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- W4213019753 abstract "To explore differences in decision-making, patient experience, and satisfaction among women undergoing telemedicine or in-person pre-operative visits. We performed a qualitative study of English-speaking women who underwent a pre-operative appointment with a urogynecologist (FPMRS) or minimally invasive gynecologic (MIGS) surgeon at a single academic institution from April to May of 2021. We excluded women who did not undergo their planned surgery or were not at least six weeks post-op. Potential subjects were identified via chart review and randomly invited to participate in a semi-structured phone interview utilizing an interview guide. Questions focused on visit content, visit type and preference, decision-making, surgical preparedness/confidence, and past surgical experiences. Interviews were transcribed into text, coded, and thematically organized. After independent review by two researchers, discrepancies in coding were discussed for internal validation. Using grounded theory and the constant comparative method, additional interviews were conducted until theoretical saturation was achieved. Eighty-two potential subjects were identified and 30 contacted for interview. Eight could not be reached and two declined participation. Subjects were evenly divided between in-person and telemedicine visits. Nine patients underwent FMPRS surgery, and 11 underwent MIGS surgery. Mean interview length was 15 minutes. Theoretical saturation was achieved after 20 interviews. Major themes included visit content, experience/quality, surgeon perception, and surgical preparedness. Advantages of telemedicine visits were convenience and safety while advantages of in-person visits were social factors, congruence with perceived medical or surgical severity, and having a physical exam. Disadvantages for telemedicine visits included technology concerns and difficulty accessing pre-operative materials while the disadvantage of an in-person visit was the inability to have family present for support. Regardless of visit type, patients felt prepared for surgery and reported high satisfaction with their care. Almost all subjects described the COVID-19 pandemic as influential in selecting the visit type or timing of their visit and/or surgery. Many patients expressed openness to telemedicine if they had established a strong relationship with their surgeon prior to the pre-operative visit. Decision-making for selecting an in-person or telemedicine visit is complex and involves balancing multiple advantages and disadvantages. Establishing a strong relationship with patients in the office during initial evaluation may increase patient willingness to utilize telemedicine for pre-operative planning." @default.
- W4213019753 created "2022-02-24" @default.
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- W4213019753 date "2022-03-01" @default.
- W4213019753 modified "2023-10-18" @default.
- W4213019753 title "Exploring patient perspectives surrounding telemedicine versus in-person pre-operative visits" @default.
- W4213019753 doi "https://doi.org/10.1016/j.ajog.2021.12.062" @default.
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