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The impact of the coronavirus (COVID-19) pandemic on elective paediatric otolaryngology outpatient services - An analysis of virtual outpatient clinics in a tertiary referral centre using the modified paediatric otolaryngology telemedicine satisfaction survey (POTSS).
Int J Pediatr Otorhinolaryngol. 2020 Nov; 138:110383.IJ

Abstract

INTRODUCTION

Virtual outpatient clinics (VOPC) have been integrated into both paediatric and based adult outpatient services due to a multitude of factors, including increased demand for services, technological advances and rising morbidity secondary to ageing populations. The novel coronavirus disease (COVID-19) has accentuated pressures on the National Health Service (NHS) infrastructure, particularly elective services, whilst radically altering patterns of practice.

AIM

To evaluate the impact of the COVID-19 pandemic on paediatric otolaryngology outpatient services whilst collating patient feedback to elicit long-term sustainability post COVID-19.

METHOD

A retrospective analysis of VOPCs was undertaken at a tertiary paediatric referral centre over a 3-month capture period during the COVID-19 pandemic. Demographic, generic clinic (presenting complaint, new vs. follow-up, consultation type), as well as outcome data (medical or surgical intervention, discharge vs. ongoing review, onward referral, investigations, and conversion to face-to-face) was collated. Additionally a modified 15-point patient satisfaction survey was created. The Paediatric Otolaryngology Telemedicine Satisfaction survey (POTSS), was an adaptation of 4 validated patient satisfaction tools including the General Medical Council (GMC) patient questionnaire, the telehealth satisfaction scale (TESS), the telehealth usability questionnaire (TUQ), and the telemedicine satisfaction and usefulness questionnaire (TSUQ).

RESULTS

Of 514 patients reviewed virtually over a 3-month period, 225 (45%) were randomly selected to participate, of which 200 met our inclusion criteria. The most common mode of consultation was telephony (92.5%, n = 185). Non-attendance rates were reduced when compared to face-to-face clinics during an equivalent period prior to the COVID-19 pandemic. A significant proportion of patients (29% compared to 26% pre-VOPC) were discharged to primary care. Nine percent were listed for surgery compared to 19% pre-VOPC. A subsequent face-to-face appointment was required in 10% of participants. Overall, the satisfaction when assessing the doctor-patient relationship, privacy & trust, as well as consultation domains was high, with the overwhelming majority of parents' content with the future integration and participation in VOPCs.

CONCLUSION

An evolving worldwide pandemic has accelerated the need for healthcare services to reform in order to maintain a steady flow of patients within an elective outpatient setting without compromising patient care. Solutions must be sustainable long-term to account for future disruptions, whilst accounting for evolving patient demographics. Our novel survey has demonstrated the vast potential that the integration of VOPCs can offer paediatric otolaryngology services within a carefully selected cohort of patients.

Authors+Show Affiliations

Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Adnandarr@doctors.org.uk.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Andrew.senior1@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Kalliopi.argyriou@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Jack.limbrick@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Ada.kantczak@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Kate.stephenson2@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Amit.parmar1@nhs.net.Birmingham Women's and Children's NHS Foundation Trust, United Kingdom. Electronic address: Joe.grainger1@nhs.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33152974

