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The aim of this study is to evaluate patient and consultant experiences with phone consultations for endoscopy-related outpatient appointments during the COVID-19 outbreak.
Telephone consultations as a method for telehealth do not provide visual cues and limit interpretation of visual signs such as visualization of skin lesions. However, the need of such feedback is almost non-existent for endoscopy-related consultations as their purpose is focused. The main foci of endoscopy-related outpatient clinics are two: 1 - inform and consent the patient for an endoscopic procedure that is to be done in the near future; 2 - explain the results of a recent procedure already performed and which has a copy provided to the patient. Therefore, phone consultations might be a good fit for endoscopy-related outpatient clinics. The practicalities and indications for the use of phone consults has been described by van Galen & Car (2018) and fit the above description.
Patients will be invited to participate only after the consultation have been finalised and all questions regarding the endoscopic procedure to be done/that was done have been clarified. Patients and consultants will fill questionnaires to evaluate the phone consultation.
The primary outcome will the the comparison of "failed to attend" (FTA) occurrences compared to a similar period of the past year. Secondary outcomes will be patients' and consultants' satisfaction with the phone consultation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phone consult group | Information collected prospectively on FTA patients and questionnaire (satisfaction) |
| |
| Face-to-face consult group | Information collected retrospectively on FTA patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| None - NA | Other | Observational study |
|
| Measure | Description | Time Frame |
|---|---|---|
| Failed to attend patients | percentage of patients that did not answer phone calls (at least 3 calls) or with documented FTA for the retrospective group. | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction with the phone consult | Assessed through an online/hardcopy questionnaire based on previous studies on telehealth (adapted from Barsom et al. 2020 - MSF and PAT-VC questionnaires). These are mostly Likert-scale response mode statements. | 2 months |
| Consultant satisfaction with the phone consult |
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Inclusion Criteria:
Exclusion Criteria:
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Patients that have been submitted or were ordered any endoscopic procedure (e.g. capsule endoscopy, enteroscopy, endoscopic mucosal resection) within Austin Health - Victoria - Australia.
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| Name | Affiliation | Role |
|---|---|---|
| Sujievvan Chandran, MD | Consultant Gastroenterologist | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Austin Health | Melbourne | Victoria | 3084 | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32198552 | Background | Barsom EZ, Jansen M, Tanis PJ, van de Ven AWH, Blusse van Oud-Alblas M, Buskens CJ, Bemelman WA, Schijven MP. Video consultation during follow up care: effect on quality of care and patient- and provider attitude in patients with colorectal cancer. Surg Endosc. 2021 Mar;35(3):1278-1287. doi: 10.1007/s00464-020-07499-3. Epub 2020 Mar 20. | |
| 29599197 |
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For ethical purposes as per the approval of this study as a quality improvement study (and hence exempted of formal HREC evaluation). Data should be shared outside Austin Health only through grouped data in conferences and journal papers.
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| ID | Term |
|---|---|
| D003111 | Colonic Polyps |
| D003108 | Colonic Diseases |
| D005764 | Gastroesophageal Reflux |
| D004932 | Esophageal and Gastric Varices |
| ID | Term |
|---|---|
| D007417 | Intestinal Polyps |
| D011127 | Polyps |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Assessed through an online/hardcopy questionnaire based on previous studies on telehealth (adapted from Barsom et al. 2020). These are mostly Likert-scale response mode statements. |
| 2 months |
| van Galen LS, Car J. Telephone consultations. BMJ. 2018 Mar 29;360:k1047. doi: 10.1136/bmj.k1047. No abstract available. |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D006975 | Hypertension, Portal |
| D008107 | Liver Diseases |