Bisola Ajayi

Bisola Ajayi


  • Bisola Ajayi
  • Darren Lui
  • Jason Bernard
  • Timothy Bishop
  • Adrian Fairbanks
  • Jonathan Bell

Submitted on 2020-09-12

Introduction Telephone consultations (TC) and video consultations (VC) between physicians and patients are increasingly utilised in replacement of conventional face to face (F2F) consultations. The coronavirus pandemic has created an increase in remote consultations (RC) in healthcare due to imposed isolation to help reduce the spread of the virus. We aim to explore patients’ experience and satisfaction of TC and VC (televidimedicine) in the delivery of healthcare at Wimbledon clinics London. Methods We analysed patient experience of televidimedicine (TVM) on Elective Orthopaedic patients at Wimbledon clinics. After the lockdown occurred, participating patients had remote consultations over a 2 month period during the COVID-19 pandemic. Telephone, Webex ™, Zoom ™, MS Teams ™ and Skype ™ were utilised. They were emailed questionnaires to give their feedback. Results Of the 334 questionnaires sent, 152 were suitable. 84 patients had TC and 68 patients had VC. There was a similar distribution in gender and similar mean ages (TC: 59.3 [range 22-88]; VC: 58 [range 15-85]). 46% of patients found TVM acceptable (VC: 48.5%; TC: 44%) with 57% of new patients (VC: 59%; TC; 55%) and 40% of post-operative patients (VC: 44%; TC: 37%) found TVM acceptable. Overall, patients found VC (48.5%) more acceptable than TC (44%). 98% of patients found TVM worthwhile (VC: 100%; TC: 96%). 94% of new patients and 79% of post-operative patients found TVM was worthwhile or very worthwhile. Overall, patients found VC (94%) more worthwhile or very worthwhile than TC (80%). Conclusion It is well documented that remote healthcare is beneficial and telemedicine is well established for clinical practice and even for surgical procedures. We show that TVM in orthopaedic outpatients at Wimbledon clinics is suitable as a replacement for F2F consultations in the new social landscape created by COVID-19. Both consultation types were acceptable. The utilisation of Zoom, MS Teams, Skype and Webex has become household names during coronavirus pandemic. Further analysis needs to be conducted in order to explore patient safety, the impact on resources and clinician experience of TVM in order to appreciate what is increasingly the new normal.

© 2018-2020 Researchers.One