Citation

Darr, Adnan, et al. "The Impact of the Coronavirus (COVID-19) Pandemic On Elective Paediatric Otolaryngology Outpatient Services - an Analysis of Virtual Outpatient Clinics in a Tertiary Referral Centre Using the Modified Paediatric Otolaryngology Telemedicine Satisfaction Survey (POTSS)." International Journal of Pediatric Otorhinolaryngology, vol. 138, 2020, p. 110383.
Darr A, Senior A, Argyriou K, et al. The impact of the coronavirus (COVID-19) pandemic on elective paediatric otolaryngology outpatient services - An analysis of virtual outpatient clinics in a tertiary referral centre using the modified paediatric otolaryngology telemedicine satisfaction survey (POTSS). Int J Pediatr Otorhinolaryngol. 2020;138:110383.
Darr, A., Senior, A., Argyriou, K., Limbrick, J., Nie, H., Kantczak, A., Stephenson, K., Parmar, A., & Grainger, J. (2020). The impact of the coronavirus (COVID-19) pandemic on elective paediatric otolaryngology outpatient services - An analysis of virtual outpatient clinics in a tertiary referral centre using the modified paediatric otolaryngology telemedicine satisfaction survey (POTSS). International Journal of Pediatric Otorhinolaryngology, 138, 110383. https://doi.org/10.1016/j.ijporl.2020.110383
Darr A, et al. The Impact of the Coronavirus (COVID-19) Pandemic On Elective Paediatric Otolaryngology Outpatient Services - an Analysis of Virtual Outpatient Clinics in a Tertiary Referral Centre Using the Modified Paediatric Otolaryngology Telemedicine Satisfaction Survey (POTSS). Int J Pediatr Otorhinolaryngol. 2020;138:110383. PubMed PMID: 33152974.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of the coronavirus (COVID-19) pandemic on elective paediatric otolaryngology outpatient services - An analysis of virtual outpatient clinics in a tertiary referral centre using the modified paediatric otolaryngology telemedicine satisfaction survey (POTSS). AU - Darr,Adnan, AU - Senior,Andrew, AU - Argyriou,Kalliopi, AU - Limbrick,Jack, AU - Nie,Huimin, AU - Kantczak,Ada, AU - Stephenson,Kate, AU - Parmar,Amit, AU - Grainger,Joe, Y1 - 2020/09/24/ PY - 2020/07/21/received PY - 2020/09/08/revised PY - 2020/09/09/accepted PY - 2020/11/6/entrez PY - 2020/11/7/pubmed PY - 2020/11/18/medline KW - COVID-19 KW - Clinic KW - Otolaryngology KW - Survey KW - Telemedicine KW - Virtual SP - 110383 EP - 110383 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 138 N2 - INTRODUCTION: Virtual outpatient clinics (VOPC) have been integrated into both paediatric and based adult outpatient services due to a multitude of factors, including increased demand for services, technological advances and rising morbidity secondary to ageing populations. The novel coronavirus disease (COVID-19) has accentuated pressures on the National Health Service (NHS) infrastructure, particularly elective services, whilst radically altering patterns of practice. AIM: To evaluate the impact of the COVID-19 pandemic on paediatric otolaryngology outpatient services whilst collating patient feedback to elicit long-term sustainability post COVID-19. METHOD: A retrospective analysis of VOPCs was undertaken at a tertiary paediatric referral centre over a 3-month capture period during the COVID-19 pandemic. Demographic, generic clinic (presenting complaint, new vs. follow-up, consultation type), as well as outcome data (medical or surgical intervention, discharge vs. ongoing review, onward referral, investigations, and conversion to face-to-face) was collated. Additionally a modified 15-point patient satisfaction survey was created. The Paediatric Otolaryngology Telemedicine Satisfaction survey (POTSS), was an adaptation of 4 validated patient satisfaction tools including the General Medical Council (GMC) patient questionnaire, the telehealth satisfaction scale (TESS), the telehealth usability questionnaire (TUQ), and the telemedicine satisfaction and usefulness questionnaire (TSUQ). RESULTS: Of 514 patients reviewed virtually over a 3-month period, 225 (45%) were randomly selected to participate, of which 200 met our inclusion criteria. The most common mode of consultation was telephony (92.5%, n = 185). Non-attendance rates were reduced when compared to face-to-face clinics during an equivalent period prior to the COVID-19 pandemic. A significant proportion of patients (29% compared to 26% pre-VOPC) were discharged to primary care. Nine percent were listed for surgery compared to 19% pre-VOPC. A subsequent face-to-face appointment was required in 10% of participants. Overall, the satisfaction when assessing the doctor-patient relationship, privacy & trust, as well as consultation domains was high, with the overwhelming majority of parents' content with the future integration and participation in VOPCs. CONCLUSION: An evolving worldwide pandemic has accelerated the need for healthcare services to reform in order to maintain a steady flow of patients within an elective outpatient setting without compromising patient care. Solutions must be sustainable long-term to account for future disruptions, whilst accounting for evolving patient demographics. Our novel survey has demonstrated the vast potential that the integration of VOPCs can offer paediatric otolaryngology services within a carefully selected cohort of patients. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/33152974/The_impact_of_the_coronavirus__COVID_19__pandemic_on_elective_paediatric_otolaryngology_outpatient_services___An_analysis_of_virtual_outpatient_clinics_in_a_tertiary_referral_centre_using_the_modified_paediatric_otolaryngology_telemedicine_satisfaction_survey__POTSS__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(20)30526-7 DB - PRIME DP - Unbound Medicine ER -