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Patient and Doctor Experience

Updated: Apr 29

Tweetchat Summary

#TelemedNow Twitter Chat Wednesday, April 1 – 8 PM ET Introduction & Welcome: Jamey Edwards (@jameyedwards) – Moderator Patient Perspectives

Q1: From a patient’s perspective, how (using what technology) are patients most inclined to use #telemedicine? A1 Notable Responses: Robert Blount (@Rblount) Let's "face it" with the iPhone everyone is much more comfortable with using technology. #telehealth #TelemedNow

Jim St. Clair (@jstclair1) I think starting with simple encounters, just connecting with their provider in the same way they may wait (for ages) to discuss latest status and details Helen Burstin (@helenburstin) Great point @RBlount. But some people don't have smart phones and technology difficult to navigate. Need to consider telephone as well #TelemedNow Mighty Casey (@MightyCasey) any way it's offered is how I'd take telemedicine. Video visits via EHR platform would be my preference, with option to record on MY (patient) end to refer to post-visit. Andrew Watson (@arwmd) I use iPhones both as a patient and provider. Provider is harder due to the motion. Interesting though..... #TelemedNow. Evan Kirstel (@evankirstel) I use iPhones both as a patient and provider. Provider is harder due to the motion. Interesting though..... #TelemedNow. Katie Fuentes (@KatielFuentes) Had a telehealth visit with a provider who offered both an Android video option + FaceTime option. It was super convenient to do the visit from my phone and she was versatile in both. #CovidPittClass #TelemedNow Anna Leone (@Anna_M_Leone) The face-to-face time is essential for the doctor-patient relationship. But how would telemedicine work for interactions where translators are necessary? #CovidPittClass #TelemedNow Tulsi (@tulsi19) I agree that apps are the way to go! It is user friendly and allows patients to speak to physicians whenever, and more specifically wherever, they can. #telemednow ##covidpittclass Peter Linder (@OndeLinders) An important starting point is to leverage the one or two devices we bring with us daily, both as young adults and all the way to senior citizens in need #TelemedNow #Telemedicine #mMealth Ami Bhatt (@AmiBhattMD) chronic disease care is still very episodic with annual visits, #telemedicine allows for more continuous care so patients have the benefit of regular check-ins and data collection. Dave Foster (@HWinsider) I used FaceTime as a patient in the last week. My provider hasn't quite gotten her secure telehealth platform set up. Fine in a pinch but I would like to see more care professional tools rather than consumer electronic tools as a patient. #telemednow Alexa Jordahl (@AlexaJordahl) Phones are really accessible but there are issues with platforms (apple vs Android). Is it possible to embed encrypted texting and/or videochat within our pre-existing platforms like myUPMC? #telemednow #pittcovidclass Victoria S. Humphrey (@vshumphreyy) The adolescents on my psychiatry rotation really enjoyed being able to chat with us on the phone or video vidyo for #TelemedNow options Jennifer Co-Vu (@DrJenniferCo_Vu) Parents would also use #telemedicine to avoid the travel with a baby👶🏻 (pt) who has complex congenital heart disease who might not do well traveling in a car seat for hours. #TelemedNow Stacy Hurt (@stacy_hurt) We HAVE to come together to enable #telemedicine for second opinions on #cancer treatment-pts in remote areas have no access to @theNCI protocols-these pts email me EVERY DAY for help-I am trying my best- we need to empower them with #TelemedNow Q1A: Provider #Poll: Have you have used #Telemedicine for you or your family? How was the experience? Poll as of 9:30 PM ET

Q1B: Provider Poll: Select your most used #Telemedicine methodology Poll as of 9:30 PM ET A1B Poll & Notable Responses: Kevin Fowler (@gratefull080504) Email + my Quest Labs app

Q2: How does a patient choose a telemedicine provider? Poll as of 9:30 PM ET A2 Notable Responses: Evan Kirstel (@evankirstel) It’s chaotic! Need guidance! Help from likes of @ConsumerReports and such?

Irma Raste (@irmaraste) We will see the rise in #telehealth across all 4 options here. Especially important to have it available for #patients without #healthinsurance Lalita Abhyankar (@L_Abhyankar) we’re lucky enough to be able to care for our own patients. I’m seeing patients I’ve known for a few years via telemed which makes the experience so much cooler. I get to see what they’re like at home!

Q3: What challenges prevent #patients from using #telemedicine? And how can we prevent this in the future? A3 Notable Responses: Kevin Fowler (@gratefull080504) To me the biggest barrier to adoption is the physician's attitude towards #telemedicine Dave Foster (@HWinsider) I set up a family caregiving Zoom conference this week for family members to join with the patient to discuss the results of an MRI after meeting with an oncologist. We had to punt and switch to FaceTime because the patient couldn't figure out how to use Zoom. #telemednow Rasu Shredtha (@RasuShrestha) Availability. "Make it (available) and they will come."Everything else is already checking out:

Convenience

Access

Cost Lalita Abhyankar (@L_Abhyankar) Health equity, lack of phones/computers/cameras/microphones. Lack of internet. Vision impaired. I have a 93 year old patient who will never be able to video visits. It’s why we need to stop discriminating against this population and get phone visits fully covered. Suz Schrandt (@SchrandtSuz) Just sheer awareness of the availability of telemed options is a major challenge. COVID is changing that and hopefully more and more patients are having the opportunity to see the benefits of telemed. #TelemedNow

