Mp02-20 Urologists Express More Optimism for Video Visit Implementation Compared to Peer Surgeons

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety I (MP02)1 May 2024MP02-20 UROLOGISTS EXPRESS MORE OPTIMISM FOR VIDEO VISIT IMPLEMENTATION COMPARED TO PEER SURGEONS Ashwin J. Kulkarni, Anagha B. Thiagarajan, Ted A. Skolarus, Sarah L. Krein, and Chad Ellimoottil Ashwin J. KulkarniAshwin J. Kulkarni , Anagha B. ThiagarajanAnagha B. Thiagarajan , Ted A. SkolarusTed A. Skolarus , Sarah L. KreinSarah L. Krein , and Chad EllimoottilChad Ellimoottil View All Author Informationhttps://doi.org/10.1097/01.JU.0001008600.97797.3b.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: During the COVID-19 pandemic, surgical video visits accounted for 35% of new-patient visits, decreasing to just 3% by August 2021. Yet, 95% of surgical plans made during video visits remained the same after in person examination in urology. Considering the potential of video visits in surgical care, our team surveyed surgeons from different specialties to gauge attitudes and barriers to video visits in surgery. METHODS: A nationwide survey of surgeons from five surgical specialties (Cardiothoracic, General, Orthopedic, Otolaryngology, Urology) was conducted from August 2022 to June 2023. Survey questions with Likert scale response choices were based on four categories from the validated Tailored Implementation of Chronic Disease (TICD) framework: providers, patients, administration/leadership, and malpractice/reimbursement. To gauge significance (p<0.05), parametric analysis compared mean values between specialties using Welch's Two Sample T-tests with a 95% confidence interval. RESULTS: A total of 170 surgeons responded (24% response rate), including 36 urologists. Provider Factors: Overall, 89% of urologists reported using video visits in their current practice, compared to 42% of peer surgeons (p<0.01). Furthermore, 53% of urologists agreed their practice was motivated to implement video visits, while 23% of peer surgeons did (p<0.01). Once again, 53% of urologists agreed video visits can improve outcomes for some patients, while only 41% of peer surgeons agreed so (p<0.05). Patient Perception: While 38% of urologists agreed their patients perceive video visits as an equivalent standard of care to in-person visits, just 7% of peer surgeons agreed (p<0.01). Nearly 70% of urologists agreed video visits align with patient-centered care, with only 31% of peer surgeons agreeing (p<0.01). Administration/Leadership: Two in three (67%) urologists agreed their administration is supportive of video visit use, compared to 44% of peer surgeons (p<0.02). Malpractice/Reimbursement: One in three (33%) urologists agreed video visits pose greater malpractice risk than in-person visits, compared to 48% of peer surgeons (p<0.02). CONCLUSIONS: These findings suggest that urologists have better perceptions, higher motivation, and increased usage of video visits compared to their peers surgeons. Download PPT Source of Funding: This work was supported by the Agency for Healthcare Research and Quality, Rockville MD K08 HS027632 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e21 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Ashwin J. Kulkarni More articles by this author Anagha B. Thiagarajan More articles by this author Ted A. Skolarus More articles by this author Sarah L. Krein More articles by this author Chad Ellimoottil More articles by this author Expand All Advertisement PDF downloadLoading ...