura A, Yazdan-Ashoori P, Kabali C, Thabane L, Haynes RB, Connolly SJ, et al. Efficacy of Hospital at Home in Patients with Heart Failure: A Systematic Review and Meta-Analysis. PLoS One 2015;10:e0129282.
[4] Kruse CS, Krowski N, Rodriguez B, Tran L, Vela J, Brooks M. Telehealth and Patient Satisfaction: A Systematic Review and Narrative Analysis. BMJ Open 2017;7:e016242.
[5] Ng JH, Luk BH. Patient Satisfaction: Concept Analysis in the Healthcare Context. Patient Educ Couns 2019;102:790-6.
[6] Fitzpatrick R. Surveys of Patients Satisfaction: I--Important General Considerations. BMJ 1991;302:887-9.
[7] Ojo AI. Validation of the DeLone and McLean Information Systems Success Model. Healthc Inform Res 2017;23:60-6.
[8] American College of Emergency Physicians. Definition of Boarded Patient: Policy Statements. Texas, United States: American College of Emergency Physicians; 2011, 2021. Available from: www.acep.org
[9] Centers for Disease Control and Prevention. Statistics National Center for Farmworker Health. Health Care Expenditures: Health Care Expenditures. Georgia, United States: Centers for Disease Control and Prevention; 2019, 2021.
[10] McKenna P, Heslin SM, Viccellio P, Mallon WK, Hernandez C, Morley EJ. Emergency Department and Hospital Crowding: Causes, Consequences, and Cures. Clin Exp Emerg Med 2019;6:189-95.
[11] Orlando JF, Beard M, Kumar S. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PloS one 2019;14:e0221848.
[12] Using Telemedicine to Address Crowding in the ED. Hosp Case Manag 2016;24:173-5.
[13] Marchell R, Locatis C, Burgess G, Maisiak R, Liu WL, Ackerman M. Patient and provider satisfaction with teledermatology. Telemed J E Health 2017;23:684-90.
[14] Keehan SP, Cuckler GA, Poisal JA, Sisko AM, Smith SD, Madison AJ, et al. National Health Expenditure Projections, 2019-28: Expected Rebound In Prices Drives Rising Spending Growth. Health affairs (Project Hope) 2020;39:704-714.
[15] Hernandez C, Aibar J, Seijas N, Puig I, Alonso A, GarciaAymerich J, et al. Implementation of home hospitalization and early discharge as an integrated care service: A ten years pragmatic assessment. Int J Integr Care 2018;18:12.
[16] Jakobsen AS, Laursen LC, Rydahl-Hansen S, Ostergaard B, Gerds TA, Emme C, et al. Home-based telehealth hospitalization for exacerbation of chronic obstructive pulmonary disease: findings from “the virtual hospital” trial. Telemedicine journal and e-health: the official journal of the American Telemedicine Association 2015;21:364-373.
[17] Mashru J, Kirlew M, Saginur R, Schreiber YS. Management of infectious diseases in remote northwestern Ontario with telemedicine videoconference consultations. Journal of telemedicine and telecare 2017;23:83-87.
[18] McIntosh S, Cirillo D, Wood N, Dozier AM, Alarie C, McConnochie KM. Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods. Telemedicine journal and e-health: the official journal of the American Telemedicine Association 2014;20:1121-1126.
[19] Mendez I, Jong M, Keays-White D, Turner G. The use of remote presence for health care delivery in a northern inuit community: A feasibility study. Int J Circumpolar Health 2013;72:???.
[20] Polinski JM, Barker T, Gagliano N, Sussman A, Brennan TA, Shrank WH. Patients’ satisfaction with and preference for telehealth visits. J Gen Intern Med 2016;31:269-75.
[21] Shah MN, Morris D, Jones CMC, Gillespie SM, Nelson DL, McConnochie KM, et al. A Qualitative Evaluation of a Telemedicine-Enhanced Emergency Care Program for Older Adults. Journal of the American Geriatrics Society 2013;61:571-576.
[22] Summerfelt WT, Sulo S, Catanzano K, Robinson A, Chess D. Scalable hospital at home with virtual physician visits: Pilot study. American Journal of Managed Care 2015;21:675-684.
[23] Sykora R, Renza M, Ruzicka J, Bakurova P, Kukacka M, Smetana J, et al. Audiovisual Consults by Paramedics to Reduce Hospital Transport After Low-Urgency Calls: Randomized Controlled Trial. Prehospital and disaster medicine 2020;35:656-662.
[24] Téot L, Geri C, Lano J, Cabrol M, Linet C, Mercier G. Complex wound healing outcomes for outpatients receiving care via telemedicine, home health, or wound clinic: A randomized controlled trial. Int J Low Extrem Wounds 2020;19:197-204.
