Efficiency and Satisfaction With Telephone Consultation in Neuro-urology: Experience of the COVID-19 Pandemic

NCT04341714 | Completed

• 1 other identifier: GREEN GRC01
• Study Type: observational
• Target: 450
• Locations: 1 country
• Sites: 1

Brief Summary

The COVID-19 pandemic has necessitated drastic measures in order to limit the spread of SARS-CoV-2. The stay home policies for the whole population and especially for frail patients and the express instruction to deprogram non-urgent consultations and interventions limited the clinic visits in neuro-urology department. In this context, telemedicine was seen as a pragmatic solution to provide follow-up care for our neurologic patients. Due to the delay in deploying telemedicine and the cognitive impairment of some of our patients, telephone consultation has been prioritized. The COVID-19 pandemic might be an opportunity to review and refine our practices in neuro-urology. For the follow-up of selected patients, telephone consultations may be efficient and cost effective. The aim of the study is to assess the efficiency and the satisfaction with telephone consultation for the physician and the patient. The study was conducted in a neuro-urology department of a university hospital in France. During the stay-home policies for the COVID-19 pandemic, all the scheduled medical visits were converted into telephone consultation. New patients weren't included. For each teleconsultation, the physician assess the duration of the consultation, the number of tries to join the patient, the efficiency of the consultation, the difficulty to obtain relevant information due to the phone way of the consultation and the lack of physical examination. On the next days, the patient was contacted by phone and was asked a) if he was satisfied of being phoned by the physician, b) if the teleconsultation was embarrassing, c) if he had enough time of teleconsultation d) if he got all the answers to his queries, e) if he would preferred to had a physical consultation f) to assessed the global satisfaction of the teleconsultation and g) if in the future, they may considered converting some clinic visits to teleconsultations. The physician and the patient assessed whether this teleconsultation has replaced a physical visit. The usual transport mode of the patient for a clinic visit and the need to take a day off for worker patients were recorded. The primary aim was to assess the efficiency and the satisfaction of the telephone consultation. The primary outcome was the evaluation of the efficiency of the telephone consultation by the physician on a numerical 10-points scale. The secondary outcome was the evaluation of the satisfaction of the telephone consultation by the patient on a numerical 10-points scale. Four hundred teleconsultations are scheduled for five physicians.

Conditions

Efficacy, Self; Satisfaction, Patient; Telemedicine

Keywords

telemedicine; neurourology; efficacy; satisfaction

Outcome Measures

Primary Outcomes (1)

• Efficiency of the telephone consultation

  The primary outcome was the evaluation of the efficiency of the telephone consultation by the physician on the numeric scale with 0 the worth efficiency and 10 the best efficiency.

  1 day

Secondary Outcomes (1)

• Satisfaction of the telephone consultation

  1 day

Study Arms (1)

patients enrolled

Patients with telephone consultation on neurourology department, age \> 18

Other: Satisfaction evaluation

Interventions

Satisfaction evaluation OTHER

Assessement of satisfaction of the telephone consultation

patients enrolled

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with telephone consultation in a tertiary center in neuro-urology

You may qualify if:

• Age ≥ 18 years old
• Telephone consultation

You may not qualify if:

• New patient in the department

Sponsors & Collaborators

• Pierre and Marie Curie University: lead

Study Sites (1)

Department of Neuro- Urology, Hôpital Tenon

Paris, 75020, France

Location

MeSH Terms

Conditions

Patient Satisfaction; Personal Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Gérard Amarenco, PhD

  Sorbonne Université, GRC 001, GREEN Groupe de Recherche en Neuro-Urologie, AP-HP, Hôpital Tenon, F-75020, Paris, France

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PHD

Study Record Dates

• First Submitted: April 8, 2020
• First Posted: April 10, 2020
• Study Start: March 16, 2020
• Primary Completion: May 30, 2020
• Study Completion: June 15, 2020
• Last Updated: June 15, 2021

Record last verified: 2021-06

Locations

FR (1)