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Record W4200427014 · doi:10.1016/j.inat.2021.101462

Telehealth for outpatient spine consultation: What do the patients think?

2021· article· en· W4200427014 on OpenAlexaff
Michael Craig, Akash Chopra, Oliver Lasry, Nicolas Dea, Raphaële Charest-Morin, John Street, Scott Paquette, Marcel F. Dvorak, Brian Kwon, Charles G. Fisher, Tamir Ailon

Bibliographic record

VenueInterdisciplinary Neurosurgery · 2021
Typearticle
Languageen
FieldMedicine
TopicTelemedicine and Telehealth Implementation
Canadian institutionsVancouver General Hospital
Fundersnot available
KeywordsTelehealthMedicineFamily medicinePhysical therapyPatient satisfactionDiseaseTelemedicineUnivariate analysisIntervention (counseling)Coronavirus disease 2019 (COVID-19)Outpatient clinicHealth careMultivariate analysisNursingInternal medicine

Abstract

fetched live from OpenAlex

Objectives We aimed to identify patient specific characteristics associated with a favourable telehealth experience in patients undergoing outpatient spine consultation. Methods We enrolled consecutive patients undergoing telehealth spine consultation during the initial months of the COVID 19 pandemic . We used an online, patient reported survey that collected demographic and disease specific information, as well as validated patient reported outcome measures. Survey items also assessed patients’ perspective of their telehealth experience. We performed univariate analysis to assess for any relationship between patient satisfaction and demographic and disease specific factors, and also collected qualitative responses regarding telehealth. Results 170 unique responses were collected. 35.8% of patients were satisfied with telehealth. When stratified into satisfied (n = 61) and unsatisfied (n = 109), female patients were exclusively unsatisfied with their experience (100% unsatisfied vs male patients 30% unsatisfied, p < 0.01). The groups were similar in terms of age, travel burden, and disease severity. Qualitative responses focussed on the patients’ concerns being able to adequately express their symptoms and functional limitations. Conclusions Patients attending outpatient spinal consultation via telehealth reported a satisfaction rate of 35.8%. Female patients were less likely to be satisfied with telehealth. Patients described concerns being able to express themselves via telehealth. This may be amenable to further study and intervention as telehealth becomes a more prominent part of spinal care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.665
Threshold uncertainty score0.630

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.033
GPT teacher head0.357
Teacher spread0.324 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2021
Admission routes1
Has abstractyes

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