[25] Thomas JF, Novins DK, Hosokawa PW, Brent AS, Olson CA, Libby AM, et al. The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies. Psychiatric Services 2018;69:161-168.
[26] Vitacca M, Paneroni M, Trainini D, Bianchi L, Assoni G, Saleri M, et al. At home and on demand mechanical cough assistance program for patients with amyotrophic lateral sclerosis. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists 2010;89:401-406.
[27] McIntosh S, Cirillo D, Wood N, Dozier AM, Alarie C, McConnochie KM. Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods. Telemed J E Health 2014;20:1121-6.
[28] Mashru J, Kirlew M, Saginur R, Schreiber YS. Management of infectious diseases in remote Northwestern Ontario with telemedicine videoconference consultations. J Telemed Telecare 2017;23:83-7. [29] Hernández C, Aibar J, Seijas N, Puig I, Alonso A, Garcia-Aymerich J, et al. Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment. Int J Integr Care 2018;18:12.
[30] Jakobsen AS, Laursen LC, Rydahl-Hansen S, Ostergaard B, Gerds TA, et al. Home-based telehealth hospitalization for exacerbation of chronic obstructive pulmonary disease: Findings from “the virtual hospital” trial. Telemed J E Health 2015;21:364-73.
[31] Summerfelt WT, Sulo S, Catanzano K, Robinson A, Chess D. Scalable hospital at home with virtual physician visits: Pilot study. Am J Manag Care 2015;21:675-84.
[32] Vitacca M, Paneroni M, Trainini D, Bianchi L, Assoni G, Saleri M, et al. At home and on demand mechanical cough assistance program for patients with amyotrophic lateral sclerosis. Am J Phys Med Rehabil 2010;89:401-6.
[33] Teot L, Mercier G, Geri C, Lano J, Cabrol M, Linet C. Complex Wound Healing Outcomes for Outpatients Receiving Care via Telemedicine, Home Health, or Wound Clinic: A Randomized Controlled Trial. International Journal of Lower Extremity Wounds 2020;19:197-204.
[34] Thomas JF, Novins DK, Hosokawa PW, Brent AS, Olson CA, Libby AM, et al. The use of telepsychiatry to provide cost-efficient care during pediatric mental health emergencies. Psychiatr Serv 2018;69:161-8.
[35] Mendez I, Jong M, Keays-White D, Turner G. The use of remote presence for health care delivery in a northern Inuit community: a feasibility study. International Journal of Circumpolar Health 2013;72:381-388.
[36] Polinski J, Barker T, Gagliano N, Sussman A, Brennan T, Shrank W, et al. Patients’ Satisfaction with and Preference for Telehealth Visits. JGIM: Journal of General Internal Medicine 2016;31:269-275.
[37] Sykora R, Renza M, Ruzicka J, Bakurova P, Kukacka M, Smetana J, et al. Audiovisual consults by paramedics to reduce hospital transport after low-urgency calls: Randomized controlled trial. Prehosp Disaster Med 2020;35:656-62.
[38] Merkouris A, Ifantopoulos J, Lanara V, Lemonidou C. Patient satisfaction: a key concept for evaluating and improving nursing services. Journal of nursing management 1999;7:19-28.
[39] Thompson AG, Suñol R. Expectations as determinants of patient satisfaction: concepts, theory and evidence. International journal for quality in health care: journal of the International Society for Quality in Health Care 1995;7:127-141.
[40] Nguyen M, Waller M, Pandya A, Portnoy J. A Review of Patient and Provider Satisfaction with Telemedicine. Current allergy and asthma reports 2020;20:72.
[41] Mahon PY. An analysis of the concept ‘patient satisfaction’ as it relates to contemporary nursing care. Journal of advanced nursing 1996;24:1241-1248.
[42] Hall JA, Dornan MC. Meta-analysis of satisfaction with medical care: description of research domain and analysis of overall satisfaction levels. Social science & medicine (1982) 1988;27:637-644.
[43] Garcia R, Adelakun O. A Conceptual Framework and Pilot Study for Examining Telemedicine Satisfaction Research. Journal of medical systems 2019;43:51.
[44] Bashshur RL, Howell JD, Krupinski EA, Harms KM, Bashshur N, Doarn CR. The Empirical Foundations of Telemedicine Interventions in Primary Care. Telemedicine journal and e-health: the official journal of the American Telemedicine Association. 2016;22:342-375.
[45] Scott Kruse C, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: A systematic review. Journal of telemedicine and telecare 2018;24:4-12.
[46] Linkous J. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary.: National Academies Press (US); 2012 [Available from: https:// www.ncbi.nlm.nih.gov/books/NBK207146/.