Society to Improve Diagnosis in Medicine (@ImproveDX) Just as with any encounter (virtual or otherwise) it is helpful to prepare in advance. To get the most out of a telemed encounter aimed getting a diagnosis, use the our patient toolkit to pull together what you need to tack Just as with any encounter (virtual or otherwise) it is helpful to prepare in advance. To get the most out of a telemed encounter aimed getting a diagnosis, use the our patient toolkit to pull together what you need to tackle during the visit: http://bit.ly/2vGDdje

Janice Tufte (@Hassanah2017) another worry today, #wheretoplacethelaptop so you have a good background behind you #realCOVIDzooming #TelemedNow Kevin Fowler (@gratefull080504) I think that time needs to be invested upfront in relationship building so that trust is established In my situation I have been seeing my #transplant #nephrologist for over 10 years + I have complete trust in her The transition would be easy + welcomed Stacy Hurt (@stacy_hurt) In the #cancer space, patients are completely overwhelmed just with navigating their fight-they may view #telemedicine as “another thing to do”-education is key #TelemedNow

Jennifer Co-Vu (@DrJenniferCo_Vu) Not all #patients have access to devices/ internet access/wireless service. For our Single Ventricle Home monitoring program, pts lent an iPad w wireless service which they can use for #telemedicine for the entire duration bet 1st & 2nd surgery.

Ami Bhatt (@DrAmiBhatt) The transition to #telemedicine is much easier when there is already a relationship, in fact it is a bonus! But, with #COVID19 I have met new patients and we have done ok! Mr. Leon Harris (@Mr_Harris80) in alot of cases, Social Determinants of Health (SDOH) are an underlying factor which would hinder a patient from using telemedicine. The digital divide is real in the US, ultimately not allowing some patients to utilize telemedicine.

Q4 How does #telemedicine #empower #patients and our #healthcare system?

A4 Notable Responses: Andrew Watson (@arwmd) Access. Access. Access. #TelemedNow Evan Kirstel (@evankirstel) Improved access and improved #health outcomes in cost effective ways! Kevin Fowler (@gratefull080504) Greater ownership of care + viewing your healthcare care team as your coaches Changing the perception of the relationship changes everything Michael Seres (@mjseres) I actually think it engenders greater trust. You have a focused time, can share your concerns and have them answered without distractions. Suz Schrandt (@SchrandtSuz) Access from EVERYWHERE. As a patient who (pre-COVID19) travelled a great deal for #patientengagement meetings/projects, I've relied on telemedicine when I'm out of the state or country. Ami Bhatt (@AmiBhattMD) #telemedicine puts patient on the same plane as physicians: no gowns, no clinic rooms, no white coats, level playing field and true/equal partners in care. #shareddecisionmaking #patientsafety #TelemedNow Helen Burstin (@helenburstin) Great point @L_Abhyankar! Telemed allows the patient to be in their own environment and feel more comfortable. BP not elevated since they ran from the delayed metro to crowded office #TelemedNow Jennifer Co-Vu (@DrJenniferCoVu) In the #pediatrics Earth globe americas, #Telemedicine allows parents to do visits #virtually & avoid the burden of bringing all other children to clinic &/or saves them the added expense for #childcare. #TelemedNow

Q5 For our patients out there, research points to the fact the #telemedicine calls promote more honest discourse from the patient and there lead to better communication and diagnosis opportunities. Thoughts? #TelemedNow

A5 Notable Responses: Kevin Fowler (@gratefull080504) I would like to see the evidence for that statement. Non-biased evidence #TelemedNow Kevin Fowler (@gratefull080504) I think it is important to view not from a generational standpoint but from an efficiency standard I waste so much time for some #nephrology appointments that could easily be done via #Telemedicine #TelemedNow Andrew Watson (@arwmd) It does establish better eye contact and communication IMO, the basis for trust. #TelemedNow Andrew Watson (@arwmd) Our smartphones are where we share our most intimate interactions. So strange, I know. Not IRL! So it would follow that our health encounter interactions with care pros would also reveal more intimate, honest details via phone. #telemednow Jennifer Co-Vu (@DrJenniferCo_Vu) #Pediatrics perspective: My younger parent population truly appreciates #Telemedicine especially when they have a baby w high risk heart disease, since #prompt consult w their physician, & showing baby in real time = fast diagnosis & alleviates #anxiety. #TelemedNow Dave Foster (@HWinsider) Our smartphones are where we share our most intimate interactions. So strange, I know. Not IRL! So it would follow that our health encounter interactions with care pros would also reveal more intimate, honest details via phone. #telemednow Lalita Abhyankar (@L_Abhyankar) I’ve found that there’s a trust in building with patients by being in their home virtually. I do miss the patient touch and face to face, which also leads to honest discourse. Seeing them at home (without awkwardly being there) seems to let some guards down. #telemednow Evan Kirstel (@evankirstel) agree! Fewer busy office distractions and a more focused one on one conversion

A6 Time for some fun! Whats your favorite #telemedicine image or meme?

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